Loss of tension of the thyroarytenoid ligament is seen in elderly patients, in patients with chronic voice strain, and in patients who have had intubation trauma or laryngeal crush trauma. A tightening of the ligament by mobilizing a midline strip of the thyroid cartilage and advancing the upper end of this strip is described. The early results are encouraging; long-term results in older patients are not really known at this time.
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Guice et al. (1983) studied this question.
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