1. Videostroboscopy and laryngeal electromyography (EMG) can be used to determine the etiology of an immobile vocal fold in a patient with hoarseness after aortic aneurysm repair. 2. The difference between vocal fold medialization injection and intrachordal injection is that medialization injects material lateral to the vocalis muscle while intrachordal injection injects material just deep to the lamina propria to eliminate soft tissue defects. 3. Materials available for unilateral vocal fold medialization by injection include Teflon, human micronized alloderm, autologous fat, gelfoam, collagen, and hyaluronic acid formulations; alloderm

1. COCLIA Laryngology: PHONOSURGERY Samuel Ostrower January 14, 2008

2. Recurrent Laryngeal Nerve

4. Cricoarytenoid Joint

5. Intrinsic Musculature

6. Intrinsic Musculature

7. 1. A patient is referred from your favorite thoracic surgeon for hoarseness after aortic aneurysm repair. On exam, you find an immobile vocal fold. How can you determine the etiology?

11. 2. Vocal fold injectional medialization Vs. Intrachordal injection. What is the difference?

14. 3. Unilateral vocal fold medialization by injection – what materials are available? Indications and advantages?

22. 4. Discuss the management of Teflon granulomas.

26. 5. Describe transcutaneous vs. laryngoscopic injection in vocal fold medialization

31. 6. Discuss the management of overinjection during vocal fold medialization

33. 7. Medialization thyroplasty–indications, advantages. Otolaryngol Head Neck Surg 1997;116:349

36. Timing of Surgery Otolaryngol Head Neck Surg 1997; 116:349-54

38. Surgical Technique

39. Surgical Technique

40. Surgical Technique

41. Surgical Technique

42. Surgical Technique

43. 9. Goal of Arytenoid Adduction. Indications

45. 10. Would you perform an arytenoid adduction without medialization procedure? Otolaryngol Head Neck Surg 2003;129:305-310

47. 11. How do you do an arytenoid adduction?

48. Arytenoid Adduction Technique

49. 12. What is the success of reinnervation procedures?

51. Neuromuscular Pedicle Technique

52. Ansa Cervicalis-to-Recurrent Laryngeal Nerve (ansa-RLN) Anastomosis Technique

53. 13. Bilateral vocal fold paralysis in midline position. Patient refuses tracheostomy. What other surgical options can you offer? Ann Otol Rhinol Laryngol 1991; 100:717