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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
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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

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