Type III Thyroplasty for the Treatment of Glottic Gap in a Patient Undergoing Laryngofissure Cordectomy for Squamous Cell Carcinoma of the Vocal Fold: Technique and Outcome
Free accessResearch articleFirst published online June, 2010
Type III Thyroplasty for the Treatment of Glottic Gap in a Patient Undergoing Laryngofissure Cordectomy for Squamous Cell Carcinoma of the Vocal Fold: Technique and Outcome
A 44-year-old man presented with squamous cell carcinoma (T1aN0M0) on the left vocal fold and was prepared for a combined laryngofissure cordectomy and type III thyroplasty. The author performed both procedures together—not only to lower the tension on the healthy vocal fold, but also to determine whether the thyroplasty would successfully close the glottic gap created by the cordectomy, resulting in relatively fast improvement in the patient's voice. Satisfactory glottic closure and a satisfactory voice result were achieved rather quickly. The patient was satisfied with his new voice, both in the early and late postoperative periods.
References
1.
MyersEN, WagnerRL, JohnsonJT. Microlaryngoscopic surgery for T1 glottic lesions: A cost-effective option. Ann Otol Rhinol Laryngol1994;103(1):28–30.
2.
ShahJP. The larynx. In: Color Atlas of Head and Neck Surgery, Vol. 2. 1st ed. London: Wolfe Medical Publications; 1990:89–169.
3.
WeinsteinGS, LaccourreyeO, RassekhC.Conservation Laryngeal Surgery. In: CummingsCW, FredricksonJM, HarkerLA, (eds). Otolaryngology Head and Neck Surgery, Vol. 3. 3rd ed. St. Louis: Mosby Year Book, Inc; 1998:2200–8.
4.
IsshikiN.Surgery to lower vocal pitch: A-P relaxation. In: Phono-surgery: Theory and Practice. 1st ed. Tokyo: Springer Verlag; 1989:131–40.
5.
SlavitDH, MaragosNE, LiptonRJ. Physiologic assessment of Isshiki type III thyroplasty. Laryngoscope1990;100(8):844–8.
6.
DejonckerePH, BradleyP, ClementeP, A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guidelines elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS). Eur Arch Otorhinolaryngol2001;258(2):77–82.
7.
WirthG.Physiologie der Stimme. In: Stimmstörungen. 3rd ed. Berlin: Deutscher Ärzteverlag;1991:81–142.
8.
MurryT, RosenCA. Occupational voice disorders and the Voice Handicap Index. In: DejonckerePH (ed). Occupational Voice: Care and Cure. 1st ed. The Hague, The Netherlands: Kugler Publications: 2001:113–28.
9.
JacobsonBH, JohnsonA, GrywalskiC, The Voice Handicap Index (VHI): Development and validation. Am J Speech Lang Pathol1997;6(3):66–70.
10.
BenningerMS, AhujaAS, GardnerG, GrywalskiC.Assessing outcomes for dysphonic patients. J Voice1998;12(4):540–50.
11.
ShindoML, ZaretskyLS, RiceDH. Autologous fat injection for unilateral vocal fold paralysis. Ann Otol Rhinol Laryngol1996;105(8):602–6.
12.
RamacleM, LawsonG, HedayatA, Medialization framework surgery for voice improvement after endoscopic cordectomy. Eur Arch Otorhinolaryngol2001;258(6):267–71.
13.
BrandenburgJH, KirkhamW, KoschkeeD.Vocal cord augmentation with autogenous fat. Laryngoscope1992;102(5):495–500.
14.
FordCN, BlessDM, LoftusJM. Role of injectable collagen in the treatment of glottic insufficiency: A study of 119 patients. Ann Otol Rhinol Laryngol1992;101(3):237–47.
15.
WooP.Arytenoid adduction and medialization laryngoplasty. Otolaryngol Clin North Am2000;33(4):817–40.
16.
SittelC, FriedrichG, ZorowkaP, EckelHE. Surgical voice rehabilitation after laser surgery for glottic carcinoma. Ann Otol Rhinol Laryngol2002;111(6):493–9.
17.
SchneiderB, DenkDM, BigenzahnW.Functional results after external vocal fold medialization thyroplasty with the titanium vocal fold medialization implant. Laryngoscope2003;113(4):628–34.
