Medialisation thyroplasty with tensor fascia lata: a novel approach for reducing post-thyroplasty complications. Issue 4 (21st February 2018)

• Record Type: Journal Article
• Authors: Chao, T N; Mahmoud, A; Rajasekaran, K; Mirza, N
• Is Part Of: Journal of laryngology & otology. Volume 132:Issue 4(2018)
• Page Start: 364
• Page End: 367
• Publication Date: 2018-02-21
• Subjects: Laryngoplasty, -- Medialization Thyroplasty, -- Unilateral Vocal Cord Paralysis, -- Autologous Transplantation, -- Fascia Lata, -- Radiation Injuries, -- Surgery; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215118000300
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Background: Medialisation thyroplasty is considered the 'gold standard' treatment for unilateral vocal fold paralysis, enabling improvement of voice and swallowing function, and preventing life-threatening aspiration events. The most commonly used laryngeal implants induce some degree of local tissue inflammatory response, and carry the risk of immediate or delayed implant extrusion. Methods: This paper describes a novel approach for medialisation thyroplasty. Specifically, it utilises a ribbon of autologous tensor fascia lata harvested at the time of surgery. This is layered within the paraglottic space in a manner similar to Gore-Tex thyroplasty. Results: Thus far, this method has been accomplished in two patients with unilateral vocal fold paralysis, who also received prior radiotherapy to the head and neck. Conclusion: Given the increased risk of post-operative wound breakdown and infection in irradiated patients, it is suggested that this new approach will lead to improved outcomes, and a decrease in complications such as extrusion or wound infection, particularly in this patient population.