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Type 1 thyroplasty is used to close glottic gaps due to an immobile or atrophied vocal fold. It is performed via an external approach with local anesthetic and the patient under monitored anesthesia care. Vocalization during implant carving and placement allows for “tuning” of the implant. Type 1 thyroplasty can be combined with arytenoid adduction if needed to close the posterior glottis.
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