Authors: L. Mrzena; A. Slavíček; J. Betka Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha Published in: Otorinolaryngol Foniatr, , 2000, No. 4, pp. 195-200. Category:
The aim of the article is to discuss and summarize indication for surgical treatmentof unilateral vocal cord paralysis. All types of surgical procedures performed for this disorder(thyroplasty type 1, arytenoid adduction, intracordial Teflon injection, laryngeal reinnervation) arebriefly described and their advantages, drawbacks and limitations are discussed.Any patient with unilateral vocal cord paralysis who has a breathy, weak voice, because of a gapand air leak between vocal cords during phonation, is a candidate for the surgical treatment.Nowadays thyroplasty type 1 is the standard surgical procedure for unilateral vocal cord paralysis.Thyroplasty type 1 is a safe and reversible surgical technique, which can be performed under localanaesthesia and achieves an excellent vocal quality in almost all patients.
Key words: vocal cord paralysis, medialisation of the vocal cord, thyroplasty, arytenoid
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