Abstract
Type I thyroplasty is well-established and one of the most popular surgical treatment for unilateral vocal fold palsy. We reviewed 207 cases of original and modified type I thyroplasty using a silicon block. As with all surgical procedures in type I thyroplasty, it is most important to avoid damaging the inner perichondrium during fenestration of the thyroid cartilage in order to obtain appropriate contact of vocal folds and have a good outcome of voice. With the elderly, however, we have found a pitfall in that the ossification of the cartilage presents an increased risk of damaging the perichondrium.
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