Phonosurgery: indications and pitfalls.

M D Maves; B F McCabe; S Gray

doi:10.1177/000348948909800801

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Phonosurgery: indications and pitfalls.

M D Maves·B F McCabe·S Gray

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Abstract

Twenty-five patients underwent type 1 thyroplasty (external medialization of abducted true vocal cord) during a 2-year period 1986 to 1988) at the University of Iowa. The most common indication for thyroplasty was post-thyroidectomy vocal cord paralysis. Eighteen patients (72%) had either a good or an excellent initial result. Five patients were revised. Postrevision, 21 patients (84%) had achieved either a good or an excellent result. Complications were limited to one case of significant vocal cord edema and another instance of vocal cord hemorrhage. No patient required a tracheotomy. No prosthesis extruded. We feel that phonosurgery has the advantages over traditional Teflon injection of allowing the patient's head to be in a neutral position during the operation; of allowing local anesthesia; of permitting a predictable, graduated end point of the procedure; and of being infinitely adjustable, with preservation of the vocal cord mucosal wave.

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Female Humans Male Methods Middle Aged Postoperative Complications Vocal Cord Paralysis Vocal Cords Journal Article

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M D Maves, B F McCabe, S Gray. 1989. Phonosurgery: indications and pitfalls.. https://doi.org/10.1177/000348948909800801

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