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One hundred years of external approach medialisation thyroplasty

  • V E Crolley (a1) and N Gibbins (a1)
Abstract
Abstract

It has been 100 years since Erwin Payr first developed an operation to improve the effects of a paralysed vocal fold, and operations based on this technique are still in use today. This technique, medialisation thyroplasty, aims to improve the symptoms caused by vocal fold palsy by realigning the lateralised vocal fold into the midline.

Whilst the effects of vocal fold palsy were recognised in antiquity, it was only with the development of indirect laryngoscopy in the late nineteenth century that the vocal fold paralysis could be identified as an aetiology for poor phonation and dysphagia. Payr, in 1915, was the first to perform a recognisable form of medialisation thyroplasty, which was further developed in the early twentieth century, but medialisation thyroplasty did not begin to be widely used until the development of the modern technique by Isshiki et al., in 1974.

Since then, medialisation thyroplasty has continued to be developed and is currently the most widely used technique for correcting the effects of vocal fold palsy. However, a wide array of therapeutic options is now available for vocal fold palsy and it is impossible to say whether or not medialisation thyroplasty will still be used in another 100 years.

Copyright
Corresponding author
Address for correspondence: E-mail: valerie.crolley@nhs.net
References
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1 Payr E. Plastic on the thyroid cartilage to remedy the consequences of unilateral vocal cord paralysis [in German]. Deutcshe Medizinische Wochenschrift 1915;43:1265–70
2 Montgomery WW, Montgomery SK, Warren MA. Thyroplasty simplified. Oper Tech Otolaryngol Head Neck Surg 1993;4:223–31
3 Harries ML. Laryngeal framework surgery (thyroplasty). J Laryngol Otol 1997;111:103–5
4 Abraham MT, Gonen M, Kraus DH. Complications of type I thyroplasty and arytenoid adduction. Laryngoscope 2001;111:1322–9
5 Abraham MT, Bains MS, Downey RJ, Korst RJ, Kraus DH. Type I thyroplasty for acute unilateral vocal fold paralysis following intrathoracic surgery. Ann Otol Rhinol Laryngol 2002;111:667–71
6 Flint PW, Purcell LL, Cummings CW. Pathophysiology and indications for medialization thyroplasty in patients with dysphagia and aspiration. Otolaryngol Head Neck Surg 1997;116:349–54
7 Sipp A, Kerschner J, Braune N, Hartnick C. Vocal fold medialization in children. Arch Otolaryngol Head Neck Surg 2007;133:767–71
8 Ahmad S, Muzamil A, Lateef M. A study of incidence and etiopathology of vocal cord paralysis. Indian J Otolaryngol Head Neck Surg 2002;54:294–6
9 Lam PK, Ho WK, Ng ML, Wei WI. Medialization thyroplasty for cancer-related unilateral vocal fold paralysis. Otolaryngol Head Neck Surg 2007;136:440–4
10 Yumoto E, Minoda R, Hyodo M, Yamagata T. Causes of recurrent laryngeal nerve paralysis. Auris Nasus Larynx 2002;29:41–5
11 Lang BH, Chu KK, Tsang RK, Wong KP, Wong BY. Evaluating the incidence, clinical significance and predictors for vocal cord palsy and incidental laryngopharyngeal conditions before elective thyroidectomy: is there a case for routine laryngoscopic examination? World J Surg 2013;38:385–91
12 Damrose EJ. Percutaneous injection laryngoplasty in the management of acute vocal fold paralysis. Laryngoscope 2010;120:1582–90
13 Assimakopoulos D, Patrikakos G, Lascaratos J. Highlights in the evolution of diagnosis and treatment of laryngeal cancer. Laryngoscope 2003;113:557–62
