Arytenoid Adduction Combined With Gore‐Tex Medialization Thyroplasty

The relationship between ratings of voice quality and quality of life measures

“…Other investigations have used the GRBAS to assess results after thyroplasty type I. [10][11][12][13] The GRBAS has been used to compare outcomes of auditory perceptual assessment with instrumental assessment. Instrumental measurements were compared with results of perceptual analysis using either the conventional ordinal (ORD) scale or the modified visual analog (mVA) 14 scale.…”

Tiroplastía de medialización con Gore-Tex®: Experiencia de 8 años en Hospital Clínico de la Universidad de Chile

“…La tiroplastía de medialización fue descrita por Ishikki en los años 70, luego se realizan algunas modificaciones a la técnica, incorporando la adducción de aritenoides, procedimiento complementario cuando el gap glotal es posterior o existe una asimetría en la altura de ambas cuerdas vocales 5,6 . En nuestra casuística no fue necesario realizar este procedimiento, ya que todos los pacientes presentaban gap medio cordales y con aritenoides al mismo nivel.…”

Sling arytenoid adduction

“…The advantages of arytenoid adduction are undisputed [1][2][3][4][5][6][7][8]. In addition to medialization of the ligamentous part of the vocal folds, e.g., in vocal fold augmentation procedures, the closure of the posterior part of the glottis is an undoubted advantage for many patients with lateral vocal process position.…”

“…One of the most appealing advantages of this SAA technique is the possibility to pass a sling around the muscular process without having to dissect the thyroid cartilage (or dislocate the cricothyroid joint), for one of each is always the case in all other techniques of arytenoid adduction or arytenopexy [1,2,[4][5][6][7][8]. Furthermore, in our technique of SAA the muscular process needs no direct suturing.…”

“…All arytenoid rotation procedures have in common that the thyroid cartilage is dissected, fenestrated and/or the cricothyroid joint is disarticulated. However, the technique of AA is not as easy as medialization thyroplasty, presumably because of the advanced invasiveness during the surgery and increase of risk for complications [2]. Even following all surgical recommendations and staying within boundaries outlined by surgical instructions, the exposure and suture of the muscular process remains challenging [3][4][5][6][7][8].…”