 Subsequently, the cuts were made on the left side with visualization of the vocalis process and coming down to the level of the cricoid cartilage, and the thyroid cartilage was then intentionally fractured along the anterior spine. 
Subsequently , the cuts were made on the left side with visualization of the vocalis process and coming down to the level of the cricoid cartilage , and the thyroid cartilage was then intentionally fractured along the anterior spine .