title: Endoscopic vocal cord medialization: a new surgical technique without neck incision for laryngeal palsy.
abstract: Different types of surgery have been reported for glottal insufficiency due to unilateral vocal cord paralysis. We recently developed a new surgical technique of fascia implantation known as vocal cord medialization. This new method achieves a wide glottal gap during phonation, without the use of an external approach. This new technique is described in detail herein, together with the satisfactory results we obtained in six cases of unilateral vocal cord paralysis with a wide glottal gap during phonation. We recommend this technique in cases of unilateral vocal cord paralysis in which both a satisfactory clinical result and an aesthetically pleasing cosmetic result are required.
authors.affiliation: Department of Otorhinolaryngology, Kitasato University School of Medicine, Kanagawa, Japan. nishiya@khaki.plala.or.jp
authors.forename: Koichiro
authors.initials: K
authors.lastname: Nishiyama
authors.forename: Hajime
authors.initials: H
authors.lastname: Hirose
authors.forename: Hiromi
authors.initials: H
authors.lastname: Nagai
authors.forename: Takashi
authors.initials: T
authors.lastname: Masaki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Horiguchi
authors.forename: Koichi
authors.initials: K
authors.lastname: Tsunoda
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yao
authors.forename: Makito
authors.initials: M
authors.lastname: Okamoto
mesh_terms: D005205:Fascia / Q000637:transplantation*; D006801:Humans; D007828:Laryngoscopy; D013703:Temporal Muscle; D016378:Tissue Transplantation / Q000379:methods*; D014826:Vocal Cord Paralysis / Q000601:surgery*