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December 1994

The Fate of Medialized Cartilage in Thyroplasty Type I

Author Affiliations

From the Section of Otolaryngology (Drs Sasaki, Driscoll, and Gracco) and the Department of Pathology (Dr Eisen), Yale School of Medicine, PO Box 3333, New Haven, Conn. Dr Eisen is now with Greenwich (Conn) Hospital.

Arch Otolaryngol Head Neck Surg. 1994;120(12):1398-1399. doi:10.1001/archotol.1994.01880360090017

Thyroplasty type I is rapidly emerging as the preferred means of medializing a paralyzed vocal fold. We discuss our experience with the fate of a medialized cartilage window 9 months after an otherwise successful operation. Cartilage resorption over time resulted in degeneration of voice and in progressive aspiration. We recommend removing the cartilage window rather than medializing it, in the interest of stabilizing the degree of long-term vocal fold medialization.

(Arch Otolaryngol Head Neck Surg. 1994;120:1398-1399)

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