International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 2 , ISSUE 2 ( July-December, 2012 ) > List of Articles

CASE REPORT

Stridor due to Bilateral Implant Migration 5 Years after Bilateral Medialization Laryngoplasty

Sunita Chhapola Shukla

Citation Information : Shukla SC. Stridor due to Bilateral Implant Migration 5 Years after Bilateral Medialization Laryngoplasty. Int J Phonosurg Laryngol 2012; 2 (2):82-84.

DOI: 10.5005/jp-journals-10023-1045

Published Online: 00-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Implants like silastic, titanium, Gore-Tex and autologous cartilage have been used for type I laryngoplasty. Though rare, implant extrusion or migration, wound infection and airway compromise are some of the complications of medialization laryngoplasty surgery irrespective of the implant used. We document a rare case of bilateral implant migration in a patient who had undergone bilateral medialization laryngoplasty 5 years ago. Gore-Tex extrusion resulted in stridor 5 years after the initial surgery. Endoscopic removal of the extruded implant is advised, if feasible, without the need for tracheostomy or transcervical approach. An update on current knowledge and management of implant extrusion or migration is discussed. How to cite this article: Nerurkar NK, Shukla SC. Stridor due to Bilateral Implant Migration 5 Years after Bilateral Medialization Laryngoplasty. Int J Phonosurg and Laryngol 2012;2(2):82-84.


PDF Share
  1. Medialization laryngoplasty with expanded polytetrafluoroethylene. Surgical technique and preliminary results. Annals Otol Rhinol Laryngol 1998;107: 427-32.
  2. Complications of medialization laryngoplasty (thyroplasty type-I). Int J Phonosurg Laryngol 2011 Jan-Jun;1(1):1-3.
  3. Silastic medialisation and arytenoids adduction: The Vanderbilt experience. Ann Otol Rhinol Laryngol 1993;102:413-24.
  4. Arytenoid adduction and medialization laryngoplasty. Otolaryngol Clin North Am 2000;33(4):817-39.
  5. Complications of type I thyroplasty and arytenoid adduction. Laryngoscope 2001;111:1322-29.
  6. Laryngoplastic phonosurgery. Otolaryngologic Clin North Am 1991;24:1151-77.
  7. Phonosurgery: Indications and pitfalls. Ann Otol Rhinol Laryngol 1989;99:577-80.
  8. Plastik am schildknorpel zur Behebung der Folgen einseitiger Stimmbandlahmung. Dtsch Med Wochenschr 1915;43:1265-70.
  9. Thyroplasty as a new phonosurgical technique. Acta Otolaryngol (Stockh) 1975;78:451-57.
  10. Surgical correction of dysphonia due to bowing of the vocal cords. Ann Otol Rhinol Laryngol 1989;98:41-45.
  11. Bilateral medialization laryngoplasty. Laryngoscope 1998 Oct;108:1429-34.
  12. Gore-Tex medialization thryroplasty in patients with unilateral vocal cord paralysis: An audit of 47 cases. Int J Phonosurg Laryngol 2011 Jan-Jun;1(1):11-13.
  13. Clinical experience with Gore-Tex for vocal fold medialization. Laryngoscope 1999 Feb;109:284-88.
  14. Medialization laryngoplasty with Gore-Tex for voice restoration secondary to glottal incompetence. Indications and observations. Ann Otol Rhinol Laryngol 2003 Feb;112(2):180-84.
  15. Beaver ME, Rodriguez M. Minifenestration type I thyroplasty using an expanded polytetrafluoroethylene implant. J Voice 2001;15:151-57.
  16. Soft tissue response of the larynx to silicone, Gore-Tex and irradiated cartilage implants. Laryngoscope 2005 Jun;115:1009-14.
  17. Soft tissue response of the rabbit larynx to Gore-Tex implant. Annals Otol Rhinol Laryngol 2002;111:977-82.
  18. Endolaryngeal extrusion of expanded polytetrafluoroethylene implant after medialization thyroplasty. Ann Otol Rhinol Laryngol 2003;112:962-64.
  19. Endoscopic management of extruding medialization laryngoplasty implants. Laryngoscope 2005 Jun;115:1051-54.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.