Phonosurgery pp 157-162 | Cite as

Combined Technique: Medialization and Tension Adjustment

  • Nobuhiko Isshiki


The preoperative manual test is capable of predicting to some extent the outcome of surgery. The intraoperative manual test provides a more reliable guide to the mechanical changes of the vocal cord possible from surgery. After tentative medialization of the vocal cord without fixing the window in depression, noninvasive manual slackening or tightening of the vocal cords should always be attempted prior to the surgical procedure to observe any change in voice quality. This test is especially important when the voice is not satisfactory at this stage or the patient complains of some strain on vocie production.


Vocal Cord Thyroid Cartilage Manual Test Combine Technique Cricoid Cartilage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer Japan 1989

Authors and Affiliations

  • Nobuhiko Isshiki
    • 1
  1. 1.Department of Plastic Surgery, School of MedicineKyoto UniversityJapan

Personalised recommendations