A modifiable laryngeal implant made of titanium has been developed for the treatment of unilateral vocal fold paralysis. The implant includes three parts: a plate that allows fixation to the thyroid cartilage, a block of titanium which includes the adjustable part, and a micrometric screw in the middle of the lateral side of the block, which moves the adjustable part. Defined medialization is accomplished by modifiable the screw which also allow easy secondary adjustments. This retrospective study assesses clinical outcomes of medialization laryngoplasty with the titanium changeable implant, in patients with unilateral vocal fold paralysis. This study has the boundaries of a retrospective study. However, prelude outcome are hopeful. Examination of one-sided responses confirmed marked growth in laryngeal function, speech, and swallowing. The adjustable laryngeal implant has many advantages including: precise medialization, ease of secondary adjustment, and perseveration of the mucosal wave.Journal of Voice, Volume 15, Issue 1, March 2001, Pages 141-150Carole M. Dean, Christian Ahmarani, Maurice Bettez, Reinhardt J. Heuer
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