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January 1989

Laryngoplasty: Indications and Pitfalls

Author Affiliations

Mobile, Ala

Arch Otolaryngol Head Neck Surg. 1989;115(1):16. doi:10.1001/archotol.1989.01860250018014

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At the 109th annual meeting of the American Laryngological Association, Palm Beach, Fla, Michael D. Maves, MD, and Brian McCabe, MD, 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 for the treatment of paralyzed vocal cords, such as Teflon injection. The technique, developed at the University of Iowa, 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 both the patient's voice and laryngoscopic evaluation of the patient's vocal cord to assess both the quality and the 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

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