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General anaesthesia for thyroplasty
Author(s) -
Griffin M.,
Russell J.,
Chambers F.
Publication year - 1998
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.1998.00609.x
Subject(s) - medicine , thyroid cartilage , phonation , silastic , laryngoplasty , larynx , surgery , glottis , dissection (medical) , vocal cord paralysis , arytenoid cartilage , cord , intubation , anesthesia , paralysis , audiology
A new anaesthetic technique is described for thyroplasty. Thyroplasty was performed to restore the voice in unilateral vocal cord paralysis. After skin incision and dissection down to the larynx, a window was cut in the thyroid ala and a silastic wedge used to displace the vocal cord medially. The required size of this wedge was determined by pre‐operative computerized tomography scanning of the larynx. At this point the patient had to be awake and cooperative to allow repeated phonation to facilitate correct displacement of the vocal cord.