{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T23:05:10Z","timestamp":1771542310369,"version":"3.50.1"},"reference-count":52,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T00:00:00Z","timestamp":1499299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T00:00:00Z","timestamp":1499299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Medialization laryngoplasty is the standard surgical treatment for unilateral vocal fold paralysis. This study presents a modified approach in which a thyroid cartilage graft is implanted in medialization laryngoplasty. 22 patients who underwent this approach were included in the study. The results revealed that glottal incompetence and vocal performance were markedly improved following surgery, and the follow-up period ranged from 6 to 74 months (mean, 21.4 months). Acoustic analysis revealed significant improvements in the maximum phonation time (from 3.51 to 7.89\u2009seconds, p\u2009&lt;\u20090.001), F0 (from 221.7 to 171.0 Hertz, p\u2009=\u20090.025), and jitter (from 7.68 to 3.19, p\u2009&lt;\u20090.001). Perceptual assessment revealed a significant decrease in voice grading (from 2.59 to 1.41, p\u2009&lt;\u20090.001), roughness (from 1.82 to 1.23, p\u2009=\u20090.004), and voice breathiness (from 2.55 to 1.23, p\u2009&lt;\u20090.001). None of the patients exhibited severe wound infection, tissue rejection, or other complications attributed to the surgical procedure. In conclusion, autologous thyroid cartilage implantation in medialization laryngoplasty medializes the vocal cord, minimizes the glottal gap, and improves the voice of patients with vocal fold paralysis. This procedure is characterized by simplicity, safety, and acceptable results.<\/jats:p>","DOI":"10.1038\/s41598-017-05024-6","type":"journal-article","created":{"date-parts":[[2017,6,30]],"date-time":"2017-06-30T11:42:51Z","timestamp":1498822971000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Autologous thyroid cartilage graft implantation in medialization laryngoplasty: a modified approach for treating unilateral vocal fold paralysis"],"prefix":"10.1038","volume":"7","author":[{"given":"Ming-Shao","family":"Tsai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Yu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5939-9747","authenticated-orcid":false,"given":"Geng-He","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yao-Te","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8594-3360","authenticated-orcid":false,"given":"Meng-Hung","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3792-3784","authenticated-orcid":false,"given":"Cheng-Ming","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2017,7,6]]},"reference":[{"key":"5024_CR1","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1288\/00005537-199504000-00005","volume":"105","author":"JA Koufman","year":"1995","unstructured":"Koufman, J. A., Walker, F. O. & Joharji, G. M. The cricothyroid muscle does not influence vocal fold position in laryngeal paralysis. Laryngoscope 105, 368\u2013372 (1995).","journal-title":"Laryngoscope"},{"key":"5024_CR2","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1288\/00005537-198004000-00004","volume":"90","author":"HM Tucker","year":"1980","unstructured":"Tucker, H. M. Vocal cord paralysis\u20131979: etiology and management. Laryngoscope 90, 585\u2013590 (1980).","journal-title":"Laryngoscope"},{"key":"5024_CR3","doi-asserted-by":"crossref","unstructured":"Cantarella, G. et al. A retrospective evaluation of the etiology of unilateral vocal fold paralysis over the last 25 years. Eur Arch Otorhinolaryngol 1\u20137 (2016).","DOI":"10.1007\/s00405-016-4225-9"},{"key":"5024_CR4","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1016\/j.anl.2012.02.001","volume":"39","author":"S Takano","year":"2012","unstructured":"Takano, S., Nito, T., Tamaruya, N., Kimura, M. & Tayama, N. Single