2025, Vol. 7, Issue 2, Part E
Thyroplasty for idiopathic unilateral vocal fold paralysis in an oldest patient of 88 years with restoration of voice: A case report
Author(s): Phaniendra Kumar V and AR Tagore
Abstract: The objective of this article is to illuminate a remarkable case of thyroplasty conducted on the world’s oldest patient, an 88-year-old gentleman, suffering from Idiopathic Unilateral Vocal Fold Paralysis (UVFP) with restoration of his vocal capabilities. Thyroplasty Type 1, originally delineated by Professor Isshiki, has long been regarded as the gold standard for voice restoration in individuals afflicted with Unilateral Vocal Fold Paralysis.
A male patient, aged 88 years, presented at the Outpatient Department of the Sri Sathya Sai ENT and Melody Voice Clinic in Guntur, Andhra Pradesh, India, in February 2025, with a protracted history of hoarseness and episodic choking incidents while consuming liquids, persisting for a duration of six months. Following a thorough clinical examination and a series of diagnostic investigations, the diagnosis of Idiopathic Vocal Fold Paralysis was established. The patient subsequently underwent Thyroplasty Type-1 utilizing the Sandwich Technique under local anesthesia, resulting in an immediate enhancement of vocal quality on the operating table. Thereafter, he engaged in a structured voice therapy regimen for six weeks, with follow-up assessments conducted every three months to date, demonstrating sustained vocal improvement. Pre- and post-operative evaluations, including Video Laryngostroboscopy, Flexible Dynamic Phonation Endoscopy, Maximum Phonation Time, and Audio-Video Voice Recordings, were meticulously documented as parameters throughout the follow-up period.
DOI: 10.22271/27081494.2025.v7.i2e.231Pages: 295-297 | Views: 245 | Downloads: 115Download Full Article: Click Here
How to cite this article:
Phaniendra Kumar V, AR Tagore.
Thyroplasty for idiopathic unilateral vocal fold paralysis in an oldest patient of 88 years with restoration of voice: A case report. Int J Case Rep Surg 2025;7(2):295-297. DOI:
10.22271/27081494.2025.v7.i2e.231
