Management of unilateral vocal fold paralysis.
Management of unilateral vocal fold paralysis continues to generate controversy. Polytetrafluoroethylene (Teflon) injection remains the most popular procedure for medialization; however, there are problems involved with its use. Endoscopic assessment of patients treated with medialization laryngoplasty revealed a normal mucosal wave form in contrast to the stiff vocal fold observed with Teflon injection. Medialization laryngoplasty is also considered a reversible procedure. Based on these findings, medialization laryngoplasty should be considered the procedure of choice for unilateral vocal fold paralysis.
Odland
R M
RM
Department of Surgery, Loma Linda University, CA 92354, USA.
Wigley
T
T
Rice
R
R
D000293:Adolescent; D000328:Adult; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D002985:Clinical Protocols; D005260:Female; D005781:Gelatin Sponge, Absorbable; D006801:Humans; D007267:Injections; D007820:Laryngeal Mucosa / Q000473:pathology; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D013060:Speech; D013957:Thyroid Cartilage / Q000601:surgery; D014826:Vocal Cord Paralysis / Q000473:pathology / Q000601:surgery*; D014827:Vocal Cords / Q000473:pathology; D014833:Voice Quality
D012826:Silicone Elastomers; D011138:Polytetrafluoroethylene