Gore-Tex Medialization Thyroplasty in Patients with Unilateral Vocal Cord Paralysis: An Audit of 47 Cases
نویسندگان
چکیده
Though the surgical technique of medialization thyroplasty has been standardized, still the ideal implant has not been defined in the management of unilateral vocal cord paralysis. The authors present their experience of Gore-tex as the implant material.
منابع مشابه
CT assessment of vocal cord medialization.
BACKGROUND AND PURPOSE Unilateral vocal cord paralysis (UVCP) occurs after iatrogenic injury or disease process and is associated with dysphonia and aspiration. Various surgical options are available for treatment of UVCP, including vocal cord medialization thyroplasty and injection laryngoplasty. These augmentative procedures improve phonation and airway protection. Our purpose was to demonstr...
متن کاملRevision medialization thyroplasty with hydroxylapatite implants.
INTRODUCTION Medialization thyroplasty is a useful tool in the management of dysphonia and dysphagia with aspiration secondary to unilateral vocal fold impairment. A variety of implant materials have been used for medialization thyroplasty including silicone elastomer (Silastic, Dow Corning Corporation, Midland, MI), expanded polytetrafluoroethylene (Gore-Tex, Gore, Newark, DE), and hydroxylapa...
متن کاملDisplacement of Residual Gore-Tex Thyroplasty Implant Presenting as a True Vocal Fold Mass.
• While the safety and efficacy of Gore-Tex in vocal fold medialization surgeries has been wellestablished, various complications have also been seen, including prolonged hospital observation, infection, extrusion, dyspnea, and bleeding.1 The incidence of implant extrusion for all types of implants has been reported to be as high as 8.6% in earlier series;2 however, larger and more recent studi...
متن کامل[Aetiology and treatment of vocal fold paralysis: retrospective study of 108 patients].
OBJECTIVES To review the aetiology and treatment of laryngeal paralysis diagnosed at our hospital and to describe the available therapeutic options. METHODS Retrospective review of medical records of 108 patients diagnosed with unilateral and bilateral vocal fold paralysis between 2000 and 2012, identifying the cause of paralysis and its treatment. RESULTS Of the 108 cases analysed, 70% had...
متن کاملLaryngeal reinnervation for unilateral vocal fold paralysis using ansa cervicalis nerve to recurrent laryngeal nerve anastomosis
In laryngeal paralysis, the stiffness of the denervated vocal fold is decreased. This leads to deviant vibratory patterns involving 2 asymmetric vocal folds and results in abnormal vocal quality. Follow-up studies of medialization thyroplasty patients have noted that decrement in vocal quality after medialization is often because of continuing vocal fold atrophy. Vocal cord atrophy from denerva...
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