The use of ceramic in type I thyroplasty

Abstract

Although there are various methods of surgical treatment for glottic insufficiency following unilateral recurrent nerve paralysis, Isshiki thyroplasty type I is the procedure of choice. We recently devised a new method using ceramic blocks instead of silicone in Isshiki thyroplasty type I, in which the biological side-effects of silicone can be prevented. In developing this method, we discovered that fibrin glue is effective for fixing the ceramic block and stopping the bleeding of the wound. The simplicity of our method is a strong advantage.