OBJECTIVES: To describe a new method of medialization thyroplasty using a modified preformed nasal silicone implant.
METHODS:
Design: Surgical Innovation
Setting: Tertiary Private Hospital
Participants: Four patients underwent medialization thyroplasty using a pocket and nasal implant technique performed by the senior co-author. The indication for medialization thyroplasty for these patients was hoarseness secondary to unilateral vocal fold paralysis of more than 6 months duration, and documented by flexible fiberoptic laryngoscopy. The outcomes were described with comparison of pre- and post-operative subjective voice assessment.
RESULTS: Operative time was 15-30 minutes. Postoperative subjective improvement of voice quality was evident. Scars were minimal and aesthetically acceptable. The procedure could be done on an outpatient basis.
CONCLUSION: Medialization thyroplasty via a pocket and silicone implant technique is initially effective and may be a worthwhile alternative to the usual window technique.