Medialization laryngoplasty is a procedure performed to reposition the vocal fold to improve vocal fold closure. It is commonly used to manage vocal fold paralysis where one vocal fold does not move, resulting in incomplete closure of the vocal folds. There are additional indications for this procedure in certain situations. At our center, we provide both short term and long-term solutions to improve our patients’ voices.

The fastest and often easiest treatment option is an injection medialization laryngoplasty. The procedure involves an injection of gel either via the neck or through the mouth to move the vocal cord towards the middle, which results in better closure. It is a safe, well-tolerated procedure that takes approximately 10 to 15 minutes to complete. It can be performed conveniently in either the office or a procedure room at the hospital Patients often note an immediate improvement in voicing and can resume their normal activities the same day. The gel and its effect last three months on average, and multiple injections may be required to sustain the effect.

If a long-term solution is required, a permanent implant can be surgically placed in the area alongside the vocal cord to reposition the vocal cord for a better voice. The procedure is performed via a small neck incision while the patient is under local anesthesia and light sedation in an operating room. During the procedure, the patient is asked to use his vocal folds, and the implant’s position is customized to ensure the optimal vocal quality, much like tuning an instrument. Additional procedures may be performed at the same time, including an arytenopexy and cricothyroid subluxation, which are designed to better position the back part of the vocal fold for better closure and voicing. The procedure generally requires a one-night stay in the hospital with discharge early the following morning. The advantage of this procedure is that it is permanent and can provide a sustainable, consistent vocal quality without the need for routine repeat procedures.

The information contained on this website is intended for educational purposes only and is not intended to diagnose and/or dictate treatment for any disease process. Please consult your physician for management tailored to your specific condition.