Magnetic resonance imaging (MRI) is a useful modality for three-dimens
ional evaluation of laryngeal anatomy, The authors present data on pat
ients with unilateral vocal fold paralysis both before and after type
I thyroplasty for medialization. Videoendoscopic and acoustic measures
were obtained, MRI was performed preoperatively and postoperatively,
Three-dimensional descriptive parameters were established to assess im
plant location, As well, vocal and endoscopic assessment were used to
determine a successful result, Magnetic resonance images of two patien
ts with satisfactory results were compared with images and vocal analy
sis of two dissatisfied patients, Use of MRI after type I thyroplasty
provides additional information about implant location that can help d
etermine the cause of poor results.