abstract
- 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.