What is Medialization thyroplasty?

Medialization thyroplasty is an open surgical procedure that is performed under local or general anesthesia. Essentially, it aims to close the glottic gap, approximating both vocal folds together and thereby allowing for restoration of the efficiency of the larynx.

Is thyroplasty the same as Laryngoplasty?

Thyroplasty is accomplished by placing either a goretex or plastic implant between the cartilage of the larynx (the “Adam’s Apple) and the vocal fold. Injection laryngoplasty is accomplished by injecting a substance into the vocal fold.

What is thyroplasty procedure?

Thyroplasty is a procedure performed to change the position of the vocal cord. This is usually performed to improve a patient’s voice and ability to cough. Thyroplasty is performed in the operating room with the patient asleep during parts of the surgery. A small cut is made on the neck and the voice box is identified.

What is a Gore Tex thyroplasty?

Gore-Tex is a commonly used material for external thyroplasty in patients with unilateral vocal cord palsy. 1 It medialises the paralysed cord to enable the normal contralateral cord to appose with it in the midline, thereby improving voice quality and preventing aspiration.

Is a thyroplasty permanent?

Thyroplasty is considered a “permanent” medialization, whereas fat injection is considered “temporary” because of reabsorption.

Is thyroplasty painful?

You may experience some discomfort during the procedure but you will be sedated. Your throat may take 6-8 weeks to heal after surgery, so over this time you should treat your voice with care.

What is the CPT code for thyroplasty?

This code was most frequently used to medialization laryngoplasty and now this procedure is most commonly reported with 31591 for open medialization of a vocal cord, removal of cricoid and part of the upper trachea, usually only one or two rings, all to treat subglottic stenosis.

What is the purpose of a thyroplasty?

Thyroplasty is a procedure done to change the position of the vocal cord to improve a your voice and ability to cough.

How much does thyroplasty cost?

Results. Sixty-three patients underwent medialization thyroplasty and 41 underwent injection laryngoplasty. Cost of medialization thyroplasty was C$2499.10 per patient whereas those treated with injection laryngoplasty cost C$943.19. Results showed that cost savings with IL were C$1555.91.

Who performs a thyroplasty?

Thyroplasty is a procedure that is typically performed under local anesthesia in the operating room. The surgeon begins by making an incision in the neck. The surgeon will then adjust the position of the vocal fold and insert an implant to keep it in place.

What is injection Medialization?

Injection medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk (such as in vocal fold bowing) or the mobility (such as in paralysis) it once had.

Is thyroplasty safe?

Revision surgery and thyroplasty combined with arytenoid repositioning maneuvers were associated with increased risk of major complications. Conclusions: In general, TP is a safe procedure, with a major complication rate that is lower than that of outpatient thyroidectomy.

Which is the most common type of thyroplasty surgery?

Type 1 thyroplasty is the most commonly used surgical procedure to correct unilateral vocal cord paralysis (a condition where the vocal cord of one side is paralyzed).

What is the difference between Type 3 and 4 thyroplasty?

Type 3 thyroplasty – Shortening of the vocal folds (done to lower the vocal pitch). Type 4 thyroplasty – Lengthening of the vocal folds (done to raise the vocal pitch).

Are there any known indications for type 2 thyroplasty?

The only known indication for type 2 thyroplasty is adductor spasmodic dysphonia, a condition characterized by involuntary movements of muscles of the larynx during speech. It is contraindicated in irradiated larynx (when the larynx is exposed to radiation) 8).

Where is the incision made for thyroplasty surgery?

Generally, lateralization thyroplasty is intended to prevent this tight closure of the glottis at the terminal stage of phonation by lateralizing the position of the vocal cord. This is a completely mechanical process. An incision is made at midline of the thyroid cartilage.