The purpose of this paper is to describe a series of patients who have undergone medialisation thyroplasty (with or without arytenoid adduction) at our centre with respect to demographics, aetiology for unilateral vocal fold paralysis, pre- and postoperative maximum phonation time, amount of anterior and posterior medialisation required and complications. A comparative analysis with international studies was also performed. A retrospective analysis was performed on 67 patients, who underwent medialisation thyroplasty at our centre from August 2008 to August 2014. All the medialisation thyroplasty were performed using Netterville's technique. The average anterior medialisation needed was 2.25 mm (SD 1.05 mm) while the average posterior medialisation needed was 6.75 mm (SD 1.79 mm). Our study is the first to determine the amount of anterior and posterior medialisation needed in the Indian population. Mean anterior and posterior medialisation required was found to be the same, regardless of the age, gender of the patient and side of surgery.
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http://dx.doi.org/10.1007/s00405-016-3982-9 | DOI Listing |
J Voice
January 2025
ENT Department, Valencia University General Hospital, Valencia, Spain; Medicine School of Valencia, University of Valencia, Valencia, Spain.
Objetives: Montgomery medialization thyroplasty involves fitting a silicone prosthesis in the thyroid cartilage according to gender-based placement criteria. This standardized procedure can lead in some cases to suboptimal results. The aim of this study is to identify individual anatomical differences between same-gender patients that could explain the occasional failures.
View Article and Find Full Text PDFJ Voice
December 2024
Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH.
Objectives/hypothesis: Assess the impact of the infraglottal medialization technique on acoustics and the vertical stiffness gradient of the vocal fold using excised canine larynges.
Methods: Seven ex vivo canine larynges were tested in three states: 1) no implant, 2) medialized using a glottal implant, and 3) medialized fold using an infraglottal implant. Outcome measures were vocal efficiency and stiffness of the fold.
Delayed complications of arytenoid adduction and medialization laryngoplasty are rarely reported in the literature. Clinicians should be aware that performing an AA alongside an ML may seed oral cavity bacteria into the paralaryngeal space. This may result in delayed infection-especially in immunocompromised patients-necessitating implant removal and antibiotics.
View Article and Find Full Text PDFJ Voice
November 2024
Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA. Electronic address:
Objectives: Patients with unilateral vocal fold paresis and unfavorable posterior cricoarytenoid (PCA) muscle synkinesis can be challenging to treat with medialization procedures alone. Arytenoid repositioning procedures are generally considered contraindicated in mobile vocal folds. We present two cases of persistent dysphonia following type I thyroplasty for vocal fold paresis that improved after botulinum toxin-A (BTX-A) injection into the PCA muscle.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
December 2024
Otorhinolaryngology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Background: Unilateral vocal fold paralysis (UVFP) is a common condition that may have varying economical and personal consequences for those afflicted by it. Patients often have dysphonia as a primary concern and may also experience aspiration in certain cases. This research aimed to assess the voice and swallowing results after injection laryngoplasty and medialization thyroplasty in patients with UVFP.
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