Volume 131, Issue 3 p. 236-240
Original Article

Revision Gore-Tex Medialization Laryngoplasty

Jacob T. Cohen MD

Jacob T. Cohen MD

Center for Voice and Swallowing Disorders of Wake Forest University, Department of Otolaryngology, Winston-Salem, North Carolina

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Dwight D. Bates MD

Dwight D. Bates MD

Center for Voice and Swallowing Disorders of Wake Forest University, Department of Otolaryngology, Winston-Salem, North Carolina

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Gregory N. Postma MD

Corresponding Author

Gregory N. Postma MD

Center for Voice and Swallowing Disorders of Wake Forest University, Department of Otolaryngology, Winston-Salem, North Carolina

Center for Voice Disorders of Wake Forest University, Department of Otolaryngology, Medical Center Boulevard, Winston-Salem, North Carolina 27157-1034; e-mail, [email protected]Search for more papers by this author
First published: 17 May 2016
Citations: 5

Abstract

OBJECTIVE

To evaluate the indications, results, and safety of revision Gore-Tex medialization laryngoplasty (GML).

METHODS

A retrospective chart review of 156 patients that underwent GML procedures between the years 1998–2002. Study population consisted of those patients who required revision surgery for any reason.

RESULTS

Sixteen patients required 22 revision procedures. Indications for revision were divided into 2 groups, complications and glottal closure problems. Complications included extruded or displaced implants (n = 4). The most common glottal closure problem was undercorrection (n = 9). Others included anterior overcorrection (n = 1) and persistent posterior glottal gap (n = 2). Revision procedures included GML (n = 9), injection augmentation (n = 9), endoscopic implant removal (n = 2), and arytenoid adduction (n = 2). In patients with glottal closure problems, the GCI improved in all 10 and the voice rating scale improved in 9.

CONCLUSION

Reasons for revision of GML are variable, the most common being undercorrection. A variety of safe, effective revision techniques are available with a high success rate.