Sulcus mucosal slicing technique

Purpose of reviewTo present the accurate surgical indication for the slicing mucosal technique, the case selection, surgical aspects, rehabilitation concerns, and the characteristics of immediate and long-term outcomes.Recent findingsThe literature is still scarce; few cases are submitted to the slicing mucosa technique due to its specific indication; an alternative procedure was designed for cases where mucosal movement is strongly reduced, the inner section of the vocal ligament or submucosal scar tissue, which can eventually be associated with fat inclusion. Some selected cases may require thyroplasty type III to optimize functional results.SummarySlicing technique is an aggressive powerful resource for the surgical treatment of severe cases of sulcus striae major, in which mucosal wave is absent and glottic chink is moderate to severe; voice is intensely deviated immediately postoperation; vocal rehabilitation is mandatory and an intensive regimen is usually required for the first 2 months; final results can mostly be achieved up to 6 months.Universidade Federal de São Paulo, Dept Otorhinolaryngol Head & Neck Surg, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Speech Language Pathol & Audiol, São Paulo, BrazilCtr Voice Studies CEV, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Otorhinolaryngol Head & Neck Surg, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Speech Language Pathol & Audiol, São Paulo, BrazilWeb of Scienc