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Medialisation thyroplasty with tensor fascia lata: a novel approach for reducing post-thyroplasty complications

  • T N Chao (a1), A Mahmoud (a1), K Rajasekaran (a1) and N Mirza (a1)

Abstract

Background:

Medialisation thyroplasty is considered the ‘gold standard’ treatment for unilateral vocal fold paralysis, enabling improvement of voice and swallowing function, and preventing life-threatening aspiration events. The most commonly used laryngeal implants induce some degree of local tissue inflammatory response, and carry the risk of immediate or delayed implant extrusion.

Methods:

This paper describes a novel approach for medialisation thyroplasty. Specifically, it utilises a ribbon of autologous tensor fascia lata harvested at the time of surgery. This is layered within the paraglottic space in a manner similar to Gore-Tex thyroplasty.

Results:

Thus far, this method has been accomplished in two patients with unilateral vocal fold paralysis, who also received prior radiotherapy to the head and neck.

Conclusion:

Given the increased risk of post-operative wound breakdown and infection in irradiated patients, it is suggested that this new approach will lead to improved outcomes, and a decrease in complications such as extrusion or wound infection, particularly in this patient population.

Copyright

Corresponding author

Address for correspondence: Natasha Mirza, 3400 Spruce Street, 5 Silverstein, Philadelphia, Pennsylvania 19104, USA Fax: +1 215 662 4182 E-mail: natasha.mirza@uphs.upenn.edu

Footnotes

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Presented as a poster at the Combined Otolaryngology Spring Meetings, American Broncho-Esophagological Association, 27 April 2017, San Diego, California, USA.

Footnotes

References

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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