Thyroplasty for functional rehabilitation of the incompetent larynx

Abstract

Type I thyroplasty was performed in 12 patients with unilateral paralysis of the vocal fold. Subjective as well as objective improvement in vocal performance was reported in 11 patients. Aspiration was improved in six out of eight patients. Effort closure was evaluated by the ability of the patient to voluntarily raise his intra-abdominal pressure during Valsalva's manoeuvre. A comparison of pre- and post-thyroplasty measures, showed a statistically significant improvement in the efficacy of effort glottic closure (p < 0.05), indicating a better physical performance. We had one case of wound sepsis and another case of implant extrusion.

Analysis of laryngeal framework surgery: 10‐year follow‐up to a national survey

“…This is identical to the 0.81% implant extrusion rate demonstrated in 1998 3. Other reports in the literature demonstrate somewhat higher rates of implant extrusion, ranging from 0% to 8.3%, although these reports represent fairly small series of patients 7, 10–14…”

A Meta‐analysis of Voice Outcome Comparing Calcium Hydroxylapatite Injection Laryngoplasty to Silicone Thyroplasty

“…Twenty-four studies satisfied the inclusion criteria. 6,11-35 Data were first summarized according to the types of intervention and the types of outcome measures. Then the quality of the measurement methods was evaluated, in addition to patient recruitment, data replicability, and missing data.…”

“…After initial screening, 71 articles were deemed relevant. Twenty‐four studies satisfied the inclusion criteria 6,11–35 . Data were first summarized according to the types of intervention and the types of outcome measures.…”