Thyroplasty for functional rehabilitation of the incompetent larynx

AbstractType I thyroplasty was performed in 12 patients with unilateral paralysis of the vocal fold. Subjective as well as objective improvement in vocal performance was reported in 11 patients. Aspiration was improved in six out of eight patients. Effort closure was evaluated by the ability of the patient to voluntarily raise his intra-abdominal pressure during Valsalva's manoeuvre. A comparison of pre- and post-thyroplasty measures, showed a statistically significant improvement in the efficacy of effort glottic closure (p < 0.05), indicating a better physical performance. We had one case of wound sepsis and another case of implant extrusion.

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Type I thyroplasty for unilateral vocal fold palsy: Silastic or titanium implant?

Journal of Laryngology and Voice ◽

10.4103/jlv.jlv_10_17 ◽

2018 ◽

Vol 8 (2) ◽

pp. 29

Author(s):

Ashwani Sethi ◽

NidhiVohra Maggon ◽

AwadheshKumar Mishra ◽

Ajay Mallick

Keyword(s):

Vocal Fold ◽

Titanium Implant ◽

Type I ◽

Vocal Fold Palsy ◽

Type I Thyroplasty

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Three-Dimensional MRI Evaluation of Vocal Fold Paralysis after Type I Thyroplasty

Otolaryngology ◽

10.1016/s0194-5998(05)80797-1 ◽

1995 ◽

Vol 113 (2) ◽

pp. P133-P133

Author(s):

Nancy Jones Bryant ◽

L. Carol Gracco ◽

Clarence T. Sasaki ◽

John C. Gore

Keyword(s):

Vocal Fold ◽

Three Dimensional ◽

Vocal Fold Paralysis ◽

Type I ◽

Mri Evaluation ◽

Type I Thyroplasty

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Type I Thyroplasty for Acute Unilateral Vocal Fold Paralysis following Intrathoracic Surgery

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940211100802 ◽

2002 ◽

Vol 111 (8) ◽

pp. 667-671 ◽

Cited By ~ 27

Author(s):

Manoj T. Abraham ◽

Manjit S. Bains ◽

Robert J. Korst ◽

Robert J. Downey ◽

Dennis H. Kraus

Keyword(s):

Thoracic Surgery ◽

Vocal Fold ◽

High Risk Patient ◽

Primary Lung Cancer ◽

Vocal Fold Paralysis ◽

Common Disease ◽

Type I ◽

Pulmonary Status ◽

Type I Thyroplasty ◽

Intrathoracic Surgery

Patients who undergo intrathoracic operative procedures for malignancy may require sacrifice of a recurrent laryngeal nerve. Postoperative vocal fold paralysis may lead to diminished cough with secretion retention, aspiration, and life-endangering pneumonia. This study retrospectively reviews our institution's experience of 23 patients who underwent type I thyroplasty within the 2-week (acute) period after thoracic surgery. Primary lung cancer (n = 16) was the most common disease. Upper lobectomy (n = 9) and pneumonectomy (n = 7) were the most frequent surgical procedures. Silicone medialization alone (n = 11) or with arytenoid adduction (n = 12) was performed. There were no significant postoperative complications. Improvements in hoarseness (86%), dyspnea (72%), dysphagia (50%), and aspiration (79%) were noted. Pulmonary status improved after vocal fold medialization, as reflected by decreased need for therapeutic bronchoscopy in the majority of patients in the postoperative period. Type I thyroplasty for vocal fold paralysis in the acute phase following thoracic surgery is well tolerated and is associated with improved patient outcome with no postoperative deaths in this high-risk patient population.

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