Respiratory obstruction following vocal cord injection

Bodenham, Andrew; Latimer, R.D.; Bethune, D.W.

doi:10.1111/j.1365-2044.1987.tb03041.x

Anaesthesia

1987

DOI: 10.1111/j.1365-2044.1987.tb03041.x

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Respiratory obstruction following vocal cord injection

Andrew Bodenham

R.D. Latimer

D.W. Bethune

Abstract: Summary Key wordsComplications; respiratory obstruction. Surgery: trachcal. Case histories Case 1A 64-year-old man with widespread atheroma-

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Cited by 3 publications

References 9 publications

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Giant teflon granuloma of the larynx

Benjamin¹,

Robb²,

Clifford³

et al. 1991

Head & Neck

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Endolaryngeal injection of Teflon paste to augment and medialize the paralyzed hemilarynx aims to improve dysphonia and relieve aspiration. After an initial short-lived inflammatory reaction in the laryngeal tissues, a foreign body granuloma forms around the Teflon. In most cases the results are good but it may occasionally be necessary to consider removal of the granuloma if too large a volume has been injected, if it is inappropriately placed, or if the paralyzed vocal cord subsequently recovers. Surgical removal is difficult and the results are unpredictable. This case illustrates, for the first time, that evaluation using both a high-resolution computed tomographic (CT) scan and endoscopy with telescopes permits satisfactory assessment before removal of Teflon.

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Giant teflon granuloma of the larynx

Benjamin¹,

Robb²,

Clifford³

et al. 1991

Head & Neck

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show abstract

Teflon injection for unilateral vocal cord paralysis and its effect on lung function

Woo¹,

Hasselt²,

Chan

1992

Clin Otolaryngol

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We present a prospective analysis of the lung function of 22 patients with unilateral vocal cord paralysis before and after Teflon injection. In the majority of patients the vocal cord paralysis was caused by an underlying malignant condition. Full spirometric and flow-volume loop studies demonstrated an increase in airway resistance after Teflon injection which was not clinically evident. The improvement in symptom score for aspiration was greater than that for dysphonia.

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Nerve transfer versus teflon® injection for vocal cord paralysis: A comparison

Crumley

Izdebski²,

Mcmicken³

1988

The Laryngoscope

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Teflon injection for unilateral vocal cord paralysis frequently produces an improved yet breathy voice. Ansa hypoglossi-recurrent laryngeal nerve anastomosis has been performed in five patients. In the four patients discussed in this paper, excellent phonatory quality has been achieved. Electroacoustic analysis indicates that this technique may produce normal phonatory function in paralyzed larynges. There have been no serious side effects or complications in our first five patients. Denervation of the sternothyroid muscle, which results from sectioning its nerve in preparation for suture to the RLN, appears to further improve the voice by medially positioning the vocal cord. Gelfoam paste is injected at the time of nerve transfer to rehabilitate the voice during the 2 months required for nerve regeneration. For younger patients, or those with professional use of their voices, this technique offers superior speech results when compared with Teflon injection.

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Respiratory obstruction following vocal cord injection

Abstract: Summary Key wordsComplications; respiratory obstruction. Surgery: trachcal. Case histories Case 1A 64-year-old man with widespread atheroma-

Cited by 3 publications

References 9 publications

Giant teflon granuloma of the larynx

Giant teflon granuloma of the larynx

Teflon injection for unilateral vocal cord paralysis and its effect on lung function

Nerve transfer versus teflon® injection for vocal cord paralysis: A comparison

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