Abstract Objective To review current literature and experience with Gore‐TexⓇ implant extrusion following medialization thyroplasty, as well as to report the unique case of Gore‐TexⓇ implant extrusion following revision medialization thyroplasty. Methods Review of existing literature and description of personal experience with unique case of Gore‐TexⓇ implant extrusion following revision medialization thyroplasty. Results Review of existing literature found no prior reported cases of Gore‐TexⓇ implant extrusion following revision medialization thyroplasty. Risk factors for implant extrusion include the pressure of the implant on insertion and the inability to secure the implant. Cases of implant extrusion can be managed operatively via an endoscopic or via an external open approach. Conclusion This is the first reported case of Gore‐TexⓇ implant extrusion following revision medialization thyroplasty. Careful consideration should be given in revision medialization thyroplasty as additional implant material may cause increased pressure, a risk factor for implant extrusion.