Framework surgery

Rebecca J. Howell, Gregory N Postma

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


Framework surgery is a widely accepted treatment for vocal fold paralysis; however indications have expanded over time to include other forms of glottal insufficiency. Vocal fold paralysis is the clinical entity that frames our understanding and the historical concepts of what is today known as framework surgery. Over many years adjunct procedures, modifications, and improved clinical evaluation have benefited clinical outcomes. Furthermore, vocal patients can be compared in a number of different measures including visual (videostroboscopy), acoustic (noise-to-harmonic ratio, jitter, shimmer, etc.), and quality of life (voice handicap index, etc.). Initially shaped by our gross anatomic knowledge, fine-tuned by the coverbody theory of vocal fold vibration, and finally research-driven changes based on the biomechanical model will allow us to further improve vocal outcomes in glottal insufficiency with respect to framework surgery.

Original languageEnglish (US)
Title of host publicationNeurolaryngology
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783319617244
ISBN (Print)9783319617220
StatePublished - Oct 30 2017


  • Arytenoid adduction
  • Glottal insufficiency
  • Laryngoplasty
  • Presbylarynges
  • Thyroplasty
  • Vocal fold bowing
  • Vocal fold/cord paralysis/paresis

ASJC Scopus subject areas

  • General Medicine


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