Subjective Voice Outcomes and Intralaryngeal Findings after Transcervical Chondrolaryngoplasty

IntroductionTo evaluate short-term postoperative intralaryngeal findings and subjective voice outcomes following transcervical chondrolaryngoplasty with endoscopic vocal fold localization.MethodsA retrospective review was performed of 35 patients undergoing transcervical chondrolaryngoplasty by a single surgeon. Three patients were excluded because of incomplete documentation, leaving 32 patients for analysis. All patients underwent preoperative and 1-week postoperative flexible laryngoscopy and completed the Voice Handicap Index-10 (VHI-10) at both time points. Postoperative endoscopic findings, including anterior commissure integrity, true vocal fold injury, and false vocal fold (FVF) hemorrhage, were recorded and compared with changes in patient-reported voice outcomes.ResultsNo patients demonstrated anterior commissure detachment, true vocal fold injury, or visible glottic damage on postoperative endoscopy. FVF hemorrhage was observed in 12 of 32 patients (37.5%). Mean VHI-10 score increased by 0.5 points postoperatively (SE 0.85), which was not statistically significant (p = 0.5), with a median change of 0. No significant association was observed between postoperative FVF hemorrhage and change in VHI-10 score. All hemorrhages resolved spontaneously without intervention.ConclusionIn this small single-institution series, transcervical chondrolaryngoplasty with endoscopic vocal fold localization was associated with no observed anterior commissure injury and no significant short-term change in patient-reported VHI-10 scores. FVF hemorrhage was relatively common on early postoperative endoscopy but was self-limited and not associated with worsened short-term subjective voice outcomes.