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Outcomes in two patients with vocal fold palsy who underwent revision arytenoid adduction surgery

  • K Matsushima (a1), H Matsui (a1), S Ohira (a1) and K Matsuura (a1)



This study investigated the position of adduction thread attachment, pulling direction and fixation position in revision arytenoid adduction surgery performed in two patients with left vocal fold palsy in whom satisfactory speech improvement had not been obtained by arytenoid adduction and type 1 thyroplasty.


Revision arytenoid adduction surgery was performed with the vocal fold in the midline position in both cases. A type 1 thyroplasty procedure was subsequently added in one case because of worsened quality of speech following arytenoid adduction.

Results and conclusion

Although the arytenoid adduction procedure is conceptually well established, there is still room for debate concerning the actual surgical procedures used. The technique described in this report is effective, suggesting that it is worthy of recognition as an index procedure.


Corresponding author

Author for correspondence: Dr Koji Matsushima, Department of Otolaryngology, Toho University Omori Medical Center, 6-11-1, Omorinishi, Otaku, Tokyo, Japan, Zip Code 143-8541 E-mail: Fax: +81 3 762 4151


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Dr K Matsushima takes responsibility for the integrity of the content of the paper



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Outcomes in two patients with vocal fold palsy who underwent revision arytenoid adduction surgery

  • K Matsushima (a1), H Matsui (a1), S Ohira (a1) and K Matsuura (a1)


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