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British Journal of Anaesthesia, 2000, Vol. 85, No. 4 547-549
© 2000 The Board of Management and Trustees of the British Journal of Anaesthesia

A series of thyroplasty cases under general anaesthesia

I. Razzaq* and W. Wooldridge

Department of Anaesthesia, Wythenshawe Hospital, Manchester, UK

Thyroplasty is an operation on the upper airway to improve voice quality in patients with unilateral vocal cord paralysis. It requires access to an uninstrumented larynx and a functional assessment of vocal cord medialization. It is a difficult anaesthetic procedure that requires sharing the airway with the surgeon. We describe an anaesthetic technique to give good operating conditions and a safe airway, using total intravenous anaesthesia, a laryngeal mask airway and intraoperative fibreoptic endoscopic assessment of the larynx, and present a series of 13 patients. Other anaesthetic techniques for thyroplasty are described and discussed.

Br J Anaesth 2000; 85: 547-9

* Corresponding author: Flat 4, Tall Trees, 8 Mersey Road, Didsbury, Manchester M20 2PE, UK


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