title: [Combination of direct pull of lateral cricoarytenoid muscle and thyroplasty type I for severe unilateral vocal cord paralysis].
abstract: Techniques and the outcome of our approach that combined two operations, a direct pull of the lateral cricoarytenoid muscle (LCA-Pull) and Isshiki's thyroplasty type I are reported. LCA-Pull is very simple and allows natural adduction of arytenoid by pulling LCA. The subjects were five patients whose maximal phonation time (MPT) were under 5 seconds. All patients achieved MPT over 13 seconds. Mean flow rates (MFR) varied from 340ml/s to over 1000 ml/s before the operation. In all patients, the post operative MFR improved to under 150 ml/s. Sometimes severe unilateral vocal cord paralysis requires both arytenoid adduction and medialization thyroplasty to obtain good voice. Combination of LCA-Pull and thyroplasty type I is very effective for severe case, and could be done in the same operating field by creating an additional window in the thyroid ala.
authors.affiliation: Department of Otorhinolaryngology, Tokyo Medical University, Tokyo.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Kanebayashi
authors.forename: Ryoji
authors.initials: R
authors.lastname: Tokashiki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Hiramatsu
authors.forename: Mamoru
authors.initials: M
authors.lastname: Suzuki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007821:Laryngeal Muscles / Q000601:surgery*; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D013957:Thyroid Cartilage / Q000601:surgery*; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000601:surgery*