This report reviews laryngoplastic techniques for correction of bowing of the vocal cords, with special consideration to the anatomic details of the anterior commissure. I present a new technique in which the glottic gap is closed by bilateral medialization. This technique may be superior to those described previously, since the correction achieved at the time of surgery is maintained by the placement of Silastic.
LeJeuneFEGuiceCESamuelsPM. Early experiences with vocal ligament tightening. Ann Otol Rhinol Laryngol1983; 92: 475–7
2.
TuckerHM. Anterior commissure laryngoplasty for adjustment of vocal fold tension. Ann Otol Rhinol Laryngol1985; 94: 547–9
3.
KoufmanJA. Laryngoplasty for vocal cord medialization: An alternative to Teflon®. Laryngoscope1986; 96: 726–31
4.
KahaneJC. Connective tissue changes in the larynx and their effects on voice. J Voice1987; 1: 27–30
5.
IsshikiNOkamuraHIshikawaT. Thyroplasty type I (lateral compression) for dysphonia due to vocal cord paralysis or atrophy. Acta Otolaryngol (Stockh)1975; 80: 465–73
6.
IsshikiNTairaTTanabeM. Surgical alteration of the vocal pitch. J Otolaryngol1983; 12: 335–40
7.
IsshikiN. Recent advances in phonosurgery. Folia Phoniatr (Basel)1980; 32: 119–54
8.
LeJeuneFEJr.. Vocal ligametry. Update. Ann Otol Rhinol Laryngol1987; 96: 597–600
9.
BroylesEN. The anterior commissure tendon. Ann Otol Rhinol Laryngol1943; 52: 342–5
10.
TuckerGFJr.AlonsoWATuckerJACowanMDruckN. The anterior commissure revisited. Ann Otol Rhinol Laryngol1973; 82: 625–36
11.
KoufmanJA. Laryngoplastic phonosurgery. In: JohnsonJ, ed. Instructional courses, American Academy of Otolaryngology–Head and Neck Surgery. Vol 1. St Louis: CV Mosby, 1988: 339–50