institutional analysis of trends over 45 years in etiology of vocal fold paralysis. Auris Nasus Larynx 39, 597\u2013600 (2012).","journal-title":"Auris Nasus Larynx"},{"key":"5024_CR5","doi-asserted-by":"publisher","first-page":"1864","DOI":"10.1097\/MLG.0b013e3180de4d49","volume":"117","author":"LHS Rosenthal","year":"2007","unstructured":"Rosenthal, L. H. S., Benninger, M. S. & Deeb, R. H. Vocal fold immobility: a longitudinal analysis of etiology over 20 years. Laryngoscope 117, 1864\u20131870 (2007).","journal-title":"Laryngoscope"},{"key":"5024_CR6","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/S0385-8146(02)00114-1","volume":"30","author":"N Bhattacharyya","year":"2003","unstructured":"Bhattacharyya, N., Batirel, H. & Swanson, S. J. Improved outcomes with early vocal fold medialization for vocal fold paralysis after thoracic surgery. Auris Nasus Larynx 30, 71\u201375 (2003).","journal-title":"Auris Nasus Larynx"},{"key":"5024_CR7","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1097\/00005537-200202000-00026","volume":"112","author":"CY Su","year":"2002","unstructured":"Su, C. Y., Lui, C. C., Lin, H. C., Chiu, J. F. & Cheng, C. A. A new paramedian approach to arytenoid adduction and strap muscle transposition for vocal fold medialization. Laryngoscope 112, 342\u2013350 (2002).","journal-title":"Laryngoscope"},{"key":"5024_CR8","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/S1072-7515(98)00295-6","volume":"188","author":"M Baba","year":"1999","unstructured":"Baba, M. et al. Does hoarseness of voice from recurrent nerve paralysis after esophagectomy for carcinoma influence patient quality of life? J Am Coll Surg 188, 231\u2013236 (1999).","journal-title":"J Am Coll Surg"},{"key":"5024_CR9","doi-asserted-by":"publisher","first-page":"2406","DOI":"10.1002\/lary.22178","volume":"121","author":"EM Graboyes","year":"2011","unstructured":"Graboyes, E. M., Bradley, J. P., Meyers, B. F. & Nussenbaum, B. Efficacy and safety of acute injection laryngoplasty for vocal cord paralysis following thoracic surgery. Laryngoscope 121, 2406\u20132410 (2011).","journal-title":"Laryngoscope"},{"key":"5024_CR10","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1177\/000348948909801005","volume":"98","author":"N Isshiki","year":"1989","unstructured":"Isshiki, N., Taira, T., Kojima, H. & Shoji, K. Recent modifications in thyroplasty type I. Ann Otol Rhinol Laryngol 98, 777\u2013779 (1989).","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"5024_CR11","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1002\/(SICI)1097-0347(199901)21:1<52::AID-HED7>3.0.CO;2-H","volume":"21","author":"DH Kraus","year":"1999","unstructured":"Kraus, D. H., Orlikoff, R. F., Rizk, S. S. & Rosenberg, D. B. Arytenoid adduction as an adjunct to type I thyroplasty for unilateral vocal cord paralysis. Head Neck 21, 52\u201359 (1999).","journal-title":"Head Neck"},{"key":"5024_CR12","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1097\/00020840-200312000-00013","volume":"11","author":"EJ Damrose","year":"2003","unstructured":"Damrose, E. J. & Berke, G. S. Advances in the management of glottic insufficiency. Curr Opin Otolaryngol Head Neck Surg 11, 480\u2013484 (2003).","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"5024_CR13","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1177\/0194599815568945","volume":"152","author":"T Sanuki","year":"2015","unstructured":"Sanuki, T. et al. Laryngeal reinnervation featuring refined nerve-muscle pedicle implantation evaluated via electromyography and use of coronal images. Otolaryngol Head Neck Surg 152, 697\u2013705 (2015).","journal-title":"Otolaryngol Head Neck Surg"},{"key":"5024_CR14","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/S1043-1810(99)80043-8","volume":"10","author":"SM