Open AccessComplications of Thyroplasty Type I with Montgomery Implant
Author(s) -
Laccourreye Ollivier,
Ménard Madeleine
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a121
Subject(s) - medicine , implant , surgery , complication , incidence (geometry) , univariate analysis , hematoma , paralysis , multivariate analysis , physics , optics
Objective Document the incidence and risk factors for significant complications in patients with a unilateral laryngeal nerve paralysis managed with thyroplasty type I and Montgomery implant insertion. Method Inception cohort of 181 patients with 104 patients followed for a minimum of 12 months or until death. Data regarding significant complication were obtained at regular visits to our clinic. Univariate analysis was performed for potential statistical relation between the complications noted and various variables. Results The intraoperative and postoperative course was unremarkable in 85.6% and 92.3% of cases. No patient died from the procedure. Significant complications included Montgomery implant replacement by a Gore‐tex implant (7), difficulty to stabilize the implant (8), misplacement of the implant (3), hematoma (8), severe dyspnea (5), and extrusion of the implant (5). A 5.5% revision rate was found (10/181). No significant statistical relation was noted between the complications noted and the variables under analysis. Conclusion The reported data suggest that the Montgomery implant insertion is a safe technique with a low incidence for complication. The lack of a statistically significant difference between senior and junior surgeons also suggests the absence of a learning curve in this procedure.