Progress in Laryngeal Framework Surgery

@article{Isshiki2000ProgressIL,
  title={Progress in Laryngeal Framework Surgery},
  author={Nobuhiko Isshiki},
  journal={Acta Oto-Laryngologica},
  year={2000},
  volume={120},
  pages={120 - 127}
}
  • N. Isshiki
  • Published 1 January 2000
  • Medicine
  • Acta Oto-Laryngologica
This paper reviews progress in laryngeal framework surgery since it was first reported about 25 years ago. The success of this type of surgery requires both a basic knowledge of the physiology of phonation, in order to make decisions about the surgical procedure, and surgical skill, in order to accomplish the intended procedure successfully. The main reason for hoarseness is imperfect closure of the glottis, but the second most important reason for hoarseness, increased stiffness of the vocal… 

Laryngeal framework surgery: a proposal for classification and nomenclature by the Phonosurgery Committee of the European Laryngological Society

TLDR
The Phonosurgery Committee of the European Laryngological Society has developed a new terminology for laryngeal framework surgery, which should provide a general framework suited not only to classify the current techniques but also to easily apply and adapt to include new procedures and future developments as necessary.

Framework Surgery for Treatment of Unilateral Vocal Fold Paralysis

TLDR
The following article reviews the evidence, controversies, and complications related to laryngoplasty for UVFP, and provides a detailed analysis of how and when arytenoid-positioning procedures should be considered and summarizes the literature on postoperative outcomes.

Surgical tips for type II thyroplasty for adductor spasmodic dysphonia: modified technique after reviewing unsatisfactory cases

TLDR
Type II thyroplasty that aims at lateralization of the vocal folds for spasmodic dysphonia is a type of surgery that requires utmost surgical caution, because of the extremely delicate site for surgical intervention, critically sensitive adjustment, and difficult procedures to maintain the incised cartilages in a correct position.

Vocal fold scars: current concepts and future directions. Consensus report of the phonosurgery committee of the European laryngological society

TLDR
Treatment with anxiolytic lasers, laser technology with ultrafine excision/ablation properties avoiding coagulation, PIRL, or techniques of tissue engineering, despite the promising results by in vitro experiments, animal studies and first clinical trials, the step into clinical routine application has yet to be taken.

One hundred years of external approach medialisation thyroplasty.

TLDR
It has been 100 years since Erwin Payr first developed an operation to improve the effects of a paralysed vocal fold, and operations based on this technique are still in use today, and it is impossible to say whether or not medialisation thyroplasty will still be used in another 100 years.

A Case of Extraction of an Implant after Type I Thyroplasty

TLDR
This case shows that with Gore-Tex thyroplasty, improved phonetic function is maintained if the implant is left in place for at least six months, as discussed in previous reports.

A Dissectional Study of the Level of Anterior Commissure of the Larynx

TLDR
The results indicate that the anterior commissure projects slightly above the midline height for male and at the level to slightly below in female subjects in Turkish population.

Surgical procedures for voice restoration

  • T. NawkaW. Hosemann
  • Medicine
    GMS current topics in otorhinolaryngology, head and neck surgery
  • 2005
TLDR
A number of surgical methods that have been developed worldwide for voice restoration serve to improve oral communication by better vocal function and have to meet high standards.

Medialization Laryngoplasty: Revision Surgery

TLDR
In patients with persistent insufficiency, injection augmentation can serve as a trial for revision laryngoplasty and several studies report improvement in both subjective and objective measures following revision medialization larygoplasty.
...

References

SHOWING 1-10 OF 50 REFERENCES

Vocal mechanics as the basis for phonosurgery

TLDR
A potential new type of laryngoplastic phonosurgery should be conformed to the mechanics of voice production, particularly for excessively tight glottal closure such as in spasmodic dysphonia.

Vocal Fold Atrophy and its Surgical Treatment

TLDR
The surgery was found to be effective in improving the voice quality and the ease of phonation, and when a scar or sulcus was present, the results were not as satisfactory.

Thyroplasty as a new phonosurgical technique.

TLDR
Thyroplasty offers a new possibility in phonosurgery namely, that the intervention inside the thyroid cartilage is minimal and therefore fine and reliable adjustment is possible during surgery.

Complications of laryngeal framework surgery (phonosurgery)

TLDR
Several years' experience in a major referral center with various types of laryngeal framework surgery has led to a small number of complications, including late extrusion of the prosthesis and delayed hemorrhage.

Clinical Experience With Gore‐Tex for Vocal Fold Medialization

TLDR
It is concluded that Gore‐Tex implantation is a simple, reproducible, and minimally invasive procedure for management of selected cases of vocal fold unilateral paralysis in the abductory position.

Type I thyroplasty: pitfalls of modifying the Isshiki approach. How I do it.

  • N. Maragos
  • Medicine
    Journal of voice : official journal of the Voice Foundation
  • 1997

Anatomic Study for Posterior Medialization Thyroplasty

TLDR
The compression of the muscular process is preferable for safely achieving posterior glottal closure in thyroplasty type I, and has the advantage of preventing postoperative extrusion.

Glottic configuration after arytenoid adduction

TLDR
To determine whether arytenoid adduction addresses problems of laryngeal paralysis, videolaryngoscopy was analyzed in patients before and after surgery, and results were compared to patient satisfaction and acoustic and aerodynamic assessment.

Titanium Vocal Fold Medializing Implant: Introducing a Novel Implant System for External Vocal Fold Medialization

  • G. Friedrich
  • Medicine
    The Annals of otology, rhinology, and laryngology
  • 1999
TLDR
Surgical experiences in 20 patients with this newly developed titanium vocal fold medializing implant revealed that vocal Fold medialization could be performed easily and that no perioperative complications occurred in any case, and a significant reduction of operative time due to the preformed implant.

Recent Modifications in Thyroplasty Type I

TLDR
Modifications were made in the technique of thyroplasty type I, including cutting the calcified cartilage with minimal intervention in the soft tissue, and overmedialization of the vocal cord.