Principles of medialization laryngoplasty
Conclusion: Medialization laryngoplasty is designed to address problems of glottic insufficiency by shifting the vocal fold towards the midline. Its principal advantages include intraoperative flexibility to tailor implant size and position to the particulars of each patient's glottic insufficiency, guided by the immediate assessment of the effect of each change on the voice. The result is durable and generally satisfactory, although certain pitfalls of technique and strategy exist. A thorough knowledge of relevant laryngeal anatomy and phonatory physiology is necessary to navigate these and avoid the unsatisfactory voice result and other complications, regardless of the specific technique and medialization substance used. © 2006 Springer-Verlag Berlin Heidelberg.
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