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J Korean Soc Laryngol Phoniatr Logop > Volume 18(1); 2007 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2007;18(1): 16-21.
고어텍스를 이용한 제1형 갑상연골성형술
인제대학교 의과대학 상계백병원 이비인후과학교실
Thyroplasty Type I using Gore-Tex
Young-Sam Yoo
Department of Otolaryngology-Head & Neck Surgery, Sanggye Paik Hospital, College of Medicine, Inje University
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.
KEY WORDS: Gore-Tex;Thyroplasty;
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