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In conclusion, Gore-Tex medialization laryngoplasty remains a simple surgical technique for the restoration of voice and airway function after unilateral vocal cord paralysis. It allows great flexibility for individual surgeons to modify their technique to suit their comfort level and patient population. It is easily combined with arytenoid adduction in patients requiring closure of a posterior glottic gap. It is reversible and revisable, and the complications are quite limited. When they do occur they are commonly managed with simple procedures that allow future restoration of vocal cord position and quality of voice. [ABSTRACT FROM AUTHOR]

Bilateral medialization laryngoplasty appears to be a safe and effective treatment for patients with glottal incompetence due to a wide array of causes. Patients with degenerative neuromuscular diseases and/or poor pulmonary function appear to have inferior results when compared with those with paralysis, paresis, or presbylaryngis. Appropriate patient selection is essential. [ABSTRACT FROM AUTHOR]

Medialization laryngoplasty is designed to address problems of glottic insufficiency by shifting the vocal fold towards the midline. Its principal advantages include intraoperative flexibility to tailor implant size and position to the particulars of each patient’s glottic insufficiency, guided by the immediate assessment of the effect of each change on the voice. The result is durable and generally satisfactory, although certain pitfalls of technique and strategy exist. A thorough knowledge of relevant laryngeal anatomy and phonatory physiology is necessary to navigate these and avoid the unsatisfactory voice result and other complications, regardless of the specific technique and medialization substance used. [ABSTRACT FROM AUTHOR]