Titanium medialization laryngoplasty implant. (Left side: scheme). The adjustment to achieve medialization is performed by molding the implant at a suitable site. (i) Handle. (ii) Medialization part. (a) This place adjusts the medialization of the vocal fold anteriorly and carries out compensation of the work of the thyroarytenoid muscle. (b) Adjusting the width and distance that carries out the medialization of the vocal fold here reforms the vibratory portion of the vocal fold. When the implant bends along the line imprinted on it, the medialization part is at a 15° incline to the handle. The implant is bent according to the position of the palsied vocal fold.