Teflon injection of the vocal cords under general anaesthesia

Right vocal fold paralysis as a result of central venous catheterization

“…When considering the treatment of such traumatic vocal fold paralysis the same recommendation should be applied as that given to post-thyroidectomy palsies by Sadek et al (1987). Recovery may take up to 12 months and corrective surgery to the vocal fold should be delayed for this period of time.…”

Intracordal Teflon injection: a question of timing

“…Intraeordal Teflon injection for the treatment of unilateral cord palsy has a high success rate with little morbidity (Sadek, et al, 1987).…”

“…In such cases speech therapy is recommended to encourage laryngeal compensation, while the possibility of spontaneous recovery is awaited. Most authors recommend a wait of six months before Teflon injection in those which fail to recover cord mobility or achieve adequate laryngeal compensation (Arnold, 1962;Croft et ai, 1986;Howard, 1987;Sadek et al, 1987).…”

“…The most widely practiced today is that of intraeordal injection with Teflon paste, which has replaced Briining's hard paraffin paste of 1911 and the cartilage paste of the 1950s. Details of the technique are well described and will not be considered here (Sadek et at., 1987).…”

Alloplastische Implantate in der Kopf- und Halschirurgie

“…auch flüssiges Silikon [93,252] und Polyvinylalkoholgel [208] vorgeschlagen wur den. Anhänger der Tefloninjektion verweisen auf hohe Erfolgsquoten bei geringerem Operationsrisiko [233]. Von anderen wird jedoch außer der Überkor rektur und der übermäßigen Gewebereaktion (Granulombildung) mit Dyspnoe die Dislokation gefürch tet [5], so daß in jüngerer Zeit für diese Indikation zum Teil andere Operationstechniken [22,67,213] und andere Materialien bevorzugt werden, wie etwa das injizierbare Kollagen [91].…”