Thyroplasty is a surgical procedure meant to improve the quality of voice if it has been damaged or distorted due to any trauma, disease or injury. When the vocal cords did not move in sync, it results in harshness in the voice. The weakness of the vocal cords is eliminated in this therapy and provide with a clear and strong voice.
We specialize in vocal cord paralysis, bilateral vocal cord, and unilateral vocal fold paralysis treatment by conducting thyroplasty vocal cord augmentation surgery.
why would i need a thyroplasty?
Thyroplasty is done in patients who have a vocal cord paralysis or severe weakness. This procedure is done after the surgeon is sure that the paralysis will not recover. Unlike a vocal injection, these results are permanent and no further procedures are needed until the weakened vocal cord thins over time. Should it be needed, however, the implant is removable and the procedure fully reversible.
WHAT ARE OTHER TREATMENT OPTIONS?
Patients are usually offered vocal injections instead of a thyroplasty. However, when the vocal cord is very weak or totally paralyzed, a thyroplasty will give a better result.
Voice therapy can alleviate symptoms in patients who have a mild vocal cord weakness (paresis). It is often insufficient in those who have a significant vocal cord weakness or total paralysis.
HOW IS THYROPLASTY DONE?
Thyroplasty is performed through a neck incision. This small (1 inch) incision is used to approach the larynx (voice box). A small hole of cartilage is removed from the outer larynx to allow the implant to be placed. The implant is then placed to the side of the vocal cord while the vocal cords are visualized from inside, to ensure that the vocal cord is in a good final position. When the position is confirmed, the hole in the cartilage is closed and the incision is closed. The patient will often have hoarse voice for a week as the swelling subsides.
Conservation laryngeal surgery is an increasingly available alternative for treatment of laryngeal cancer. In addition to the traditional techniques of vertical partial laryngectomy (hemilaryngectomy) and supraglottic laryngectomy, new techniques are now in practice that extend the indications to a far greater number of patients.
The surgeons are able to maintain physiological functions of larynx namely speech, respiration and swallowing without compromising the loco-regional control of cancer in comparison to the more radical treatment modalities. A large number of organ preservation surgeries are available to the surgeon; however, careful assessment of the stage of the cancer and selection of the patient is paramount to a successful outcome.
Four Basic Principles
- Must know extent of tumor
- Cricoarytenoid unit is basic functional unit of larynx
- Resection of normal tissue is necessary
- Must consent patient for total laryngectomy