title: Framework Surgery for Treatment of Unilateral Vocal Fold Paralysis.
abstract: Laryngeal framework surgery is the current gold standard treatment for unilateral vocal fold paralysis. It provides a permanent solution to glottic insufficiency caused by injury to the recurrent laryngeal nerve. Various modifications to the original Isshiki type I laryngoplasty procedure have been described to improve voice and swallowing outcomes. The success of this procedure is highly dependent on the experience of the surgeon as it epitomizes the intersection of art and science in the field. The following article reviews the evidence, controversies, and complications related to laryngoplasty for unilateral vocal fold paralysis. It also provides a detailed analysis of how and when arytenoid-positioning procedures should be considered, and summarizes the literature on postoperative outcomes.
authors.affiliation: Vanderbilt Voice Center, Department of Otolaryngology, Bill Wilkerson Center.
authors.forename: James J
authors.initials: JJ
authors.lastname: Daniero
authors.affiliation: Vanderbilt Voice Center, Department of Otolaryngology, Bill Wilkerson Center.
authors.forename: C Gaelyn
authors.initials: CG
authors.lastname: Garrett
authors.affiliation: Vanderbilt Voice Center, Department of Otolaryngology, Bill Wilkerson Center ; Center for Surgical Quality & Outcomes Research, Institute for Medicine and Public Health, Vanderbilt University Medical Center.
authors.forename: David O
authors.initials: DO
authors.lastname: Francis
keywords: Unilateral vocal fold paralysis; arytenoid adduction; glottic insufficiency; laryngeal framework surgery; laryngoplasty; thyroplasty; type I laryngoplasty; unilateral vocal cord paralysis; vocal cord medicalization; vocal fold medicalization