OBJECTIVE Medialization laryngoplasty is commonly used to treat glottic insufficiency. In this study, we investigated the effects of implant stiffness (Young modulus), medialization depth, and implant medial surface shape on acoustic outcomes. STUDY DESIGN Basic science study using ex vivo laryngeal phonation model. METHODS In an ex vivo human larynx phonation model, bilateral medialization...

Laryngomalacia is the most common cause of stridor in neonates and infants, where the soft cartilages and tissues surrounding the upper larynx collapse inward during respiration. On the other hand, acquired idiopathic laryngomalacia in adults is quite rare, but should be borne in mind for differential diagnosis of upper airway distress. Allergic factors may cause airway distress, but have not b...

Jet ventilation (JV) involves high-pressure ventilation for upper laryngeal laser procedures. Anesthetic management for the patient undergoing JV can be challenging, as complications of JV can include subcutaneous emphysema and tension pneumothorax. A 52-year-old woman with a diagnosis of vocal cord polyps presented for direct microlaryngoscopy and laser laryngoplasty with JV. Intraoperatively,...

BACKGROUND AND OBJECTIVE Some surgical procedures such as laryngoplasty require patients to remain conscious during the intraoperative phase in order to enable speech monitoring. Dexmedetomidine and remifentanil were used in this study, since they promote appropriate patient collaboration with facilitated awakening, and are rapidly eliminated. CASE REPORT The patient complained of dysphonia, ...

INTRODUCTION Local anesthetic injection medialization of the paralyzed or paretic vocal fold has become the mainstay of management in the voice clinic in recent years. The popularity of this technique compared to suspension microlaryngoscopy and injection has grown for several reasons: avoidance of general anesthesia, avoidance of risks of rigid laryngoscopy, short procedure time, real-time ass...