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Medialization thyroplasty is used for the management of vocal fold paralysis. During this procedure, a prosthesis is placed lateral to the inner perichondrium of the thyroid lamina. The structural integrity of the vocal fold is preserved with effective closure of the pre-phonatory gap, the result being vocal efficiency.
In our series of 4 patients in the last 1 year, we tried a new method of anesthesia which enabled us to get a view of vocal cords during the entire surgery and hence helped us in gauging the extent and the level of medialization during the procedure.
This procedure may be advocated in cases where we feel the patient may not cooperate with local anesthesia and a general anesthesia would result in medialisation being done without the view of the endolarynx, resulting in suboptimal results.
In our series of 4 patients in the last 1 year, we tried a new method of anesthesia which enabled us to get a view of vocal cords during the entire surgery and hence helped us in gauging the extent and the level of medialization during the procedure.
This procedure may be advocated in cases where we feel the patient may not cooperate with local anesthesia and a general anesthesia would result in medialisation being done without the view of the endolarynx, resulting in suboptimal results
Cricothyroid joint fixation
Sulcus vocalis
Soft tissue defects from excision of pathologic tissue
Aspiration or severe dysphonia as an alternative to repeated vocal fold injections
Patients who are cooperative enough to get procedure done under local anaesthesia
LMA
Flexible Bronchoscope
Genreral OT
LMA
Flexible bronchoscope
Routine investigations for general anaesthesia
Medialization thyroplasty is used for the management of vocal fold paralysis. During this procedure, a prosthesis is placed lateral to the inner perichondrium of the thyroid lamina. The structural integrity of the vocal fold is preserved with effective closure of the pre-phonatory gap, resulting in vocal efficiency.
Risks are those associated with general anesthesia depending on co-morbidities of the patient
None
Thyroplasty type I under general anesthesia with the use of the laryngeal mask and a waking period to assess voice RSS Download PDF
· Eleanor Sproson
· , Jeremy Nightingale
· and Roberto Puxeddu
Auris Nasus Larynx, 2010-06-01, Volume 37, Issue 3, Pages 357-360, Copyright © 2009 Elsevier Ireland Ltd
A series of thyroplasty cases under general anaesthesia
I. Razzaq, W. Wooldridge
BJA: British Journal of Anaesthesia, Volume 85, Issue 4, 1 October 2000, Pages 547–549, https://doi.org/10.1093/bja/85.4.547
Published:
01 October 2000
General anaesthesia for thyroplasty
M. Griffin, J. Russell, F. Chambers
First published: 06 April 2002
https://doi.org/10.1046/j.1365-2044.1998.00609.x
Citations: 9
Dr Micheal Griffin Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520-8051, USA
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