Thyroplasty, Type 1

Considerations

• • Dr. Cruz, most important landmark - inferior margin of the thyroid cartilage 

    • Local MAC

    • Prep face into the field, use mask as needed

    • Test voice and phonation time

    • Midline incision

  • Montgomery (Boston Medical) Thyroplasty Implant

    • Size, start small, increase until strangled 

    • No drain 

    • No 23 hour obs

    • No antibiotics

  • Dr. J

    • Silastic block

    • Olympus tower

    • Flexible distal chip laryngoscope (from clinic)

    • Netterville instrument set

    • Stryker TPS drill

      • 3 mm cutting burr

      • 3 mm diamond burr

      • sagittal saw 

    • 2 mm Kerosin from the eye rongeur tray 

    • Minor plastic tray 

    • Optional midline Penrose 

    • Admit for overnight observation

    • Dexamethasone 8 mg IV q8 hours while inpatient 

    • Regular diet 

Preparation

Procedure

Post-op

High-Yield

Links

• • http://emedicine.medscape.com/article/863779-treatment#d10

  • http://www.utmb.edu/otoref/Grnds/Vocal-cord-040428/Vocal-cord-slides-040418.pdf