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Early results for treatment of unilateral vocal fold palsy with injection medialisation under local anaesthetic

Published online by Cambridge University Press:  07 April 2017

R Pratap ,
P Mehta ,
B Blagnys  and
P Q Montgomery
R Pratap*
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, UK
P Mehta
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, UK
B Blagnys
Affiliation:
Department of Speech and Language Therapy, Norfolk and Norwich University Hospital, UK
P Q Montgomery
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, UK
*
Address for correspondence: Mr Rohit Pratap, Department of Otolaryngology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK. Fax: 07092 010618 E-mail: rohitpratap@doctors.org.uk
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Abstract

Background:

The diagnosis and treatment of unilateral vocal fold palsy is a common part of otolaryngology practice. In those patients in whom resolution of symptoms is slow, the resulting dysphonia can have a dramatic effect on the patient's quality of voice and life. We have previously described the procedure of direct phonoplasty under local anaesthesia using the transnasal laryngoesophagoscope.

Objective:

To examine the subjective and objective data for the first five patients to undergo this procedure, in the form of laryngographic speech analysis, perceptual assessment and therapy outcome measures.

Results:

Analysis showed a statistically significant improvement in voice quality, in all the above assessment categories, following local anaesthetic direct phonoplasty using the transnasal laryngoesophagoscope.

Conclusion:

Collagen injection via transnasal flexible laryngoesophagoscopy is a particularly useful technique for treating vocal fold medialisation, especially in palliative care patients and those with shortened life expectancy.

Keywords

Vocal Cord ParalysisEndoscopyLarynxInjections
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 873 - 876
Copyright
Copyright © JLO (1984) Limited 2009

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