Evidence map›Paper›PMID 42671601›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Resection of the sulcus using CO2 laser and reconstruction with microflap to improve the voice.

Jingxuan Zhang, Jing Kang, Xiaoxiao Li, Qingyi Ren, Yike Li, Pingjiang Ge

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Jingxuan Zhang *Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No.106, Ave Zhongshan Second Guangzhou, Guangzhou, 510080, China.
Jing Kang *Department of Otolaryngology-Head and Neck Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Xiaoxiao LiDepartment of Otolaryngology-Head and Neck Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Qingyi RenDepartment of Otolaryngology-Head and Neck Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China.
Yike LiDepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 Medical Center Drive, Nashville, TN, 37232, USA.
Pingjiang GeGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No.106, Ave Zhongshan Second Guangzhou, Guangzhou, 510080, China. gepingjiang@aliyun.com.ORCID http://orcid.org/0000-0003-0878-7760

Funding

National Natural Science Foundation of China 82071028
6 · The paper itself

Abstract

purposeThis study aims to evaluate the therapeutic outcomes of CO₂ laser resection of the sulcus and reconstruction under microlaryngoscopy.

methodsThis retrospective analysis included 22 patients (10 females and 12 males, with an average age of 24.9 years) diagnosed with pathological sulcus vocalis who underwent our surgical procedure, which involved vaporization of the sulcus using a CO

resultsSubjective improvements were observed, with statistically significant improvements in VHI-30 scores and all subscales (P < 0.05). Voice analysis demonstrated improvements in jitter and shimmer(P < 0.05). As in the RBH perceptual assessment, statistically significant improvements were observed postoperatively in the B score of the postoperative vowel (P < 0.05). Mucosal wave, amplitude, and bilateral sulcus severity scores showed improvement postoperatively (P < 0.05).

conclusionCO₂ laser resection and reconstruction of the sulcus under microlaryngoscopy is an effective surgical method for treating sulcus vocalis. This technique significantly improves patients' subjective voice and voice quality mightily by enhancing vocal fold vibration and restoring normal vocal fold shape.

Indexed as

CO₂ laserHorsenessPhonosurgerySulcus vocalisSutureVoice evaluation

Identifiers

PMID42671601

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