The document discusses the use of Gore-Tex for medialization thyroplasty to treat vocal fold paralysis. Medialization thyroplasty involves inserting Gore-Tex strips through a window created in the thyroid cartilage to medialize the paralyzed vocal fold. The procedure is performed under local anesthesia by making incisions in the strap muscles and thyroid cartilage. Gore-Tex is advantageous because it is malleable, reversible, and creates less edema than other materials. The procedure has good voice outcomes and low complication rates.

1. Medialization Thyroplaty using Gor-Tex

2. Vocal fold paralysis Rather common problem

3. Causes speech problems (Wasting of voice)

4. Aspiration – If the opposite cord compensates inadequately

5. Management modalities Voice therapy

6. Cord injection – Teflon, fat, collagen

7. Medialization thyroplasty using Teflon / Gor-Tex

8. Re-innervation techniques (early stages)

9. Gor-Tex was first used as an implant material for medialization by Hoffman and McCullouch in May 1996

10. Indications for medialization thyroplasty Unilateral vocal fold immobility due to paralysis / paresis / atrophy

11. Unilateral vocal fold scarring / soft tissue loss

12. In select cases of Parkinsonism with vocal fold atrophy

13. In patients who aspirate due to vocal fold paralysis without the opposite cord compensating adequately

14. Contraindications Previous history of irradiation

15. Malignant lesions involving larynx

16. Poor abduction of contralateral vocal fold as this could compromise the airway

17. Patients with poor pulmonary reserve