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Longitudinal voice quality changes following isshiki thyroplasty type I: The yale experience
Author(s) -
Sasaki Clarence T.,
Leder Steven B.,
Petcu Louis,
Friedman Craig D.
Publication year - 1990
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199008000-00010
Subject(s) - silastic , phonation , medicine , laryngoplasty , surgery , vocal fold paralysis , perioperative , thyroid cartilage , implant , paralysis , audiology , larynx
Abstract Longitudinal voice quality changes following Isshiki thyroplasty type I were investigated in a group of 18 patients exhibiting unilateral vocal fold paralysis. Thyroplasty type I medializes the paralyzed fold by using a Silastic® implant for external lateral compression of the abducted fold. No perioperative complications were experienced. We observed significantly higher voice fundamental frequency, significantly louder voice intensity, and significantly longer maximum phonation time, both immediately following phono‐surgery and up to 3 months postoperatively. Surgical refinements of thyroplasty type I are described.

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