14 Kühn G. Galen's Works [in Latin], vol 3. Leipzig: Cnobloch, 1822;567–96
15 Alberti PW. Panel discussion: the historical development of laryngectomy. II. The evolution of laryngology and laryngectomy in the mid-19th century. Laryngoscope 1975;85:288–98
16 Jahn A, Blitzer A. A short history of laryngoscopy. Logoped Phoniatr Vocol 1996;21:181–5
17 Boswoth FH. A Treatise on Diseases of the Nose and Throat. New York: William & Wood, 1892
18 Jackson C, Jackson CL. Diseases and Injuries of the Larynx. New York: Macmillan, 1942;330
19 Čoček A. The history and current status of surgery in the treatment of laryngeal cancer. Acta Medica (Hradec Králové) 2008;51:157–63
20 D'Antonio LL, Wigley TT, Zimmerman GJ. Quantitative measures of laryngeal function following Teflon injection of thyroplasty type I. Laryngoscope 1995;105:256–62
21 Isshiki N. Phonosurgery: Theory and Practice. Heidelberg: Springer, 1989;7780
22 Isshiki N, Morita H, Okamura H, Hiramoto M. Thyroplasty as a new phonosurgical technique. Acta Otolaryngol 1974;78:451–7
23 Koufman JA. Laryngoplasty for vocal cord medialization: an alternative to Teflon. Laryngoscope 1986;96:726–31
24 Netterville JL, Stone RE, Lukas ES, Civantos FJ, Ossoff RH. Silastic medialization and arytenoid adduction: the Vanderbilt experience. A review of 116 phonosurgical procedures. Ann Otol Rhinol Laryngol 1993;102:413–24
25 Netterville JL, Coleman JR, Chang S, Rainey CL, Reinisch L, Ossoff RH. Lateral laryngotomy for the removal of Teflon granuloma. Ann Otol Rhinol Laryngol 1998;107:735–44
26 Crumley RL, Izdebski K, McMicken B. Nerve transfer versus Teflon injection for vocal cord paralysis: a comparison. Laryngoscope 1988;98:1200–4
27 Kühnel K, Seifert V. Erwin Payr and his contributions to neurosurgery [in German]. Zentralbl Neurochir 1998;59:2735
28 Schwokowski CF. On the 50th anniversary of the death of Erwin Payr (1871–1946) [in German]. Zentralbl Chir 1996;121:335–9
29 Bray D, Young JP, Harries ML. Complications after type one thyroplasty: is day-case surgery feasible? J Laryngol Otol 2008;122:715–18
30 Tucker HM. New voices for old. J Voice 1995;9:111–17
31 Carrau RL, Pou A, Eibling DE, Murry T, Ferguson BJ. Laryngeal framework surgery for the management of aspiration. Head Neck 1999;21:139–45
32 Merati AL, Bielamowicz SA. Textbook of Laryngology. Plural Publishing, 2006;228
33 Seiffert A. Surgical restoration of glottic closure in unilateral recurrent palsy and vocal cord defects [in German]. Arch Ohr Nas Kehlk-heilk 1942;152:295–8
34 Woodson GE. The history of laryngology in the United States. Laryngoscope 1996;106:677–9
35 Meurman Y. Operative mediofixation of the vocal cord in complete unilateral paralysis. Arch Otolaryngol 1952;55:544–53
36 Opheim O. Unilateral paralysis of the vocal cord. Operative treatment. Acta Otolaryngol 1955;45:226–30
37 Sawashima M, Totsuka G, Kobayashi T, Hirose H. Surgery for hoarseness due to unilateral vocal cord paralysis. Arch Otolaryngol 1968;87:8792
38 Kamer FM, Som ML. Correction of the traumatically abducted vocal cord. Arch Otolaryngol 1972;95:69
39 Tucker HM. Nerve-muscle pedicle for vocal cord paralysis. Surgical Rounds 1979:July 14–21
40 Tucker HM. Complications after surgical management of the paralyzed larynx. Laryngoscope 1983;93:295–8
41 Kressner A. Contribution to the question of vocal cord paralysis and photos of the functional anatomy of the larynx [in German]. Arch Ohr Nas Kehlk-heilk 1953;162:479–96
42 Westhues M. The surgery of adductor paralysis (median fixation) [in German]. Z Laryngol Rhinol Otol 1973;52:640–5
