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Medialisation thyroplasty with tensor fascia lata: a novel approach for reducing post-thyroplasty complications

Published online by Cambridge University Press:  21 February 2018

T N Chao ,
A Mahmoud ,
K Rajasekaran  and
N Mirza
T N Chao*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania Health System, Philadelphia, USA
A Mahmoud
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania Health System, Philadelphia, USA
K Rajasekaran
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania Health System, Philadelphia, USA
N Mirza
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania Health System, Philadelphia, USA
*
Address for correspondence: Natasha Mirza, 3400 Spruce Street, 5 Silverstein, Philadelphia, Pennsylvania 19104, USA Fax: +1 215 662 4182 E-mail: natasha.mirza@uphs.upenn.edu
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Abstract

Background:

Medialisation thyroplasty is considered the ‘gold standard’ treatment for unilateral vocal fold paralysis, enabling improvement of voice and swallowing function, and preventing life-threatening aspiration events. The most commonly used laryngeal implants induce some degree of local tissue inflammatory response, and carry the risk of immediate or delayed implant extrusion.

Methods:

This paper describes a novel approach for medialisation thyroplasty. Specifically, it utilises a ribbon of autologous tensor fascia lata harvested at the time of surgery. This is layered within the paraglottic space in a manner similar to Gore-Tex thyroplasty.

Results:

Thus far, this method has been accomplished in two patients with unilateral vocal fold paralysis, who also received prior radiotherapy to the head and neck.

Conclusion:

Given the increased risk of post-operative wound breakdown and infection in irradiated patients, it is suggested that this new approach will lead to improved outcomes, and a decrease in complications such as extrusion or wound infection, particularly in this patient population.

Keywords

LaryngoplastyMedialization ThyroplastyUnilateral Vocal Cord ParalysisAutologous TransplantationFascia LataRadiation InjuriesSurgery
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 4 , April 2018 , pp. 364 - 367
Copyright
Copyright © JLO (1984) Limited 2018 

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Footnotes

Presented as a poster at the Combined Otolaryngology Spring Meetings, American Broncho-Esophagological Association, 27 April 2017, San Diego, California, USA.

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