The Fate of Medialized Cartilage in Thyroplasty Type I

Sasaki, Clarence T.; Driscoll, Brian P.; Gracco, C.; Eisen, Richard N.

doi:10.1001/archotol.1994.01880360090017

Cited by 17 publications

(14 citation statements)

References 5 publications

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“…A variety of materials has been used as a prosthesis for fixation: these include silicone (3,6,21,(27)(28)(29)(30)(31)(32)(33)(34)(35), cartilage (17), ceramics (hydroxyapatite) (20), metals such as miniplate (19), and titanium (22) and adjustable silicone (18). Most of the complications associated with the use of silicone, such as migration, exposure, or extrusion into the air-way, result from excessively large or angled shapes, which gradually cut the soft tissue which they are in contact with by continual pressure.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Progress in Laryngeal Framework Surgery

Isshiki¹

2000

Acta Oto-Laryngologica

111

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This paper reviews progress in laryngeal framework surgery since it was first reported about 25 years ago. The success of this type of surgery requires both a basic knowledge of the physiology of phonation, in order to make decisions about the surgical procedure, and surgical skill, in order to accomplish the intended procedure successfully. The main reason for hoarseness is imperfect closure of the glottis, but the second most important reason for hoarseness, increased stiffness of the vocal fold, cannot be corrected by mere medialization of the vocal fold. Laryngeal framework surgery is different in concept from conventional surgery, which is intended to remove the lesion. Controversial points discussed here regarding type I thyroplasty include: (i) whether the cartilage window should be removed; (ii) materials for fixation of the window; and (iii) comparison of type I thyroplasty with arytenoid adduction. A new surgical treatment for spasmodic dysphonia and its results in three patients are described briefly. Surgery for raising the vocal pitch requires further improvement. In the future, laryngeal framework surgery will have wider application in treatment of dysphonias, such as asthenic voice due to atrophy in professional singers or aging, pitch problems in females and gender identity disorder and spasmodic dysphonia.

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Section: Surgical Techniquesmentioning

confidence: 99%

Progress in Laryngeal Framework Surgery

Isshiki¹

2000

Acta Oto-Laryngologica

111

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“…This requires the co-operation of the patient and has been achieved with local or regional anaesthesia and sedation. Thyroplasty type 1 is successful for both immediate restoration and long term maintenance of a more normal voice quality[2–5] and speaking pattern. [6] Thyroplasty also decreases aspiration,[2–5] in patients with unilateral vocal cord paralysis.…”

Section: Introductionmentioning

confidence: 99%

“…Thyroplasty type 1 is successful for both immediate restoration and long term maintenance of a more normal voice quality[2–5] and speaking pattern. [6] Thyroplasty also decreases aspiration,[2–5] in patients with unilateral vocal cord paralysis. Thyroplasty moves the paralysed anterior membranous vocal cord towards the midline by using a Silastic ® implant for external compression of the paralysed vocal cord.…”

Section: Introductionmentioning

confidence: 99%

“…Closure of the glottic gap may decrease the incidence of pulmonary aspiration. [2–5] Thyroplasty has been performed with local anaesthesia alone or with sedation, using a combination of propofol and fentanyl or midazolam[89] Local anaesthesia, with or without sedation, allows the patient to phonate during surgery which enables the surgeon to assess the correct position of the Silastic wedge. [1011]…”

Section: Introductionmentioning

confidence: 99%

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Continuous cervical epidural analgesia for Isshiki type - I thyroplasty

Trivedi¹

2010

Indian J Anaesth

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Thyroplasty is an operation on the upper airway to improve voice quality in patients with unilateral vocal cord paralysis. It is a difficult anaesthetic procedure that requires sharing the airway with the surgeon. We describe a good anaesthetic technique, which provides a safe airway with excellent operating conditions, using continuous cervical epidural anaesthesia and postoperative analgesia in three patients. The use of a regional anaesthetic technique provides excellent anaesthesia and analgesia while allowing the patient to phonate at the request of the surgeon intraoperatively.

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“…He described the technique of forming a wedge by cutting a window into the laryngeal framework at the glottic level which was secured into the paraglottic space by a custom-made silastic implant. Due to irreproducible resorption of the impressed cartilage Sasaki’s [26] modification became popular, which removed the cartilage within the window completely with the silastic implant doing the complete medialisation effect. Biological compatibility of completely polymerized medical grade silicone is excellent; extrusion rate seems not to be different to other medical implants [27].…”

Section: Laryngeal Implantsmentioning

confidence: 99%

Larynx: implants and stents

Sittel

2009

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 8:Doc04; ISSN 1865-1011

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The Fate of Medialized Cartilage in Thyroplasty Type I

Cited by 17 publications

References 5 publications

Progress in Laryngeal Framework Surgery

Progress in Laryngeal Framework Surgery

Continuous cervical epidural analgesia for Isshiki type - I thyroplasty

Larynx: implants and stents

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