How I do it: Miniplate reconstruction of the lateral thyroid lamina: One-stage restoration of voice after Teflon granuloma resection

Research output: Contribution to journalArticle

Abstract

This case report describes a one-stage technique for long-term voice restoration and laryngeal reconstruction in the treatment of Teflon (Dupont, Wilmington, Delaware) granuloma. A patient who presented with severe dysphonia underwent resection of a Teflon granuloma via a lateral laryngotomy. A pedicled strap muscle flap was used to reconstruct the paraglottic space. The muscle flap was positioned through the lateral laryngotomy with direct endoscopic visualization of the endolarynx to ensure correct vertical positioning and medialization of the vocal fold. The muscle flap was secured in this position with suture fixation. The trapdoor piece of cartilage that was elevated to create the window in the lateral thyroid lamina was repositioned over the pedicled muscle flap and reinforced with a titanium miniplate, which was secured to the remaining thyroid cartilage. The patient had excellent voice results and has not required revision or augmentation. Reinforcement of the lateral thyroid lamina using titanium miniplate fixation helps to stabilize the muscle pedicle flap and the position of the vocal fold, in this case resulting in good long-term voice results after a single-stage reconstruction.

Original languageEnglish (US)
Pages (from-to)504-509
Number of pages6
JournalJournal of Voice
Volume19
Issue number3
DOIs
StatePublished - Sep 2005
Externally publishedYes

Keywords

  • Laryngotracheal reconstruction
  • Larynx
  • Miniplate
  • Teflon granuloma
  • Titanium
  • Voice

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN

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