Medialization Thyroplasty Using the Pocket and Silicone Implant Technique

Authors

  • Maria Margarita F. Taningco Department of Otorhinolaryngology Head and Neck Surgery Makati Medical Center
  • Emmanuel L. Ibay Department of Otorhinolaryngology Head and Neck Surgery Makati Medical Center

DOI:

https://doi.org/10.32412/pjohns.v31i2.243

Keywords:

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

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

 

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Published

2016-11-30

How to Cite

1.
Taningco MMF, Ibay EL. Medialization Thyroplasty Using the Pocket and Silicone Implant Technique. Philipp J Otolaryngol Head Neck Surg [Internet]. 2016 Nov. 30 [cited 2024 Nov. 24];31(2):54-7. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/243

Issue

Vol. 31 No. 2 (2016): Philippine Journal of Otolaryngology-Head and Neck Surgery

Section

Surgical Innovation and Instrumentation

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.