43 Deneke HJ. Vocal improvement in unilateral recurrent palsy with autologous material from the larynx [in German]. Z Laryngol Rhinol Otol 1964;43:221–5
44 Libersa CL. Surgical treatment of laryngeal paralysis in abduction [in French]. J Franç d'Oto-Rhino-Laryng 1952;I:480
45 Morrison LF. The “reverse king operation”. Ann Otol 1948;57:944–56
46 Montgomery WW. Cricoarytenoid arthrodesis. Ann Otol Rhinol Laryngol 1966;75:380–91
47 Bernstein L, Holt GP. Correction of vocal cord abduction in unilateral recurrent laryngeal nerve paralysis by transposition of the sternohyoid muscle. Laryngoscope 1967;77:876–85
48 Mündnich K. A simple and dependable method for stress and displacement of the vocal cords towards the midline in dys- and aphonia with problematic dyspnoea [in German]. Arch Kin Exp Ohr Nas u Kehlk-heilk 1970;196:324–6
49 Remacle M, Eckel HE. Surgery of Larynx and Trachea. Heidelberg: Springer, 2010;57
50 Isshiki N. Vocal mechanics as the basis for phonosurgery. Laryngoscope 1998;108:1761–6
51 McCulloch TM, Hoffman HT. Medialization laryngoplasty with gore-tex (expanded polytetrafluoroethylene). Vocal Fold Paralysis 2006;10:169–77
52 Netterville JL, Jackson G, Civantos F. Thyroplasty in the functional rehabilitation of neurotologic skull base surgery patients. Am J Otol 1993;14:460–4
53 Maragos NE. Type I thyroplasty: pitfalls of modifying the Isshiki approach. How I do it. J Voice 1997;11:470–3
54 Bryant NJ, Gracco LC, Sasaki CT, Vining E. MRI evaluation of vocal fold paralysis before and after type I thyroplasty. Laryngoscope 1996;106:1386–92
55 Choi HS, Chung SM, Lim JY, Kim HS. Increasing the closed quotient improves voice quality after type I thyroplasty in patients with unilateral vocal cord paralysis: analysis using SPEAD program. J Voice 2008;22:751–5
56 Charous SJ. Novel technique of silastic implant carving for thyroplasty type I surgery. Otolaryngol Head Neck Surg 2005;133:629–30
57 Isshiki N. Progress in laryngeal framework surgery. Acta Otolaryngol 2000;120:120–7
58 Selber J, Sataloff R, Spiegel J, Heman-Ackah Y. Gore-Tex medialization thyroplasty: objective and subjective evaluation. J Voice 2003;17:8895
59 Franco RA. Adduction arytenopexy, hypopharyngoplasty, medialization laryngoplasty, and cricothyroid subluxation for the treatment of paralytic dysphonia and dysphagia. Oper Tech Otolaryngol Head Neck Surg 2012;23:164–72
60 Chester MW, Stewart MG. Arytenoid adduction combined with medialization thyroplasty: an evidence-based review. Otolaryngol Head Neck Surg 2003;129:305–10
61 Miller FR, Grady GL, Netterville JL. Arytenoid adduction in vocal fold paralysis. Oper Tech Otolaryngol Head Neck Surg 2001;10:3641
62 Tucker HM, Wanamaker J, Trott M, Hicks D. Complications of laryngeal framework surgery (phonosurgery). Laryngoscope 1993;103:525–8
63 Cotter CS, Avidano MA, Crary MA, Cassisi NJ, Gorham MM. Laryngeal complications after type 1 thyroplasty. Otolaryngol Head Neck Surg 1995;113:671–3
64 Halum SL, Postma GN, Koufman JA. Endoscopic management of extruding medialization laryngoplasty implants. Laryngoscope 2005;115:1051–4
65 Kartha S, Young K, Mohan S. Complications of medialization laryngoplasty (thyroplasty type-I). Int J Phonosurg Laryngol 2011;1:13
66 Koufman JA, Postma GN. Revision laryngoplasty. Oper Tech Otolaryngol Head Neck Surg 1999;10:61–5
67 Lundeberg MR, Flint PW, Purcell LL, McMurray JS, Cummings CW. Revision medialization thyroplasty with hydroxylapatite implants. Laryngoscope 2011;121:9991002
68 Harries ML. Unilateral vocal fold paralysis: a review of the current methods of surgical rehabilitation. J Laryngol Otol 1996;110:111–16
