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Endoscopic vocal fold injection using a 25-gauge butterfly needle

Published online by Cambridge University Press:  16 February 2016

M A Buchanan ,
F Riffat  and
C E Palme
M A Buchanan*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Westmead Hospital, Sydney, Australia
F Riffat
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Westmead Hospital, Sydney, Australia
C E Palme
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Westmead Hospital, Sydney, Australia
*
Address for correspondence: Mr Malcolm A Buchanan, Department of Otolaryngology/Head and Neck Surgery, Westmead Hospital, Hawkesbury Road, Westmead, Sydney, NSW 2145, Australia Fax: +61 808 91025 E-mail: malcolm_buchanan123@hotmail.com
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Abstract

Objective:

To describe a useful technique for infiltrating a bulking agent using a butterfly needle, as part of a transoral endoscopic vocal fold medialisation procedure.

Methods:

This paper describes the procedure of grasping the needle with phonosurgery forceps and administering the injectate to the vocal fold through careful application of the syringe plunger via a length of rubber tubing from outside the mouth.

Results:

This procedure is performed routinely in our institution without complication. The advantages of this technique are discussed.

Conclusion:

This is a safe and easy method of injecting into a vocal fold.

Keywords

Medialization LaryngoplastyEndoscopyNeedle
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 4 , April 2016 , pp. 398 - 400
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1Chang, J, Courey, MS, Al-Jurf, SA, Schneider, SL, Yung, KC. Transnasal endoscopic steroid injection: a practical and effective alternative treatment for benign vocal fold disorders. Laryngoscope 2013;123:1464–8Google Scholar
2Verma, SP, Dailey, SH. Office-based injection laryngoplasty for the management of unilateral vocal fold paralysis. J Voice 2014;28:382–6CrossRefGoogle ScholarPubMed
3Upton, DC, Johnson, M, Zelazny, SK, Dailey, SH. Prospective evaluation of office-based injection laryngoplasty with hyaluronic acid gel. Ann Otol Rhinol Laryngol 2013;122:541–6CrossRefGoogle ScholarPubMed
4Sung, CK, Tsao, GJ. Single-operator flexible nasolaryngoscopy-guided transthyrohyoid vocal fold injections. Ann Otol Rhinol Laryngol 2013;122:9–14Google Scholar
5Tirado, Y, Lewin, JS, Hutcheson, KA, Kupferman, ME. Office-based injection laryngoplasty in the irradiated larynx. Laryngoscope 2010;120:703–6Google Scholar
6Lau, DP, Lee, GA, Wong, SM, Lim, VP, Chan, YH, Tan, NG et al. Injection laryngoplasty with hyaluronic acid for unilateral vocal cord paralysis. Randomized controlled trial comparing two different particle sizes. J Voice 2010;24:113–18CrossRefGoogle ScholarPubMed
7Pratap, R, Mehta, P, Blagnys, B, Montgomery, PQ. Early results for treatment of unilateral vocal fold palsy with injection medialisation under local anaesthetic. J Laryngol Otol 2009;123:873–6Google Scholar
8Song, PC, Sung, CK, Franco, RA. Voice outcomes after endoscopic injection laryngoplasty with hyaluronic acid stabilized gel. Laryngoscope 2010;120(suppl 4):S199Google Scholar
9Sulica, L, Rosen, CA, Postma, GN, Simpson, B, Amin, M, Courey, M et al. Current practice in injection augmentation of the vocal folds: indications, treatment principles, techniques, and complications. Laryngoscope 2010;120:319–25CrossRefGoogle ScholarPubMed
10Mathison, CC, Villari, CR, Klein, AM, Johns, MM. Comparison of outcomes and complications between awake and asleep injection laryngoplasty: a case-control study. Laryngoscope 2009;119:1417–23CrossRefGoogle ScholarPubMed
11Varvares, MA, Montgomery, WW, Hillman, RE. Teflon granuloma of the larynx: etiology, pathophysiology, and management. Ann Otol Rhinol Laryngol 1995;104:511–15CrossRefGoogle ScholarPubMed
12Bergamini, G, Alicandri-Ciufelli, M, Molteni, G, Villari, D, Luppi, MP, Genovese, E et al. Therapy of unilateral vocal fold paralysis with polydimethylsiloxane injection laryngoplasty: our experience. J Voice 2010;24:119–25Google Scholar
13Lee, SW, Son, YI, Kim, CH, Lee, JY, Kim, SC, Koh, YW. Voice outcomes of polyacrylamide hydrogel injection laryngoplasty. Laryngoscope 2009;119:827–31Google Scholar
14Schramm, VL, May, M, Lavorato, AS. Gelfoam paste injection for vocal cord paralysis: temporary rehabilitation of glottis incompetence. Laryngoscope 1978;88:1268–73Google Scholar
15Wen, MH, Cheng, PW, Liao, LJ, Chou, HW, Wang, CT. Treatment outcomes of injection laryngoplasty using cross-linked porcine collagen and hyaluronic acid. Otolaryngol Head Neck Surg 2013;149:900–6Google Scholar
16Brandenburg, JH, Unger, JM, Koschkee, D. Vocal cord injection with autogenous fat: a long-term magnetic resonance imaging evaluation. Laryngoscope 1996;106:174–80CrossRefGoogle ScholarPubMed
17Hartl, DM, Hans, S, Crevier-Buchman, L, Vaissiere, J, Brasnu, DF. Long-term acoustic comparison of thyroplasty versus autologous fat injection. Ann Otol Rhinol Laryngol 2009;118:827–32Google Scholar
18Rosen, CA, Gartner-Schmidt, J, Casiano, R, Anderson, TD, Johnson, F, Remacle, M et al. Vocal fold augmentation with calcium hydroxylapatite: twelve-month report. Laryngoscope 2009;119:1033–41Google Scholar
19Shiotani, A, Okubo, K, Saito, K, Fujimine, T, Tomifuji, M, Ikeda, A et al. Injection laryngoplasty with calcium phosphate cement. Otolaryngol Head Neck Surg 2009;140:816–21Google Scholar
20Reiter, R, Brosch, S. Laryngoplasty with hyaluronic acid in patients with unilateral vocal fold paralysis. J Voice 2012;26:785–91Google Scholar