Medial Displacement of the Vocal Cord

Isshiki, Nobuhiko

doi:10.1007/978-4-431-68358-2_6

Cited by 4 publications

(4 citation statements)

References 27 publications

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“…Lack of safe anaesthesia, blood replacement and risk of infection 30 complicated all surgical techniques during this time period, but this particular operation was prone to post-operative infections and was associated with a high incidence of airway compromise 31 . Complications specific to Payr's surgery included the unpredictable durability of the pedicle, 32 especially when the thyroid cartilage was calcified, 21 as well as difficulty in determining the degree of vocal fold displacement and in fixing the cartilage in the desired position 33…”

Section: Historical Medialisation Thyroplasty Methodsmentioning

confidence: 99%

“…He described a technique to medialise paralysed vocal folds by injecting the paralysed fold with paraffin 20 . This method proved to be highly successful; 21 however, paraffin was found to cause severe local foreign body reactions, such as paraffinomas, 22 so experiments with injection therapy continued with other materials 20 . Teflon was the most widely used material for injection therapy after its introduction by Arnold in 1962 20 …”

Section: Historical Vocal Fold Palsy Treatmentsmentioning

confidence: 99%

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One hundred years of external approach medialisation thyroplasty

Crolley

Gibbins

2017

J. Laryngol. Otol.

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It has been 100 years since Erwin Payr first developed an operation to improve the effects of a paralysed vocal fold, and operations based on this technique are still in use today. This technique, medialisation thyroplasty, aims to improve the symptoms caused by vocal fold palsy by realigning the lateralised vocal fold into the midline. Whilst the effects of vocal fold palsy were recognised in antiquity, it was only with the development of indirect laryngoscopy in the late nineteenth century that the vocal fold paralysis could be identified as an aetiology for poor phonation and dysphagia. Payr, in 1915, was the first to perform a recognisable form of medialisation thyroplasty, which was further developed in the early twentieth century, but medialisation thyroplasty did not begin to be widely used until the development of the modern technique by Isshiki et al., in 1974. Since then, medialisation thyroplasty has continued to be developed and is currently the most widely used technique for correcting the effects of vocal fold palsy. However, a wide array of therapeutic options is now available for vocal fold palsy and it is impossible to say whether or not medialisation thyroplasty will still be used in another 100 years.

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Section: Historical Medialisation Thyroplasty Methodsmentioning

confidence: 99%

Section: Historical Vocal Fold Palsy Treatmentsmentioning

confidence: 99%

One hundred years of external approach medialisation thyroplasty

Crolley

Gibbins

2017

J. Laryngol. Otol.

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“…Various approaches have been developed to improve glottic closure, including (1) framework and augmentation surgeries to reduce the size of the glottal gap, 7 (2) surgeries to restore impaired neural function, 8 and (3) facilitating voice therapy techniques. 2,9,10 The first noted of the above treatment approaches is perhaps the most predominant.…”

Section: Background Informationmentioning

confidence: 99%

“…The literature contains many studies of surgical techniques using a variety of augmentation materials. 2,3,[7][8][9][11][12][13][14] Resorbtion of the materials used and the difference in viscosity from normal vocal fold tissue are primary problems that account for the mixed efficacy reported with these techniques. The repair or restoration of neural function has also been reported, but it has met with less success.…”

Section: Background Informationmentioning

confidence: 99%

The effect of head position on glottic closure in patients with unilateral vocal fold paralysis

et al. 2004

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Controlled laryngoplasty for vocal cord medialization: A technique using tissue expansion

et al. 1990

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Laryngeal framework surgery has become an increasingly popular alternative to Teflon injection for vocal rehabilitation. Vocal cord medialization requires custom tailoring of the implant's size and shape to optimize individual vocal quality, whether it be via the interposition of Silastic implants between the thyroid ala and the inner thyroid perichondrium or through a cartilage window. A new technique is described for vocal cord medialization using an implanted miniature tissue expander. Intraoperative and postoperative vocal cord medialization was achieved in a canine model by controlled percutaneous filling of a remote injection valve. The implants were well tolerated and allowed continued control of vocal cord position for several weeks. Using this technique, vocal quality can be fine-tuned with a degree of precision not previously possible. The advantages, limitations, and technical aspects of expansion laryngoplasty are discussed.

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Medial Displacement of the Vocal Cord

Cited by 4 publications

References 27 publications

One hundred years of external approach medialisation thyroplasty

One hundred years of external approach medialisation thyroplasty

The effect of head position on glottic closure in patients with unilateral vocal fold paralysis

Controlled laryngoplasty for vocal cord medialization: A technique using tissue expansion

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