Medialization laryngoplasty-A study of 15 cases

Raj, Annop; Girhotra, Manish; Meher, Ravi

doi:10.1007/bf02974388

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…No patients were lost to follow‐up. Several complications were reported, including granulation formation at the anterior commissure, implant extrusion 7 months after surgery, 12 and local infection requiring implant removal 26 …”

Section: Resultsmentioning

confidence: 99%

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A Meta‐analysis of Voice Outcome Comparing Calcium Hydroxylapatite Injection Laryngoplasty to Silicone Thyroplasty

Shen¹,

Damrose²,

Morzaria

2012

Otolaryngol.--head neck surg.

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Section: Resultsmentioning

confidence: 99%

“…After initial screening, 71 articles were deemed relevant. Twenty‐four studies satisfied the inclusion criteria 6,11–35 . Data were first summarized according to the types of intervention and the types of outcome measures.…”

Section: Methodsmentioning

confidence: 99%

A Meta‐analysis of Voice Outcome Comparing Calcium Hydroxylapatite Injection Laryngoplasty to Silicone Thyroplasty

Shen¹,

Damrose²,

Morzaria

2012

Otolaryngol.--head neck surg.

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“…Thus, it avoids manipulating the dynamic vibratory structure of the cords. 2 The current treatment for one-sided laryngeal palsy includes medialization thyroplasty with or without arytenoid adduction (AA), injection laryngoplasty, laryngeal reinnervation, adduction arytenopexy, and cricothyroid subluxation. A 6-12month observation period is generally suggested before permanent medialization thyroplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Amongst them, the cartilage is a preferred graft material for the same, because of its easy availability, low absorption rate, high biocompatibility, and minimal tissue reaction or fibrosis which causes minimal shrinkage. 2 The appropriate timing for external medialization thyroplasty is controversial because of the relative difficulty in determining the type of recurrent laryngeal nerve injury. Therefore, in such situations, it is recommended to assess the nerve conduction by performing electromyography to exclude complete nerve degeneration and loss.…”

Section: Discussionmentioning

confidence: 99%

“…Parameters that were noted with respect to voice were duration since change of voice, mode of onset, presence of hoarseness, breathiness, voice fatigue, pitch breaks, and level of loudness of voice. 2 There were 3 males and 1 female included in the study. Three patients had left vocal cord palsy while one patient had right vocal cord palsy.…”

Section: Materials a N D Methodsmentioning

confidence: 99%

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Medialization Thyroplasty Using Nasal Septal Cartilage: Our Experience

Tukaram¹,

Joshi²

2019

International Journal of Phonosurgery &Amp; Laryngology

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Aim: To demonstrate the functional voice outcomes following external medialization thyroplasty using autologous cartilage from the nasal septum. Materials and methods:The study included four patients (three males and one female) who presented to the ENT outpatient department diagnosed with unilateral vocal fold paralysis. Medialization thyroplasty type I was performed for all the patients using autologous nasal septal cartilage with the patients under local anesthesia. Results: All four patients showed significant improvement in the form of glottis closure on laryngoscopic examination. Complete glottis closure was achieved in three patients while one patient had a small posterior glottis gap. The maximum phonation duration improved significantly in three patients, i.e., average 13.33 seconds; while one patient with the small posterior glottis gap showed minor improvement, i.e., 7.1 seconds. However, the complaint of aspiration of liquids was relieved in all the four patients. Conclusion: External medialization thyroplasty using an autologous nasal septal cartilage graft is considered safe and efficient phonosurgical procedure and provides proper positional adjustment of the paralyzed vocal fold with significant improvement in the subjective and objective functional voice outcomes.

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Safety and Adverse Events of Medialization Thyroplasty: A Systematic Review

Valley,

Karp,

Garber

2023

The Laryngoscope

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IntroductionUnilateral vocal fold paralysis or paresis (UVFP) is a condition that causes significant morbidity due to dysphonia, dysphagia, and aspiration. Type I medialization thyroplasty (MT) is the current mainstay surgical treatment for UVFP. Though widely considered a safe procedure, concerns exist over possible airway complications which can lead to overnight observation. Herein, we report a systematic review of the safety and adverse events of MT to aid in determining the safety of same‐day discharge.Data SourcesPubMed and Embase databases.Review MethodsOur search identified studies investigating complications associated with MT. Articles were selected if published between January 1, 1989 and March 15, 2023. Abstracts were screened, and data were extracted from included studies. Only Type I MT procedures were included; case reports were excluded. Participant characteristics, intervention details, results, and adverse events were extracted.ResultsThe database query identified 751 abstracts, of which 46 studies met eligibility criteria. A total of 2426 patients underwent MT. The most common implant was Silastic (n = 898, 37.0%) followed by Gore‐Tex (n = 664, 27.4%). There were 254 (10.5%) total complications reported; 110 (4.5%) were considered major. The most common complication was nonobstructive hematoma (n = 59, 2.4%) followed by hemorrhage (n = 36, 1.5%). Implant extrusion (n = 24, 0.99%) or displacement (n = 15, 0.62%) occurred mostly in Silastic and Gore‐Tex implants. Same‐day discharge occurred with 429 patients and was not associated with adverse events.ConclusionsUVFP can be reliably improved by MT with a low risk of complications. Outpatient MT is a promising treatment with a favorable safety profile. Laryngoscope, 2023

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Medialization laryngoplasty-A study of 15 cases

Cited by 7 publications

References 14 publications

A Meta‐analysis of Voice Outcome Comparing Calcium Hydroxylapatite Injection Laryngoplasty to Silicone Thyroplasty

A Meta‐analysis of Voice Outcome Comparing Calcium Hydroxylapatite Injection Laryngoplasty to Silicone Thyroplasty

Medialization Thyroplasty Using Nasal Septal Cartilage: Our Experience

Safety and Adverse Events of Medialization Thyroplasty: A Systematic Review

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