Complications of Type I Thyroplasty and Arytenoid Adduction

Abstract

Using the appropriate technique, the potential benefits of improved glottic function following type I thyroplasty with arytenoid adduction outweigh the small risk of significant complications observed.

Modified arytenoid adduction for cancer-related unilateral vocal fold paralysis

“…Vocal fold medialisation represents an alternative, palliative procedure which can improve voice quality and resolve aspiration while involving minimal intrusion into the patient's life, and it is accepted currently for the treatment of cancer-related unilateral vocal fold paralysis. 1 At present, several surgical approaches are popular for the treatment of unilateral vocal fold paralysis, including vocal fold injection, type I thyroplasty and arytenoid adduction. Thyroplasty can medialise the membranous portion of the vocal fold, but complete closure of the posterior commissure cannot be achieved.…”

“…In this population, hoarseness, dysphagia, aspiration and impaired respiratory function secondary to glottal incompetence are common and can be devastating. 1 Glottal incompetence can usually be remedied by vocal fold medialisation, which not only prevents life-threatening complications, such as aspiration pneumonia, but can also dramatically improve patients' quality of life. 1 Over the past few decades, several techniques have evolved to effect medialisation of the paralysed vocal fold, including injection laryngoplasty, medialisation thyroplasty and arytenoid adduction.…”

Postthyroplasty Implant Extrusion

“…Another study carried out by Abraham et al [6] where a retrospective review of all cases of thyroplasty was done over a 10-year period, only 3 out of 98 patients who underwent thyroplasty type 1 were reported to have implant extrusion. However, the author neither mentioned the sex of the patients nor commented on the quality of their voice following implant extrusion.…”

Correlation between Functional MRI And Voice Improvement Following Type I Thyroplasty in Unilateral Vocal Fold Paralysis—A Case Study

“…Type I thyroplasty, a commonly used surgical rehabilitation approach for patients with voice disorder and glottic insufficiency due to unilateral vocal fold paralysis (UVFP), is associated with improved voice and swallowing. [3][4][5][6][7] Patients undergoing this type of surgical procedure provide an opportunity to examine a central mechanism of adaptation associated with dysphonia and its remediation following surgery.…”