Zeitels","year":"1999","unstructured":"Zeitels, S. M. Adduction arytenopexy with medialization laryngoplasty and cricothyroid subluxation: A new approach to paralytic dysphonia. Operative Techniques in Otolaryngology-Head and Neck Surgery 10, 9\u201316 (1999).","journal-title":"Operative Techniques in Otolaryngology-Head and Neck Surgery"},{"key":"5024_CR15","doi-asserted-by":"publisher","first-page":"2191","DOI":"10.1002\/lary.21965","volume":"121","author":"KC Yung","year":"2011","unstructured":"Yung, K. C., Likhterov, I. & Courey, M. S. Effect of temporary vocal fold injection medialization on the rate of permanent medialization laryngoplasty in unilateral vocal fold paralysis patients. The Laryngoscope 121, 2191\u20132194 (2011).","journal-title":"The Laryngoscope"},{"key":"5024_CR16","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1080\/00016480500339854","volume":"126","author":"M-W Hsiung","year":"2006","unstructured":"Hsiung, M.-W. & Pai, L. Autogenous fat injection for glottic insufficiency: analysis of 101 cases and correlation with patients\u2019 self-assessment. Acta oto-laryngologica 126, 191\u2013196 (2006).","journal-title":"Acta oto-laryngologica"},{"key":"5024_CR17","doi-asserted-by":"crossref","unstructured":"Benninger, M. S., Hanick, A. L. & Nowacki, A. S. Augmentation Autologous Adipose Injections in the Larynx. Annals of Otology, Rhinology & Laryngology, 0003489415595427 (2015).","DOI":"10.1177\/0003489415595427"},{"key":"5024_CR18","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.otohns.2004.09.016","volume":"132","author":"H Umeno","year":"2005","unstructured":"Umeno, H., Shirouzu, H., Chitose, S.-I. & Nakashima, T. Analysis of voice function following autologous fat injection for vocal fold paralysis. Otolaryngol Head Neck Surg 132, 103\u2013107 (2005).","journal-title":"Otolaryngol Head Neck Surg"},{"key":"5024_CR19","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1001\/archoto.2010.42","volume":"136","author":"T-J Fang","year":"2010","unstructured":"Fang, T.-J. et al. Outcomes of fat injection laryngoplasty in unilateral vocal cord paralysis. Arch Otolaryngol Head Neck Surg 136, 457\u2013462 (2010).","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"5024_CR20","doi-asserted-by":"publisher","first-page":"1235","DOI":"10.1097\/00005537-200207000-00017","volume":"112","author":"TM McCulloch","year":"2002","unstructured":"McCulloch, T. M. et al. Long\u2010Term Follow\u2010up of Fat Injection Laryngoplasty for Unilateral Vocal Cord Paralysis. Laryngoscope 112, 1235\u20131238 (2002).","journal-title":"Laryngoscope"},{"key":"5024_CR21","doi-asserted-by":"publisher","first-page":"1179","DOI":"10.3109\/00016489.2014.939301","volume":"134","author":"SW Lee","year":"2014","unstructured":"Lee, S. W. et al. Long-term efficacy of primary intraoperative recurrent laryngeal nerve reinnervation in the management of thyroidectomy-related unilateral vocal fold paralysis. Acta oto-laryngologica 134, 1179\u20131184 (2014).","journal-title":"Acta oto-laryngologica"},{"key":"5024_CR22","doi-asserted-by":"publisher","first-page":"2172","DOI":"10.1002\/lary.21754","volume":"121","author":"RC Paniello","year":"2011","unstructured":"Paniello, R. C., Edgar, J. D., Kallogjeri, D. & Piccirillo, J. F. Medialization versus reinnervation for unilateral vocal fold paralysis: a multicenter randomized clinical trial. Laryngoscope 121, 2172\u20132179 (2011).","journal-title":"Laryngoscope"},{"key":"5024_CR23","doi-asserted-by":"publisher","first-page":"e77233","DOI":"10.1371\/journal.pone.0077233","volume":"8","author":"M Li","year":"2013","unstructured":"Li, M. et al. Reinnervation of bilateral posterior cricoarytenoid muscles using the left phrenic nerve in patients with bilateral vocal fold paralysis. PLoS One 8, e77233 (2013).","journal-title":"PLoS One"},{"key":"5024_CR24","doi-asserted-by":"publisher","first-page":"177","DOI":"10.3342\/ceo.2010.3.4.177","volume":"3","author":"PS Mallur","year":"2010","unstructured":"Mallur, P. S. & Rosen, C. A. Vocal fold injection: review of indications, techniques, and materials for augmentation. Clinical and experimental otorhinolaryngology 3, 177\u2013182 (2010).","journal-title":"Clinical and experimental otorhinolaryngology"},{"key":"5024_CR25","unstructured":"Desuter, G. et al. Shape of Thyroid Cartilage Influences Outcome of Montgomery Medialization Thyroplasty: A Gender Issue. Journal of Voice (2016)."