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Related Experiment Videos

Postthyroplasty implant extrusion.

A Al-Yousuf1, A Jain, A J Parker

  • 1Department of Otolaryngology, Royal Hallamshire Hospital, Sheffield, UK.

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)
|February 16, 2006
PubMed
Summary

A thyroplasty type 1 using a Silastic implant successfully treated vocal cord palsy and dysphonia. Remarkably, the patient maintained an excellent voice even after implant extrusion, likely due to fibrous tissue formation.

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Area of Science:

  • Otolaryngology
  • Vocal Cord Surgery
  • Laryngology

Background:

  • Vocal cord palsy can cause significant dysphonia, impacting quality of life.
  • Surgical intervention, such as thyroplasty type 1, is often considered for persistent voice issues.
  • Medialization of the vocal cord aims to improve glottic closure and voice quality.

Observation:

  • A patient with left vocal cord palsy and dysphonia underwent thyroplasty type 1 with a Silastic implant.
  • Postoperatively, the patient experienced good voice improvement.
  • Seven months later, the Silastic implant extruded, yet the patient's voice quality remained excellent.

Findings:

  • Implant extrusion did not lead to voice deterioration in this case.
  • Fibrous tissue formation may have compensated for the implant, maintaining vocal cord medialization.

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  • This suggests a potential for spontaneous or tissue-induced vocal cord stability post-surgery.

    • Implications:

    • This case highlights the possibility of favorable long-term voice outcomes despite implant complications.
    • It suggests that the vocal fold's own healing and tissue adaptation can play a crucial role in voice restoration.
    • Further research into the role of fibrosis in vocal cord medialization is warranted.