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Updated: Jan 31, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
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Type I thyroplasty: A safe outpatient procedure.

Attapon Junlapan1, C Kwang Sung1, Edward J Damrose2

  • 1Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand.

The Laryngoscope
|December 25, 2018
PubMed
Summary

Overnight hospitalization after type I thyroplasty (TP) may not be necessary for all patients. This study found that revision surgery or concurrent arytenoid repositioning increases complication risks, suggesting targeted hospitalization.

Keywords:
Thyroplastyadduction arytenopexyarytenoid adductioncomplicationglottic insufficiencyoutpatient

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Area of Science:

  • Otolaryngology
  • Surgical Outcomes
  • Patient Safety

Background:

  • Overnight hospitalization is standard after type I thyroplasty (TP) due to airway compromise concerns.
  • This practice increases costs and patient inconvenience, prompting an evaluation of its necessity.

Purpose of the Study:

  • To assess complications following type I thyroplasty (TP).
  • To identify predictors of complications to determine which patients benefit most from hospitalization.

Main Methods:

  • Retrospective review of 147 patients undergoing TP between June 2008 and March 2017.
  • Evaluation of demographic data, procedure characteristics, etiology of glottic insufficiency, and complications.

Main Results:

  • Major complications occurred in 7% of patients, including transient airway compromise and hematoma.
  • Revision surgery and TP with arytenoid repositioning were associated with higher complication risks.

Conclusions:

  • Type I thyroplasty (TP) is generally safe, with a lower complication rate than outpatient thyroidectomy.
  • Overnight hospitalization should be reserved for patients undergoing revision surgery or concurrent arytenoid repositioning procedures.