title: Longitudinal voice quality changes following Isshiki thyroplasty type I: the Yale experience.
abstract: Longitudinal voice quality changes following Isshiki thyroplasty type I were investigated in a group of 13 patients exhibiting unilateral vocal fold paralysis. Thyroplasty type I medializes the paralyzed fold by using a Silastic implant for external lateral compression of the abducted fold. No perioperative complications were experienced. We observed significantly higher voice fundamental frequency, significantly louder voice intensity, and significantly longer maximum phonation time, both immediately following phonosurgery and up to 3 months postoperatively. Surgical refinements of thyroplasty type I are described.
authors.affiliation: Section of Otolaryngology, Yale-New Haven Hospital, CT 06510.
authors.forename: C T
authors.initials: CT
authors.lastname: Sasaki
authors.forename: S B
authors.initials: SB
authors.lastname: Leder
authors.forename: L
authors.initials: L
authors.lastname: Petcu
authors.forename: C D
authors.initials: CD
authors.lastname: Friedman
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007817:Laryngeal Cartilages / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D012828:Silicones; D013957:Thyroid Cartilage / Q000601:surgery*; D013997:Time Factors; D014826:Vocal Cord Paralysis / Q000601:surgery*; D014831:Voice; D014833:Voice Quality
chemical_list: D012826:Silicone Elastomers; D012828:Silicones