Gore‐Tex implant extrusion following revision medialization thyroplasty: Case report and review of the literature

Abstract

Objective To review current literature and experience with Gore-TexⓇ implant extrusion following medialization thyroplasty, as well as to report the unique case of Gore-TexⓇ implant extrusion following revision medialization thyroplasty. Methods Review of existing literature and description of personal experience with unique case of Gore-TexⓇ implant extrusion following revision medialization thyroplasty. Results Review of existing literature found no prior reported cases of Gore-TexⓇ implant extrusion following revision medialization thyroplasty. Risk factors for implant extrusion include the pressure of the implant on insertion and the inability to secure the implant. Cases of implant extrusion can be managed operatively via an endoscopic or via an external open approach. Conclusion This is the first reported case of Gore-TexⓇ implant extrusion following revision medialization thyroplasty. Careful consideration should be given in revision medialization thyroplasty as additional implant material may cause increased pressure, a risk factor for implant extrusion.

Management of Implant Extrusion following Thyroplasty for Vocal Fold Paralysis: A Case Report

“…Implant extrusion as a postoperative complication occurs in 0.8% of cases and can occur medially into the airway (0.5%) or laterally into the paraglottic space (0.3%). Only 14 cases of Gore-Tex implant extrusion have been described in the literature so far [6]. The sudden-onset of hoarseness after the Gore-Tex implantation could have been caused by an infection, cough, or trauma, but the patient did not report it, so we assume that the cause is a loose lifting of the medial perichondrium towards the pyriform sinus.…”

“…MT aims to fill the glottic gap and bring both vocal cords together, thereby allowing the larynx to function properly again [5]. Materials, such as Gore-Tex, silastic, and hydroxyapatite are used for MT, and the most worrisome possible complication of MT is extrusion of the implant, which may occur into the endolarynx or out of the paraglottic space [6]. The aim of this report was to discuss revision management of graft extrusion following primary medialization surgery and has been assembled according to CARE guidelines.…”