Related Experiment Video
Updated: Jul 6, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Arytenoid adduction combined with Gore-Tex medialization thyroplasty
T M McCulloch1, H T Hoffman, B T Andrews
1University of Iowa Hospitals and Clinics, Department of Otolaryngology--Head and Neck Surgery, Iowa City 52242-1078, USA.
The Laryngoscope
|August 15, 2000
Summary
Combined Gore-Tex medialization thyroplasty and arytenoid adduction surgery significantly improved voice function in patients with unilateral vocal cord paralysis. This surgical approach for vocal cord paralysis offers superior vocal outcomes compared to medialization alone.
Area of Science:
- Otolaryngology
- Speech and Voice Science
- Surgical Innovation
Background:
- Unilateral vocal cord paralysis can lead to significant voice dysfunction.
- Gore-Tex medialization thyroplasty is a surgical option to improve vocal cord function.
- Arytenoid adduction is a complementary procedure to enhance vocal outcomes.
Purpose of the Study:
- To detail the surgical technique of combined Gore-Tex medialization thyroplasty with arytenoid adduction.
- To evaluate the long-term vocal results of this combined procedure for unilateral vocal cord paralysis.
Main Methods:
- Retrospective chart review and patient reevaluation at a single institution.
- Analysis of patient demographics, complications, and voice outcomes.
- Comparison of outcomes between combined surgery and Gore-Tex medialization alone.
Main Results:
- No major postoperative complications were observed in either surgical group.
- The combined technique demonstrated greater improvement in patient-rated voice dysfunction and maximum phonation time.
- Objective and subjective voice assessments showed significant improvements in vocal quality and breathiness with the combined approach.
Conclusions:
- Combined Gore-Tex medialization thyroplasty and arytenoid adduction is a safe and effective procedure.
- This combined technique yields superior functional vocal results compared to medialization alone for unilateral vocal cord paralysis.
Related Concept Videos
01:23The Thyroid Gland
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
01:21Larynx
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
01:28Tracheostomy: Procedure and Tubes
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
01:25Tracheostomy Care II: Procedure
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...