69 Kasterovic B, Veselinovic M, Mitrovic S. Voice therapy and assistive techniques in voice disorders caused by unilateral vocal cord pareses. Med Pregl 2014;67:91–6
70 Tsunoda K, Baer T, Niimi S. Autologous transplantation of fascia into the vocal fold: long-term results of a new phonosurgical technique for glottal incompetence. Laryngoscope 2001;111:453–7
71 McCulloch TM, Andrews BT, Hoffman HT, Graham SM, Karnell MP, Minnick C. Long-term follow-up of fat injection laryngoplasty for unilateral vocal cord paralysis. Laryngoscope 2002;112:1235–8
72 Chen YY, Pai L, Lin YS, Wang HW, Hsiung MW. Fat augmentation for nonparalytic glottic insufficiency. Laryngoscope 2003;65:176–83
73 Anderson TD, Mirza N. Immediate percutaneous medialization for acute vocal fold immobility with aspiration. Laryngoscope 2001;111:1318–21
74 Friedman AD, Burns JA, Heaton JT, Zeitels SM. Early versus late injection medialization for unilateral vocal cord paralysis. Laryngoscope 2010;120:2042–6
75 Sant'Anna DG, Mauri M. Head and neck and plastic surgery: a targeted problem and its solution. Use of the microdebrider for Reinke's edema surgery. Laryngoscope 2000;110:2114–16
76 Tsunoda K, Kondou K, Kaga K, Niimi S, Baer T, Nishiyama K et al. Autologous transplantation of fascia into the vocal fold: long-term result of type-1 transplantation and the future. Laryngoscope 2005;115:110
77 Jang JY, Lee G, Ahn J, Son YI. Early voice rehabilitation with injection laryngoplasty in patients with unilateral vocal cord palsy after thyroidectomy. Eur Arch Otorhinolaryngol 2015;272:3745–50
78 Tucker HM. Simultaneous medialization and reinnervation for unilateral vocal fold paralysis. Oper Tech Otolaryngol Head Neck Surg 1993;4:183–5
79 Tucker HM. Combined surgical medialization and nerve-muscle pedicle reinnervation for unilateral vocal fold paralysis: improved functional results and prevention of long-term deterioration of voice. J Voice 1997;11:474–8
80 Su WF, Hsu YD, Chen HC, Sheng H. Laryngeal reinnervation by ansa cervicalis nerve implantation for unilateral vocal cord paralysis in humans. J Am Coll Surg 2007;204:6472
81 Lee WT, Milstein C, Hicks D, Akst LM, Esclamado RM. Results of ansa to recurrent laryngeal nerve reinnervation. Otolaryngol Head Neck Surg 2007;136:450–4
82 Chhetri DK, Blumin JH. Laryngeal reinnervation for unilateral vocal fold paralysis using ansa cervicalis nerve to recurrent laryngeal nerve anastomosis. Oper Tech Otolaryngol Head Neck Surg 2012;23:173–7
83 Zur KB, Carroll LM. Recurrent laryngeal nerve reinnervation in children: acoustic and endoscopic characteristics pre-intervention and post-intervention. A comparison of treatment options. Laryngoscope 2015;11:115
84 Chhetri DK, Gerratt BR, Kreiman J, Berke GS. Combined arytenoid adduction and laryngeal reinnervation in the treatment of vocal fold paralysis. Laryngoscope 1999;109:1928–36
85 Blumin JH, Merati AL. Laryngeal reinnervation with nerve-nerve anastomosis versus laryngeal framework surgery alone: a comparison of safety. Otolaryngol Head Neck Surg 2008;138:217–20
86 Dursun G, Boynukalin S, Bagis Ozgursoy O, Coruh I. Long-term results of different treatment modalities for glottic insufficiency. Am J Otolaryngol 2008;29:712
87 Hajioff D, Rattenbury H, Carrie S, Carding P, Wilson J. The effect of Isshiki type 1 thyroplasty on quality of life and vocal performance. Clin Otolaryngol Allied Sci 2000;25:418–22
88 Billante CR, Clary J, Childs P, Netterville JL. Voice gains following thyroplasty may improve over time. Clin Otolaryngol Allied Sci 2002;27:8994
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