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Choosing the Right Implant

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Decision Making in Vocal Fold Paralysis

Abstract

This chapter reviews the various implant options that have been utilized for medialization thyroplasty surgery over the years since it was first described. While autologous implants created from cartilage were initially used, medialization thyroplasty has evolved to employ synthetic implants. These include implants designed from silicone (Silastic, Montgomery, and Netterville Phonoform), expanded polytetrafluoroethylene (Gore-Tex), hydroxyapatite (VoCoM), and titanium (TVFMI). For each implant type, details are provided about the implant material, advantages/disadvantages, and specific technical points. Additionally, guidance is offered regarding implant selection in special scenarios such as anatomical variants, revision surgery, previously irradiated patients, post ablative cancer surgery, and medialization thyroplasty performed in conjunction with other procedures.

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Author information

Authors and Affiliations

  1. USC Voice Center, Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, CA, USA

    William Z. Gao

  2. USC Voice Center, Caruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, CA, USA

    Michael M. Johns

Authors
  1. William Z. Gao
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Correspondence to Michael M. Johns .

Editor information

Editors and Affiliations

  1. NYU Swallowing Disorders Center, New York University, New York, NY, USA

    Milan R. Amin

  2. USC Voice Center, University of Southern California, Los Angeles, CA, USA

    Michael M. Johns

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Gao, W.Z., Johns, M.M. (2019). Choosing the Right Implant. In: Amin, M., Johns, M. (eds) Decision Making in Vocal Fold Paralysis. Springer, Cham. https://doi.org/10.1007/978-3-030-23475-1_7

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  • DOI: https://doi.org/10.1007/978-3-030-23475-1_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23474-4

  • Online ISBN: 978-3-030-23475-1

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