Conclusion
In conclusion, Gore-Tex medialization laryngoplasty remains a simple surgical technique for the restoration of voice and airway function after unilateral vocal cord paralysis. It allows great flexibility for individual surgeons to modify their technique to suit their comfort level and patient population. It is easily combined with arytenoid adduction in patients requiring closure of a posterior glottic gap. It is reversible and revisable, and the complications are quite limited. When they do occur they are commonly managed with simple procedures that allow future restoration of vocal cord position and quality of voice.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Soyer T, Lempinen M, Cooper P, Norton L, Eiseman B (1972) A new venous prosthesis. Surgery 72:864–872
Neel HB (1983) Implants of ePTFE. Arch Otolaryngol 109:427–433
Schoenrock L, Chernoff WG (1995) Subcutaneous implantation of ePTFE for facial reconstruction. Otolaryngol Clin North Am 28:325–340
Hoffman HT, McCulloch TM (1996) Anatomic considerations in the surgical treatment of unilateral laryngeal paralysis. Head Neck 18:174–187
McCulloch TM, Hoffman HT (1998) Medialization laryngoplasty with expanded polytetrafluoroethylene. Ann Otol Rhinol Laryngol 107:427–432
McCulloch TM, Hoffman HT, Andrews BT, Karnell MP (2000) Arytenoid adduction combined with Gore-Tex medialization thyroplasty. Laryngoscope 110:1306–1311
Giovanni A, Vallicioni JM, Gras R, Zanaret M (1999) Clinical experience with Gore-Tex for vocal fold medialization. Laryngoscope 109:284–288
Stasney CR, Beaver ME, Rodriguez M (2001) Minifenestration type I thyroplasty using an expanded polytetrafluoroethylene implant. J Voice 15:151–157
Zeitels SM, Mauri M, Dailey SH (2003) Medialization laryngoplasty with Gore-Tex for voice restoration secondary to glottic incompetence: indications and observations. Ann Otol Rhinol Laryngol 112:180–184
Nouwen J, Hans S, De Mones E, Brasnu D, Crevierbuchman L, Laccourreye O (2004) Thyroplasty type I without arytenoid adduction in patients with unilateral laryngeal nerve paralysis: the Montgomery implant versus the Gore-Tex implant. Acta Otolaryngol 124:732–738
Maragos NE (1998) The posterior thyroplasty window: anatomical considerations. Laryngoscope 108:1697–1703
Miller FR, Bryant GL, Netterville JL (1999) Arytenoid adduction in vocal fold paralysis. Oper Tech Otolaryngol Head Neck Surg 10:36–41
Ronsen CA (1998) Complications of phonosurgery: results of a national survey. Laryngoscope 108:1697–1703
Cohen JT, Bates DD, Postma GN (2004) Revision Gore-Tex medialization laryngoplasty. Head Neck Surg 131:236–240
Laccourreye O, Hans S (2003) Endolaryngeal extrusion of expanded polytetrafluoroethylene implant after medialization thyroplasty. Ann Otol Rhinol Laryngol 112:962–963
Hirano M (1981) Clinical examination of voice. Springer, Berlin Heidelberg New York
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
McCulloch, T.M., Hoffman, H.T. (2006). Medialization Laryngoplasty with Gore-Tex (Expanded Polytetrafluoroethylene). In: Sulica, L., Blitzer, A. (eds) Vocal Fold Paralysis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-32504-2_19
Download citation
DOI: https://doi.org/10.1007/3-540-32504-2_19
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-23765-5
Online ISBN: 978-3-540-32504-8
eBook Packages: MedicineMedicine (R0)