Thyroplasty Type I using Gore-Tex

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Many kinds of materials have been used up to now for vocal fold paralysis. Although silastic block has been the most popular material, some difficulties in carving, positioning, and placing have been the causes to find more easily applicable materials. Hy-droxylapatite, gelfoam, hyaluronic acid and fat have been suggested and used for this purposes with some limitations. During last decade, Gore-Tex was introduced and replacing old materials and showed good surgical results with less difficulties. This material is biocompatible and familiar to surgeons because it had been invented in 1960's. In addition it is easy to shape and place Gore-Tex into the window with many clinical experiences. In some problem cases, it is easy to remove from the body with less damage to surrounding tissue. The basic surgical techniques are as follows. 1) Creating window. 2) Positioning and placing the material. 3) Immobilizing the material and closing the window. The modified methods ae introduced in details with figures.