Endoscopic management of extruding medialization laryngoplasty implants

Stacey L. Halum, Gregory N. Postma, Jamie A. Koufman

Research output: Contribution to journalReview article

17 Scopus citations

Abstract

Background: Medialization laryngoplasty (ML) is a commonly performed procedure for vocal fold motion impairment with glottic incompetence. Although implant extrusion is a well-known risk of ML, management of this complication is rarely mentioned in the literature. The aim of this study was to review our experience with endoscopic implant retrieval for a group of patients with extruding ML implants. Methods: All patients identified in our institution from January 1989 through August 2004 with a history of ML and extruded implants were identified. Case management was reviewed, including information on presentation, management techniques, and outcomes. Results: Five patients presented with extruding ML (Gore-Tex [n = 2] or silastic [n = 3]) implants. All patients presented with worsening dysphonia and evidence of fullness and/or granulation tissue at the extrusion site. Endoscopic removal was performed using either sharp dissection or CO2 laser dissection. After removal, four patients underwent vocal fold injection augmentation. Conclusions: Endoscopic removal appears to be a safe, effective, and even preferred alternative to external transcervical removal in selected cases of extruding implants.

Original languageEnglish (US)
Pages (from-to)1051-1054
Number of pages4
JournalLaryngoscope
Volume115
Issue number6
DOIs
StatePublished - Jun 1 2005
Externally publishedYes

Keywords

  • Endoscopic management
  • Implant extrusion
  • Medialization laryngoplasty
  • Thyroplasty

ASJC Scopus subject areas

  • Otorhinolaryngology

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