Thyroplasty Type I (Lateral Compression) For Dysphonia Due To Vocal Cord Paralysis Or Atrophy

Isshiki, Nobuhiko; Okamura, Hiroshi; Ishikawa, Takeshi

doi:10.3109/00016487509121353

Cited by 322 publications

(154 citation statements)

References 2 publications

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“…225 Framework procedures refer to adjustments of VF position by manipulation of laryngeal tissue. These are performed by mobilization of the hypomobile VF toward the midline with an implant 226 (as in medialization thyroplasty) or by manipulation of the laryngeal cartilages (as in arytenoid adduction 227,228 or arytenoidpexy 229 ). These procedures can be performed in isolation or can be combined 230 and require a small neck incision that may be separate from the incision of the thyroid operation.…”

mentioning

confidence: 99%

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

Chandrasekhar

Randolph

Seidman³

et al. 2013

Otolaryngol.--head neck surg.

330

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Objective. Thyroidectomy may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. About 1 in 10 patients experience temporary laryngeal nerve injury after surgery, with longer lasting voice problems in up to 1 in 25. Reduced quality of life after thyroid surgery is multifactorial and may include the need for lifelong medication, thyroid suppression, radioactive scanning/treatment, temporary and permanent hypoparathyroidism, temporary or permanent dysphonia postoperatively, and dysphagia. This clinical practice guideline provides evidence-based recommendations for management of the patient's voice when undergoing thyroid surgery during the preoperative, intraoperative, and postoperative period.Purpose. The purpose of this guideline is to optimize voice outcomes for adult patients aged 18 years or older after thyroid surgery. The target audience is any clinician involved in managing such patients, which includes but may not be limited to otolaryngologists, general surgeons, endocrinologists, internists, speech-language pathologists, family physicians and other primary care providers, anesthesiologists, nurses, and others who manage patients with thyroid/voice issues. The guideline applies to any setting in which clinicians may interact with patients before, during, or after thyroid surgery. Children under age 18 years are specifically excluded from the target population; however, the panel understands that many of the findings may be applicable to this population. Also excluded are patients undergoing concurrent laryngectomy. Although this guideline is limited to thyroidectomy, some of the recommendations may extrapolate to parathyroidectomy as well.Results. The guideline development group made a strong recommendation that the surgeon should identify the recurrent laryngeal nerve(s) during thyroid surgery. The group made recommendations that the clinician or surgeon should (1) document assessment of the patient's voice once a decision has been made to proceed with thyroid surgery; (2) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, if the patient's voice is impaired and a decision has been made to proceed with thyroid surgery; (3) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, once a decision has been made to proceed with thyroid surgery if the patient's voice is normal and the patient has (a) thyroid cancer with suspected extrathyroidal extension, or (b) prior neck surgery that increases the risk of laryngeal nerve injury (carotid endarterectomy, anterior approach to the cervical spine, cervical esophagectomy, and prior thyroid or parathyroid surgery), or (c) both; (4) educate the patient about the potential impact of thyroid surgery on voice once a decision has been made to proceed with thyroid surgery; (5) inform the anesthesi...

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mentioning

confidence: 99%

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

Chandrasekhar

Randolph

Seidman³

et al. 2013

Otolaryngol.--head neck surg.

330

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“…surgical medialisation-Isshiki's type I thyroplasty using Gore-tex implant. [1][2] Patients who present with unilateral vocal cord paralysis due to iatrogenic surgical trauma will be taken up for surgery after 6 months. Surgical procedure for the patients was standardized by using Gore-Tex implant to medialize the cord.…”

Section: Methodsmentioning

confidence: 99%

“…Thyroplasty of the vocal cord is the gold standard for the effect of vocal cord paralysis. 1,2 There are several methods available surgically for the medialisation of the abducted vocal cord. Type I Ishiki medialisation thyroplasty is an accepted tool worldwide.…”

Section: Introductionmentioning

confidence: 99%

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Prospective analysis of type I thyroplasty using gore-tex implant

Mohanty

Sreenivas

Raj

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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INTRODUCTIONVocal cord paralysis is a clinical sign caused by paralysis of intrinsic muscles of larynx due to dysfunction of recurrent laryngeal nerve. The etiology of these lesions is exhaustive, and the treatment strategies depend on the cause and the effect. Thyroplasty of the vocal cord is the gold standard for the effect of vocal cord paralysis. 1,2 There are several methods available surgically for the medialisation of the abducted vocal cord. Type I Ishiki medialisation thyroplasty is an accepted tool worldwide. 2The techniques and outcome of the medialisation varies and one of the common effective modality is the GoreTex medialisation thyroplasty. 3,4 The results depend on a number of factors including the surgical expertise and extrusion of the Gore -Tex implant. 5,6 This study is aimed at analysing of all Gore-Tex medialisation thyroplasty done at our centre. This study was conducted with the objective to prospectively asses and analyse the vocal outcomes and quality of life of ABSTRACT Background: Vocal cord paralysis is a clinical sign caused by paralysis of intrinsic muscles of larynx due to dysfunction of recurrent laryngeal nerve. There are several methods available surgically for the medialisation of the abducted vocal cord. One of the common effective modality is the Gore-Tex medialisation thyroplasty. The results depend on a number of factors including the surgical expertise and extrusion of the Gore -Tex implant. This study is aimed at analysis of all Gore-Tex medialisation thyroplasty done at our centre. Prospectively asses and analyze the vocal outcomes and quality of life of patients in type 1 medialisation thyroplasty using Gore-Tex implant. Methods: Prospective study of 48 months on 30 patients with unilateral vocal cord paralysis. Surgical procedure for the patients was standardized by using Gore-Tex implant to medialize the cord. Video-Laryngoscopy at end of 1

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“…Pohris u. Kleinsasser [213] Demgegenüber werden Knorpeltranspiantate vom Septum oder vom Schildknorpel aufgrund der Risiken, die Fremdmaterialien im Larynx mit sich bringen können, zunehmend wieder bevorzugt [213]. Nach eigener Erfahrung lassen sich ausgezeichnete Ergebnisse mit der schon 1915 von Payr [204] angege benen Schildknorpelimpression erzielen, die durch Arbeiten von Beck u. Richstein [11] und besonders Isshiki et al [127] wieder mehr in den Vordergrund gerückt ist und zunehmend die Injektionsverfahren verdrängt [152]. Während für die Verriegelung des imprimierten Schildknorpels oft kleine Silikonblöcke benutzt werden [67,152], bevorzugen wir allerdings Riegel aus porösem PE, die stabiler und aufgrund der Verankerung durch eingewachsenes Gewebe lang zeitig sicherer am Ort bleiben.…”

Section: Mittelgesichtsaugmentationunclassified

Alloplastische Implantate in der Kopf- und Halschirurgie

Berghaus

1992

Teil I: Referate

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Thyroplasty Type I (Lateral Compression) For Dysphonia Due To Vocal Cord Paralysis Or Atrophy

Cited by 322 publications

References 2 publications

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

Prospective analysis of type I thyroplasty using gore-tex implant

Alloplastische Implantate in der Kopf- und Halschirurgie

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