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January 1972

Correction of the Traumatically Abducted Vocal Cord

Author Affiliations

New York
From the Head and Neck Division, Surgical Service, Beth Israel Hospital and the Department of Surgery, Mount Sinai School of Medicine, New York.

Arch Otolaryngol. 1972;95(1):6-9. doi:10.1001/archotol.1972.00770080054002

Patients with traumatically abducted, often atrophic vocal cords may present with a weak, aphonic voice. Intracordal injections of polytef (Teflon) are usually not satisfactory. The most favorable method to improve the voice is to implant a segment of thyroid cartilage at the level of the scarred cord between the inner perichondrium and thyroid cartilage. A method to achieve this end is presented which eliminates the necessity of performing a thyrotomy. Similar grafts may also be insinuated more posteriorly to replace a traumatically absent arytenoid. This will improve both the voice and deglutition.

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