Arytenoid rotation
by Jayakumar R Menon

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

Here the technique of arytenoid rotation has been demonstrated. This is a procedure which is usually combined with a type I thyroplasty. It is indicated in patients suffering from vocal fold immobility having a maximum phonation duration (MPD) less than 4 seconds, a wide posterior phonatory gap or a vertical level incompatibility. It is technically more challenging than a medialization thyroplasty, since it involves the excision of a part of the posterior thyroid lamina, identifying the cricothyroid joint, identifying the muscular process of the arytenoids (which is better felt than seen), preserving and reflecting the pyriform sinus mucosa away, and taking a stitch through the muscular process of the arytenoid to rotate it.

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