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Published on: December 2, 2011
Clinical experience with Gore-Tex for vocal fold medialization
A Giovanni1, J M Vallicioni, R Gras
1Laboratoire d'Audio-Phonologie Clinique de l'Université de la Méditerranée, Fédération ORL, CHU Timone, Marseille, France.
The Laryngoscope
|July 13, 2000
Summary
Gore-Tex vocal fold medialization under local anesthesia is a simple, reproducible, and minimally invasive procedure. This technique offers satisfactory voice improvement for unilateral vocal fold paralysis, comparing favorably to other methods.
Area of Science:
- Otolaryngology
- Laryngology
- Surgical Innovation
Background:
- Unilateral vocal fold paralysis can lead to voice impairment.
- Vocal fold medialization aims to restore voice function.
- Minimally invasive surgical options are sought for vocal fold paralysis.
Purpose of the Study:
- To present clinical experience with Gore-Tex vocal fold medialization under local anesthesia.
- To evaluate the efficacy and safety of Gore-Tex implants for vocal fold paralysis.
Main Methods:
- A Gore-Tex implant was placed in a thyroid cartilage pocket in 13 patients.
- Procedures were performed under local anesthesia.
- Vocal results were assessed via perceptual analysis, jitter measurement, videolaryngoscopy, and airflow measurements.
Main Results:
- Gore-Tex implantation was successful in 12 out of 13 patients.
- One patient experienced implant extrusion, which was successfully managed.
- Satisfactory voice improvement was observed in the remaining 10 patients.
Conclusions:
- Gore-Tex implantation is a simple, reproducible, and minimally invasive procedure.
- The technique is suitable for selected cases of unilateral vocal fold paralysis.
- Results compare favorably with alternative medialization techniques.
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