},{"key":"5024_CR26","doi-asserted-by":"publisher","first-page":"451","DOI":"10.3109\/00016487409126379","volume":"78","author":"N Isshiki","year":"1974","unstructured":"Isshiki, N., Morita, H., Okamura, H. & Hiramoto, M. Thyroplasty as a new phonosurgical technique. Acta Otolaryngol 78, 451\u2013457 (1974).","journal-title":"Acta Otolaryngol"},{"key":"5024_CR27","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1007\/s004050100375","volume":"258","author":"G Friedrich","year":"2001","unstructured":"Friedrich, G., de Jong, F. I., Mahieu, H. F., Benninger, M. S. & Isshiki, N. Laryngeal framework surgery: a proposal for classification and nomenclature by the Phonosurgery Committee of the European Laryngological Society. Eur Arch Otorhinolaryngol 258, 389\u2013396 (2001).","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"5024_CR28","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1080\/000164800750000748","volume":"120","author":"N Isshiki","year":"2000","unstructured":"Isshiki, N. Progress in laryngeal framework surgery. Acta oto-laryngologica 120, 120\u2013127 (2000).","journal-title":"Acta oto-laryngologica"},{"key":"5024_CR29","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1177\/000348949310201104","volume":"102","author":"CW Cummings","year":"1993","unstructured":"Cummings, C. W., Purcell, L. L. & Flint, P. W. Hydroxylapatite laryngeal implants for medialization. Preliminary report. Ann Otol Rhinol Laryngol 102, 843\u2013851 (1993).","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"5024_CR30","first-page":"1","volume":"170","author":"WW Montgomery","year":"1997","unstructured":"Montgomery, W. W. & Montgomery, S. K. Montgomery thyroplasty implant system. Ann Otol Rhinol Laryngol Suppl 170, 1\u201316 (1997).","journal-title":"Ann Otol Rhinol Laryngol Suppl"},{"key":"5024_CR31","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1177\/000348949910800112","volume":"108","author":"G Friedrich","year":"1999","unstructured":"Friedrich, G. Titanium vocal fold medializing implant: introducing a novel implant system for external vocal fold medialization. Annals of Otology, Rhinology & Laryngology 108, 79\u201386 (1999).","journal-title":"Annals of Otology, Rhinology & Laryngology"},{"key":"5024_CR32","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/S0892-1997(01)00015-7","volume":"15","author":"CR Stasney","year":"2001","unstructured":"Stasney, C. R., Beaver, M. E. & Rodriguez, M. Minifenestration type I thyroplasty using an expanded polytetrafluoroethylene implant. Journal of Voice 15, 151\u2013157 (2001).","journal-title":"Journal of Voice"},{"key":"5024_CR33","doi-asserted-by":"publisher","first-page":"1742","DOI":"10.1002\/lary.23983","volume":"123","author":"RN Shah","year":"2013","unstructured":"Shah, R. N., Deal, A. M. & Buckmire, R. A. Multidimensional Voice Outcomes After Type I Gore\u2010Tex Thyroplasty in Patients With Nonparalytic Glottic Incompetence. Laryngoscope 123, 1742\u20131745 (2013).","journal-title":"Laryngoscope"},{"key":"5024_CR34","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1177\/000348940911800602","volume":"118","author":"A Suehiro","year":"2009","unstructured":"Suehiro, A., Hirano, S., Kishimoto, Y., Tanaka, S. & Ford, C. N. Comparative study of vocal outcomes with silicone