Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-28T14:56:55.398Z Has data issue: false hasContentIssue false
  • English
  • Français

Bilateral medialization thyroplasty: an effective approach to severe, chronic aspiration

Published online by Cambridge University Press:  02 June 2006

M S Thevasagayam ,
K Willson ,
C Jennings  and
P Pracy
M S Thevasagayam
Affiliation:
Department of Head and Neck Surgery, University Hospital NHS Trust, Birmingham, UK
K Willson
Affiliation:
Department of Head and Neck Surgery, University Hospital NHS Trust, Birmingham, UK
C Jennings
Affiliation:
Department of Head and Neck Surgery, University Hospital NHS Trust, Birmingham, UK
P Pracy
Affiliation:
Department of Head and Neck Surgery, University Hospital NHS Trust, Birmingham, UK
Get access Rights & Permissions [Opens in a new window]

Abstract

Aims: To demonstrate the efficacy of bilateral medialization thyroplasty as a treatment for severe, chronic aspiration. To review the literature on surgical options available in the treatment of severe aspiration.

Materials and methods: Three cases that underwent bilateral medialization thyroplasty are described. The technique used was the standard medialization thyroplasty described by Isshiki as a unilateral procedure. The assessment and rehabilitation of these patients is discussed.

Results: All patients stopped aspirating following surgery. One patient returned to a normal diet and one patient returned to a solid diet. All patients required a permanent tracheostomy.

Conclusion: Bilateral medialization thyroplasty offers an effective surgical option in the treatment of severe, chronic aspiration. It maintains good voice, with a possible return to oral diet. The operation is easily reversible if the patient's condition alters.

Keywords

AspirationRespiratoryLarynxSurgical ProceduresDysphagia
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 8 , August 2006 , pp. 698 - 701
Copyright
2006 JLO (1984) Limited

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)