International Journal of Phonosurgery & Laryngology

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VOLUME 9 , ISSUE 1 ( January-June, 2019 ) > List of Articles

RESEARCH ARTICLE

Medialization Thyroplasty Using Nasal Septal Cartilage: Our Experience

Kandakure Vinod Tukaram, Rucha M Joshi

Keywords : Thyroplasty, Vocal fold paralysis,Laryngoscopy

Citation Information : Tukaram KV, Joshi RM. Medialization Thyroplasty Using Nasal Septal Cartilage: Our Experience. Int J Phonosurg Laryngol 2019; 9 (1):9-12.

DOI: 10.5005/jp-journals-10023-1171

License: CC BY-NC 4.0

Published Online: 00-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To demonstrate the functional voice outcomes following external medialization thyroplasty using autologous cartilage from the nasal septum. Materials and methods: The study included four patients (three males and one female) who presented to the ENT outpatient department diagnosed with unilateral vocal fold paralysis. Medialization thyroplasty type I was performed for all the patients using autologous nasal septal cartilage with the patients under local anesthesia. Results: All four patients showed significant improvement in the form of glottis closure on laryngoscopic examination. Complete glottis closure was achieved in three patients while one patient had a small posterior glottis gap. The maximum phonation duration improved significantly in three patients, i.e., average 13.33 seconds; while one patient with the small posterior glottis gap showed minor improvement, i.e., 7.1 seconds. However, the complaint of aspiration of liquids was relieved in all the four patients. Conclusion: External medialization thyroplasty using an autologous nasal septal cartilage graft is considered safe and efficient phonosurgical procedure and provides proper positional adjustment of the paralyzed vocal fold with significant improvement in the subjective and objective functional voice outcomes.


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  1. Tsai M-S, Yang M-Y, Chang G-H, et al. Autologous thyroid cartilage graft implantation in medialization laryngoplasty: a modified approach for treating unilateral vocal fold paralysis. Sci Rep 2017;7(1):4790. DOI: 10.1038/s41598-017-05024-6.
  2. Raj A, Girhotra M, Meher R. Medialisation laryngoplasty - a study of 15 cases. Indian J Otolaryngol Head Neck Surg 2004;56(4):283–288. DOI: 10.1007/BF02974388.
  3. Elnashar I, El-Anwar M, Amer H, et al. Voice outcome after gore-tex medialization thyroplasty. Int Arch Otorhinolaryngol 2015;19: 248–254. DOI: 10.1055/s-0034-1397339.
  4. Varvares MA, Brandsted RM. Medialisation thyroplasty using the montgomery thyroplasty system. Springer, Berlin, Heidelberg; 2006, ch. 9; 9.2. pp. 153–154.
  5. Mesallam TA, Khalil YA, Malki KH, et al. Medialisation Thyroplasty using autologous nasal septal cartilage for treating unilateral vocal fold paralysis. Clin Exp Otorhinolaryngol 2011;4(3):142–148. DOI: 10.3342/ceo.2011.4.3.142.
  6. Behrman A. Evidence-based treatment of paralytic dysphonia: making sense of outcomes and efficacy data. Otolaryngol Clin North Am 2004;37(1):75–104, vi 10.1016/S0030-6665(03)00169-5.
  7. Li AJ, Johns MM, Jackson-Menaldi C, et al. Glottic closure patterns: type I thyroplasty versus type I thyroplasty with arytenoid adduction. J Voice 2011;25(3):259–264. DOI: 10.1016/j.jvoice.2009.11.001.
  8. Schneider B, Denk DM, Bigenzahn W. Functional results after external vocal fold medialization thyroplasty with the titanium vocal fold medialization implant. Laryngoscope 2003;113(4):628–634. DOI: 10.1097/00005537-200304000-00008.
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