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December 1988

Laryngoplasty: Indications and Pitfalls

Author Affiliations

Mobile, Ala

Arch Otolaryngol Head Neck Surg. 1988;114(12):1365. doi:10.1001/archotol.1988.01860240015009

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At the Annual Meeting of the American Laryngological Association in Palm Beach, Fla, Drs Michael D. Maves and Brian McCabe, Iowa City, reported their studies of laryngoplasty techniques as an alternative method for managing patients with unilaterally paralyzed vocal cords. Dr Maves described the technique, a modification of the procedure pioneered by Isshiki, as an improvement over conventional therapy, such as polytef (Teflon) injection, for treatment of paralyzed vocal cords. The technique, developed at the University of Iowa, Iowa City, utilizes a combination of local anesthesia along with fiberoptic laryngoscopic video monitoring of the patient's larynx during the procedure. This very innovative concept allows continuous monitoring of the patient's voice and laryngoscopic evaluation of the patient's vocal cord to assess the quality and anatomic appearance of the patient's larynx. Their procedure involves a midthyroid incision with resection of a small window of cartilage. A Silastic implant, fashioned in either

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