versus Gore-Tex thyroplasty. The Annals of otology, rhinology, and laryngology 118, 405\u2013408 (2009).","journal-title":"The Annals of otology, rhinology, and laryngology"},{"key":"5024_CR35","doi-asserted-by":"publisher","first-page":"40e","DOI":"10.1097\/PRS.0b013e3181c82f12","volume":"125","author":"A Sajjadian","year":"2010","unstructured":"Sajjadian, A., Rubinstein, R. & Naghshineh, N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts. Plast Reconstr Surg 125, 40e\u201349e (2010).","journal-title":"Plast Reconstr Surg"},{"key":"5024_CR36","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1001\/archfaci.10.3.187","volume":"10","author":"E Tarhan","year":"2008","unstructured":"Tarhan, E., Cakmak, O., Ozdemir, B. H., Akdogan, V. & Suren, D. Comparison of AlloDerm, fat, fascia, cartilage, and dermal grafts in rabbits. Arch Facial Plast Surg 10, 187\u2013193 (2008).","journal-title":"Arch Facial Plast Surg"},{"key":"5024_CR37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1001\/archotol.1955.03830010003001","volume":"62","author":"GE Arnold","year":"1955","unstructured":"Arnold, G. E. Vocal rehabilitation of paralytic dysphonia. I. Cartilage injection into a paralyzed vocal cord. AMA Arch Otolaryngol 62, 1\u201317 (1955).","journal-title":"AMA Arch Otolaryngol"},{"key":"5024_CR38","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.otohns.2004.02.019","volume":"131","author":"BJ Lee","year":"2004","unstructured":"Lee, B. J., Wang, S. G., Goh, E. K., Chon, K. M. & Lee, C. H. Intracordal injection of autologous auricular cartilage in the paralyzed canine vocal fold. Otolaryngol Head Neck Surg 131, 34\u201343 (2004).","journal-title":"Otolaryngol Head Neck Surg"},{"key":"5024_CR39","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1097\/MLG.0b013e318155a25b","volume":"118","author":"JP Noordzij","year":"2008","unstructured":"Noordzij, J. P. et al. Preparation techniques for the injection of human autologous cartilage: an ex vivo feasibility study. Laryngoscope 118, 185\u2013188 (2008).","journal-title":"Laryngoscope"},{"key":"5024_CR40","doi-asserted-by":"publisher","first-page":"142","DOI":"10.3342\/ceo.2011.4.3.142","volume":"4","author":"TA Mesallam","year":"2011","unstructured":"Mesallam, T. A., Khalil, Y. A., Malki, K. H. & Farahat, M. Medialization thyroplasty using autologous nasal septal cartilage for treating unilateral vocal fold paralysis. Clinical and experimental otorhinolaryngology 4, 142 (2011).","journal-title":"Clinical and experimental otorhinolaryngology"},{"key":"5024_CR41","unstructured":"Isshiki, N. Phonosurgery: theory and practice. (Springer Science & Business Media, 2013)."},{"key":"5024_CR42","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1288\/00005537-198303000-00010","volume":"93","author":"HM Tucker","year":"1983","unstructured":"Tucker, H. M. Complications after surgical management of the paralyzed larynx. Laryngoscope 93, 295\u2013298 (1983).","journal-title":"Laryngoscope"},{"key":"5024_CR43","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1111\/j.1749-4486.2012.02495.x","volume":"37","author":"CM Hsu","year":"2012","unstructured":"Hsu, C. M. et al. Glottal insufficiency with thyroid cartilage implantation: our experience in eight patients. Clin Otolaryngol 37, 399\u2013405 (2012).","journal-title":"Clin Otolaryngol"},{"key":"5024_CR44","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.jvoice.2009.07.002","volume":"25","author":"M Brockmann","year":"2011","unstructured":"Brockmann, M., Drinnan, M. J., Storck, C. & Carding, P. N. Reliable jitter and shimmer measurements in voice clinics: the relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task. J Voice 25, 44\u201353 (2011).","journal-title":"J Voice"},{"key":"5024_CR45","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/S0892-1997(02)00068-1","volume":"16","author":"GP