Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report

Jessica M.L. Pagel; Rachel H. Jonas; James J. Daniero; Patrick O. McGarey Jr

doi:10.1002/lary.31760

Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report

Jessica M.L. Pagel, Rachel H. Jonas, James J. Daniero, Patrick O. McGarey Jr

Otolaryngology

Research output: Contribution to journal › Article › peer-review

Abstract

The report describes the novel use of an endoscopic CO2 LASER assisted posterior glottic rotation flap in a professional voice user with non-intubation related posterior glottic insufficiency. The 78-year-old patient presented with progressive dysphonia and dyspnea with speaking with stroboscopy findings of posterior glottic insufficiency. After several empiric voice treatments without improvement, the described surgery was performed to correct posterior glottic insufficiency. After surgery, VHI-10 improved from 25 to 9, overall CAPE-V from 69 to 6.5. The patient resumed public speaking and lecturing with maintained improvement in vocal quality and function at last follow-up six months postoperatively. Laryngoscope, 135:247–250, 2025

Original language	Undefined/Unknown
Pages (from-to)	247-250
Number of pages	4
Journal	The Laryngoscope
Volume	135
Issue number	1
DOIs	https://doi.org/10.1002/lary.31760
State	Published - 2025

Keywords

dysphagia
dysphonia
endoscopic
laryngeal surgery
posterior glottic insufficiency

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10.1002/lary.31760

https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.31760

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title = "Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report",

abstract = "The report describes the novel use of an endoscopic CO2 LASER assisted posterior glottic rotation flap in a professional voice user with non-intubation related posterior glottic insufficiency. The 78-year-old patient presented with progressive dysphonia and dyspnea with speaking with stroboscopy findings of posterior glottic insufficiency. After several empiric voice treatments without improvement, the described surgery was performed to correct posterior glottic insufficiency. After surgery, VHI-10 improved from 25 to 9, overall CAPE-V from 69 to 6.5. The patient resumed public speaking and lecturing with maintained improvement in vocal quality and function at last follow-up six months postoperatively. Laryngoscope, 135:247–250, 2025",

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AU - Pagel, Jessica M.L.

AU - Jonas, Rachel H.

AU - Daniero, James J.

AU - McGarey Jr, Patrick O.

PY - 2025

Y1 - 2025

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AB - The report describes the novel use of an endoscopic CO2 LASER assisted posterior glottic rotation flap in a professional voice user with non-intubation related posterior glottic insufficiency. The 78-year-old patient presented with progressive dysphonia and dyspnea with speaking with stroboscopy findings of posterior glottic insufficiency. After several empiric voice treatments without improvement, the described surgery was performed to correct posterior glottic insufficiency. After surgery, VHI-10 improved from 25 to 9, overall CAPE-V from 69 to 6.5. The patient resumed public speaking and lecturing with maintained improvement in vocal quality and function at last follow-up six months postoperatively. Laryngoscope, 135:247–250, 2025

KW - dysphagia

KW - dysphonia

KW - endoscopic

KW - laryngeal surgery

KW - posterior glottic insufficiency

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Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report

Abstract

Keywords

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