Abstract
Various types of laryngeal framework surgery have been performed on over 200 dysphonic patients with satisfactory results. Thyroplasty type I, i. e. medialization of the vocal cord, which is indicated primarily for unilateral vocal cord paralysis, has widened the treatment options for vocal cord atrophy by applying the technique bilaterally.In 6 patients, a second medialization operation became necessary because of reversion of the voice. Medialization was further improved by using a cork-like silicone plug, with marked improvement of the voice.On the basis of these experiences, slight intraoperative overmedialization of the vocal cord is recommended.Surgical techniques to raise the vocal pitch require further development.
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