Thyroplasty (Laryngeal framework surgery)

Thyroplasty is a surgical procedure where the thyroid cartilage of the larynx is modified to improve vocal cord function and voice quality, especially in cases of vocal cord paralysis.

 

Isshiki divided thyroplasty procedure into four categories- 

 

Thyroplasty types 

Procedure done 

Done in 

Type 1 

(Medialization)

Medial displacement

of vocal cord

(Brings paralyzed

vocal cord medially)

Adductor palsy 

Type 2 

(Lateralization)

Lateral displacement

of vocal cord

Abductor palsy 

Type 3 

(Relaxation)

Shortening / Loosening

of vocal cord

For low-pitched voice

(Puberphonia)

(Mnemonic: Pub = Relax / Loose)

Type 4 

(Tensioning)

Lengthening / Tightening

of vocal cord 

For weak, high-pitched voice 

(Androphonia)

View in web app Open in TCML App