Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-23T18:24:48.276Z Has data issue: false hasContentIssue false
  • English
  • Français

Thyroplasty for functional rehabilitation of the incompetent larynx

Published online by Cambridge University Press:  29 June 2007

M. F. Abdel-Aziz ,
N. A. Gad El-Hak  and
P. N. Carding
M. F. Abdel-Aziz*
Affiliation:
Department of Otolaryngology, the University of Tanta, Egypt.
N. A. Gad El-Hak
Affiliation:
Department of Surgery, Gastroenterology Unit, University of Elmansoura, Egypt.
P. N. Carding
Affiliation:
Department of Speech Therapy, Freeman Hospital, Newcastle, UK.
*
Address for correspondence: Mahmoud F. Abdel-Aziz, P. O. Box 159, Tanta, Egypt. Fax: 00-20-40 331800
Get access Rights & Permissions [Opens in a new window]

Abstract

Type I thyroplasty was performed in 12 patients with unilateral paralysis of the vocal fold. Subjective as well as objective improvement in vocal performance was reported in 11 patients. Aspiration was improved in six out of eight patients. Effort closure was evaluated by the ability of the patient to voluntarily raise his intra-abdominal pressure during Valsalva's manoeuvre. A comparison of pre- and post-thyroplasty measures, showed a statistically significant improvement in the efficacy of effort glottic closure (p < 0.05), indicating a better physical performance. We had one case of wound sepsis and another case of implant extrusion.

Keywords

Vocal fold paralysis, surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 12 , December 1998 , pp. 1172 - 1175
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arnold, G. E., Stephens, C. B. (1980) Laryngeal injections with polytef paste. Ear Nose and Throat Journal 59: 415–418.Google ScholarPubMed
Bartelnick, D. L. (1957) The role of abdominal pressure in relieving the pressure of the lumbar intervertebral disc. Journal of Bone and Joint Surgery 39B: 718–725.Google Scholar
Coyne, J. M., Stram, J. R., Payton, O. D., Klein, G. A., Kressler, J. R. (1968) The laryngectomee and lifting. Archives of Otolaryngology 88: 80–84.CrossRefGoogle ScholarPubMed
Fink, B. R. (1973) The curse of Adam. Effort closure of the larynx. Anaesthesiology 39: 325–327.CrossRefGoogle ScholarPubMed
Hammarberg, B., Fritzell, B., Schiratzki, H. (1984) Teflon injection in 16 patients with paralytic dysphonia: perceptual and acoustic evaluation. Journal of Speech and Hearing Disorders 49: 72–82.CrossRefGoogle Scholar
Isshiki, N., Taira, T., Kojima, H. (1989) Recent modifications in thyroplasty type I. Annals of Otology, Rhinology and Laryngology 98: 777–779.CrossRefGoogle ScholarPubMed
Koufman, J. A. (1986) Laryngoplasty for vocal cord medialization: an alternative to teflon. Laryngoscope 96: 726–731.CrossRefGoogle ScholarPubMed
Leder, S. B., Sasaki, C. T. (1994) Long-term changes in vocal quality following Isshiki thyroplasty type I. Laryngoscope 104: 275–277.CrossRefGoogle ScholarPubMed
Morris, J. M., Lucas, D. B., Bressler, M. S. (1961) Role of the trunk in stability of the spine. Journal of Bone and Joint Surgery 43: 327–351.CrossRefGoogle Scholar
Pressman, J. J. (1944) Effect of the sphincteric action of the larynx on the intra-abdominal pressure. Archives of Otolaryngology 39: 14–42.CrossRefGoogle Scholar
Ward, P. H., Hanson, D. G., Abemayor, E. (1985) Transcutaneous teflon injection of the paralyzed vocal cord: a new technique. Laryngoscope 95: 644–649.CrossRefGoogle ScholarPubMed
Watterson, T., McFarlane, S. C., Menicucci, A. L. (1990) Vibratory characteristics of teflon-injected and non-injected paralyzed vocal folds. Journal of Speech and Hearing Disorders 15: 61–66.CrossRefGoogle Scholar