Jotz","year":"2002","unstructured":"Jotz, G. P., Cervantes, O., Abrah\u00e3o, M., Settanni, F. A. P. & de Angelis, E. C. Noise-to-harmonics ratio as an acoustic measure of voice disorders in boys. Journal of voice 16, 28\u201331 (2002).","journal-title":"Journal of voice"},{"key":"5024_CR46","doi-asserted-by":"publisher","first-page":"E425","DOI":"10.1002\/lary.24800","volume":"124","author":"E Hizal","year":"2014","unstructured":"Hizal, E., Buyuklu, F., Ozdemir, B. H. & Erbek, S. S. Long-term inflammatory response to liquid injectable silicone, cartilage, and silicone sheet. Laryngoscope 124, E425\u2013430 (2014).","journal-title":"Laryngoscope"},{"key":"5024_CR47","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1055\/s-2008-1063566","volume":"22","author":"HS Dresner","year":"2008","unstructured":"Dresner, H. S. & Hilger, P. A. An overview of nasal dorsal augmentation. Seminars in plastic surgery 22, 65\u201373 (2008).","journal-title":"Seminars in plastic surgery"},{"key":"5024_CR48","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1001\/archotol.126.4.558","volume":"126","author":"J Parker Porter","year":"2000","unstructured":"Parker Porter, J. Grafts in rhinoplasty: alloplastic vs. autogenous. Archives of otolaryngology\u2013head & neck surgery 126, 558\u2013561 (2000).","journal-title":"Archives of otolaryngology\u2013head & neck surgery"},{"key":"5024_CR49","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1258\/0022215041615263","volume":"118","author":"SM Zeitels","year":"2004","unstructured":"Zeitels, S. M., Mauri, M. & Dailey, S. H. Adduction arytenopexy for vocal fold paralysis: indications and technique. J Laryngol Otol 118, 508\u2013516 (2004).","journal-title":"J Laryngol Otol"},{"key":"5024_CR50","first-page":"2","volume":"173","author":"SM Zeitels","year":"1998","unstructured":"Zeitels, S. M., Hochman, I. & Hillman, R. E. Adduction arytenopexy: a new procedure for paralytic dysphonia with implications for implant medialization. Ann. Otol. Rhinol. Laryngol. Suppl. 173, 2\u201324 (1998).","journal-title":"Ann. Otol. Rhinol. Laryngol. Suppl."},{"key":"5024_CR51","doi-asserted-by":"publisher","first-page":"1126","DOI":"10.1177\/000348949910801206","volume":"108","author":"SM Zeitels","year":"1999","unstructured":"Zeitels, S. M., Desloge, R. B., Hillman, R. E. & Bunting, G. A. Cricothyroid subluxation: a new innovation for enhancing the voice with laryngoplastic phonosurgery. Annals of Otology, Rhinology & Laryngology 108, 1126\u20131131 (1999).","journal-title":"Annals of Otology, Rhinology & Laryngology"},{"key":"5024_CR52","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1016\/j.jvoice.2011.11.007","volume":"26","author":"R Rudolf","year":"2012","unstructured":"Rudolf, R. & Sibylle, B. Laryngoplasty with hyaluronic acid in patients with unilateral vocal fold paralysis. Journal of Voice 26, 785\u2013791 (2012).","journal-title":"Journal of Voice"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-017-05024-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-017-05024-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-017-05024-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T04:12:18Z","timestamp":1719288738000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-017-05024-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,6]]},"references-count":52,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,12]]}},"alternative-id":["5024"],"URL":"https:\/\/doi.org\/10.1038\/s41598-017-05024-6","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,6]]},"assertion":[{"value":"13 January 2017","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2017","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2017","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that they have no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"4790"}}