Learning curve of medialization thyroplasty using a Montgomery™ implant

Abstract

acoustic and aerodynamic outcome improvements (δ) compared to the duration of intervention [operative times (OT)]. Data were analysed by Anova, Kuskal Wallis and χ (2) statistical tests, according to data distributions. OT decreased significantly between groups 1, 2 and 3 with a mean OT of 90.5', 71.5' and 56' (p < 0.001), respectively. Objective δ such as maximum phonation time (MPT) (p 0.376), Estimated Sub-Glottic Pressure (ESPG) (p: 0.675) Shimmer (p: 0.543) and Jitter (p: 0.709) did not show significant improvement. Only the voice handicap index (VHI) δ of group 2 showed significant improvement (p 0.005) compared with the two other groups 1 and 3. Surgeon experience decreases the OT significantly. On the other hand, our study did not show a correlation between surgeon experience and voice outcome measures improvemnts (MPT, ESGP, Shimmer, Jitter).

Pre- and intraoperative acoustic and functional assessment of the novel APrevent® VOIS implant during routine medialization thyroplasty

“…Since the introduction of MT, various implant materials have been used, such as the silastic block [19,20,33,44], pre-molded silastic [6,16,23,26,27,30] from Montgomery ® and hydroxyapatite implants [8,40,41] from VoCOM ® , polytetrafluoroethylene strips [10,21,22,24,30,37,39] from Gore-Tex ® and the titanium medialization implant [7,9,34,36,44], TVFMI™, from Heinz Kurz Medical GmbH.…”

Transoral robotic surgery (TORS) for laryngeal and hypopharyngeal cancers

“…T1 and T2 hypopharyngeal cancers are less often encountered, but are often amenable to partial pharyngectomy via a transoral approach . Some of this experience has been achieved with TORS .…”

“… The defects are allowed to heal via secondary intention. Concurrent bilateral neck dissections can be safely performed with minimal morbidity and less utilization of operating room resources . Intraoperative complications are rare and bleeding can be minimal .…”

Very long‐term Voice Handicap Index Voice Outcomes after Montgomery Thyroplasty: A cross‐sectional study

“…Among them, MT presents a relatively low technical challenge. This is even more so for MT using the Montgomery Thyroplasty Implant System (MTIS) for which a short learning curve, good postoperative results and a low rate of adverse events have been shown . MT is also reputed to be a one‐time procedure assuring long‐term results.…”

“…This is even more so for MT using the Montgomery Thyroplasty Implant System (MTIS) for which a short learning curve, good postoperative results and a low rate of adverse events have been shown. [2][3][4][5][6] MT is also reputed to be a one-time procedure assuring long-term results. Many authors consider MT as the gold standard for permanent treatment of UVFP.…”