Postthyroplasty Implant Extrusion

Al-Yousuf, A; Jain, Ashish; Parker, Andrew

doi:10.1159/000089614

Cited by 7 publications

(1 citation statement)

References 15 publications

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“…It has been suggested that extrusion is more likely to occur in females than males because females generally have a smaller larynx. 7,8 The reported incidence of thyroplasty extrusion has ranged from 0.8 to 9.8%, and it has been seen with the use of various nonresorbable implants. 6 In a review by Giovanni et al, 1 of 13 patients who underwent Gore-Tex vocal fold medialization experienced an extrusion.…”

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confidence: 99%

Gore-Tex Extrusion following Type I Thyroplasty

Krane

Sataloff

2016

Ear Nose Throat J

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A 67-year-old woman presented for evaluation 10 days after the sudden onset of globus and excessive mucus, phlegm, and throat clearing. Five years earlier, she had undergone a right-sided type I Gore-Tex thyroplasty for the treatment of right vocal fold paralysis, dysphonia, and glottic insufficiency. During that procedure, the inner perichondrium was preserved. However, it was noted at the time that an unusually large amount of Gore-Tex (39.5 cm) had been necessary to achieve medialization. After the implant, the patient's voice improved, and at her 1-year follow-up, she still had a good voice and a good appearance on stroboscopy.At her most recent presentation, strobovideolaryngoscopy revealed that the Gore-Tex implant had extruded. Folds of Gore-Tex were seen in the right piriform sinus (figure 1). The airway was still patent and

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confidence: 99%

Gore-Tex Extrusion following Type I Thyroplasty

Krane

Sataloff

2016

Ear Nose Throat J

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Systematic Review and Meta‐Analysis of Outcomes in Type 1 Thyroplasty Comparing Silastic to Gore‐Tex

Vance,

Allen,

Leming

et al. 2024

The Laryngoscope

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ObjectiveType 1 Thyroplasty is a well‐established procedure used for medializing an immobile vocal fold. Silastic and Gore‐Tex are the two most common materials used to accomplish this, but comparative data on their relative efficacy are scarce. We sought to compare outcomes between Silastic and Gore‐Tex implants via systematic review and meta‐analysis for unilateral vocal fold immobility.MethodsWe collected available data from PubMed, Embase, and Web of Science on demographics, maximum phonation time (MPT), voice handicap index (VHI‐10/30) score, and any other relevant metrics encountered before comparatively evaluating differences in outcomes.ResultsThe search yielded 1,534 records with 55 manuscripts ultimately included. There were 41 unique studies that utilized Silastic for a total of 1038 patients. There were 13 unique studies that utilized Gore‐Tex for a total of 245 patients. The pooled mean increase in MPT for Silastic patients was 7.8 s (+1.3 SMD) compared with 5.7 s for Gore‐Tex (+1.6 SMD). There was significant publication bias present in both analyses. The pooled mean change in VHI‐30 with Silastic was −45.4 (62.2%, −2.09 SMD) compared with −51.6 (73.5%, −1.1 SMD) with Gore‐Tex. The pooled mean change in VHI‐10 with Silastic was −15.6 (54%, −0.46 SMD) compared with −11.6 (43%, −0.86 SMD) with Gore‐Tex. There was no significant publication bias present in VHI outcomes.ConclusionsSilicone and Gore‐Tex implants provide adequate and comparable results in TT1. The data supporting this conclusion are limited by follow‐up, diversity in outcomes, limited data availability, and publication bias. Future research should be dedicated to comparing implants in a well‐randomized environment. Laryngoscope, 2024

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Laryngeal Framework Surgery

Friedrich

2009

Surgery of Larynx and Trachea

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Postthyroplasty Implant Extrusion

Cited by 7 publications

References 15 publications

Gore-Tex Extrusion following Type I Thyroplasty

Gore-Tex Extrusion following Type I Thyroplasty

Systematic Review and Meta‐Analysis of Outcomes in Type 1 Thyroplasty Comparing Silastic to Gore‐Tex

Laryngeal Framework Surgery

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