Abstract
Arytenoid adduction combined with thyroplasty type I would be a surgery of choice for vocal cord paralysis with a large glottal chink during phonation. This paper describes the tips for how easily, safely and effectively this surgery can be perfermed. The knack of how to approach the muscle process is palpation of the cricoid cartilage on which the process sits. Blunt separation should be made from below until reaching the crico-arytenoid joint, only on and along the upper ridge of the cricoid cartilage. Opening the joint to reveal the joint surface confirms the joint. In combining the arytenoid adduction with thyroplasty type I, care should be taken on the steps and order to which the window of thyroplasty type I and suture holes for arytenoid adduction are made.
