title: Late displacement of a Montgomery thyroplasty implant following endotracheal intubation.
abstract: OBJECTIVE
  We document a late displacement of a thyroplasty implant following endotracheal intubation.
  
  
  METHODS
  A 66-year-old man was referred to our clinic with a chief complaint of breathy dysphonia immediately following an elective inguinal hernia repair under general endotracheal anesthesia. The patient's medical history was significant for a medialization laryngoplasty with a Montgomery implant 14 years earlier.
  
  
  RESULTS
  Examination and computed tomographic scanning of the neck confirmed displacement of the implant. The patient underwent revision medialization laryngoplasty with successful restoration of his voice quality.
  
  
  CONCLUSIONS
  This case report illustrates a potential complication of endotracheal intubation in patients who have previously undergone vocal fold medialization procedures.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center San Diego, California 92134-1005, USA.
authors.forename: Marco A
authors.initials: MA
authors.lastname: Ayala
authors.forename: Matthew B
authors.initials: MB
authors.lastname: Patterson
authors.forename: Kevin K
authors.initials: KK
authors.lastname: Bach
mesh_terms: D000368:Aged; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D019736:Prostheses and Implants; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012086:Reoperation; D013957:Thyroid Cartilage / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014827:Vocal Cords / Q000601:surgery; D014832:Voice Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014833:Voice Quality