Advertisement
Research Article|Articles in Press

Thyroarytenoid Muscle Avulsion

  • Philip J. Maxwell
    Affiliations
    Drexel University College of Medicine, Philadelphia, Pennsylvania, USA
    Search for articles by this author
  • Daniel Eichorn
    Affiliations
    Department of Otolaryngology - Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA
    Search for articles by this author
  • Robert T. Sataloff
    Correspondence
    Address correspondence and reprint requests to Robert T. Sataloff, 219 N. Broad Street, 10th Floor, Philadelphia, PA 19107. Tel: 215-762-5165; Fax: 215-762-5540.
    Affiliations
    Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA

    Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA
    Search for articles by this author

      Summary

      Thyroarytenoid muscle avulsion is a rare condition in which laryngeal trauma causes a separation of the thyroarytenoid muscle from the arytenoid cartilage. Typically, symptoms are nonspecific but include severe dysphonia and voice fatigue. They are similar to symptoms of vocal process avulsion. Strobovideolaryngoscopy, laryngeal electromyography, and laryngeal computed tomography may be helpful in diagnosis. However, intraoperative palpation under general anesthesia is the most definitive way to establish its diagnosis. We present two cases of thyroarytenoid muscle avulsion, a condition that has not been described previously. Surgical techniques for repair are detailed.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • Sataloff RT
        Clinical Anatomy and Physiology of Voice.
        in: Sataloff RT Professional Voice: The Science and Art of Clinical Care. 4th ed. Plural Publishing, San Diego, CA2017: 157-195
        • Heman-Ackah YD
        • Sataloff RT
        Laryngotracheal Trauma.
        in: Sataloff RT Professional Voice: The Science and Art of Clinical Care. 4th ed. Plural Publishing, Inc., San Diego, CA2017: 1611-1627
        • Rubin AD
        • Hawkshaw MJ
        • Sataloff RT.
        Vocal process avulsion.
        J Voice. 2005; 19: 702-706https://doi.org/10.1016/j.jvoice.2004.12.004
        • Abraham RF
        • Shapshay S
        • Galati L.
        Botulinum toxin-assisted endoscopic repair of traumatic vocal fold avulsion.
        Ear Nose Throat J. 2010; 89: 452-458
        • Knapp JF
        • Johnson PS
        • Kirse DJ
        • et al.
        Case record of the Children's Mercy Hospital: a 15 year old with hoarseness following neck trauma.
        Pediatr Emerg Care. 2000; 16: 364-366
        • Wohl DL.
        Traumatic vocal fold avulsion injury in a newborn.
        J Voice. 1996; 10: 106-108https://doi.org/10.1016/s0892-1997(96)80023-3
        • Wootten CT
        • Bromwich MA
        • Myer 3rd, CM
        Trends in blunt laryngotracheal trauma in children.
        Int J Pediatr Otorhinolaryngol. 2009; 73: 1071-1075
        • Sataloff RT.
        Vocal Process Avulsion.
        in: Sataloff RT Surgical Techniques in Otolaryngology – Head and Neck Surgery: Laryngeal Surgery. Jaypee Brothers Medical Publishers, New Delhi, India2014: 248-250