Medialization Thyroplasty Using the Pocket and Silicone Implant Technique

Abstract

Objective: To describe a new method of medialization thyroplasty using a modified preformed nasal silicone implant. Methods: Design: Surgical Innovation Setting: Tertiary Private Hospital Participants: Four patients underwent medialization thyroplasty using a pocket and nasal implant technique performed by the senior co-author. The indication for medialization thyroplasty for these patients was hoarseness secondary to unilateral vocal fold paralysis of more than 6 months duration, and documented by flexible fiberoptic laryngoscopy. The outcomes were described with comparison of pre- and post-operative subjective voice assessment. Results: Operative time was 15–30 minutes. Post-operative subjective improvement of voice quality was evident. Scars were minimal and aesthetically acceptable. The procedure could be done on an outpatient basis. Conclusion: Medialization thyroplasty via a pocket and silicone implant technique is initially effective and may be a worthwhile alternative to the usual window technique. Keywords: unilateral vocal cord paralysis; medialization thyroplasty; Isshiki thyroplasty; silicone implant

Keywords

• unilateral vocal cord paralysis; medialization thyroplasty; Isshiki thyroplasty; silicone implant