The usefulness of the transcricothyroid injection laryngoplasty via contralateral paramedian approach

Chun, Byung-Joon; Shim, Mi‐Ran; Hwang, You Mi; Joo, Young‐Hoon; Park, Young-Hak; Sun, Dong‐Il

doi:10.1016/j.anl.2016.05.012

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…The transcutaneous cricothyroid membrane submucosal approach is a long-standing, commonly used technique [ 96 ]. However, this approach has a substantial learning curve due to the difficulty in precisely localizing the injection needle [ 97 ]. The transcutaneous thyrohyoid membrane approach, contralateral paramedian cricothyroid membrane approach, and transnasal endoscopic approach utilizing the “chip-tip” endoscope have been proposed as alternatives that enable better localization of the needle tip [ 76 , 97 , 98 ].…”

Section: Guidelines For the Management Of Uvfpmentioning

confidence: 99%

“…However, this approach has a substantial learning curve due to the difficulty in precisely localizing the injection needle [ 97 ]. The transcutaneous thyrohyoid membrane approach, contralateral paramedian cricothyroid membrane approach, and transnasal endoscopic approach utilizing the “chip-tip” endoscope have been proposed as alternatives that enable better localization of the needle tip [ 76 , 97 , 98 ]. However, these approaches involve violation of the airway mucosa, which poses a potential risk of bleeding or patient discomfort during the procedure.…”

Section: Guidelines For the Management Of Uvfpmentioning

confidence: 99%

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Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics

Force

2020

Clin Exp Otorhinolaryngol

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The Korean Society of Laryngology, Phoniatrics and Logopedics appointed a task force to establish clinical practice guidelines for the management of unilateral vocal fold paralysis (UVFP). These guidelines cover a comprehensive range of management-related factors, including the diagnosis and treatment of UVFP, and provide in-depth information based on current, up-to-date knowledge. Detailed evidence profiles are provided for each recommendation. The CORE databases, including OVID Medline, Embase, the Cochrane Library, and KoreaMed, were searched to identify all relevant papers, using a predefined search strategy. When insufficient evidence existed, expert opinions and Delphi questionnaires were used to fill the evidence gap. The committee developed 16 evidence-based recommendations in six categories: initial evaluation (R1–4), spontaneous recovery (R5), medical treatment (R6), surgical treatment (R7–14), voice therapy (R15), and aspiration prevention (R16). The goal of these guidelines is to assist general otolaryngologists and speech-language pathologists who are primarily responsible for treating patients with UVFP. These guidelines are also intended to facilitate understanding of the condition among other health-care providers, including primary care physicians, nurses, and policy-makers.

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Section: Guidelines For the Management Of Uvfpmentioning

confidence: 99%

Section: Guidelines For the Management Of Uvfpmentioning

confidence: 99%

Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics

Force

2020

Clin Exp Otorhinolaryngol

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Technical Review of How to Determine the Exact Location of Needle Tip During Office-Based Injection Augmentation of the Vocal Folds Via Cricothyroid Approach

Park¹,

Kwon²

2018

J Korean Soc Laryngol Phoniatr Logop

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The office-based, un-sedated vocal fold injection laryngoplasty has re-emerged in the past decade as an appealing alternative to microsuspension laryngoscopic procedure which is conducted under general anesthesia. The trend toward vocal fold injection laryngoplasty in an in-office setting was possible due to technological evolution for visualization and new injection materials. However, invisibility of the injection needle has been the main shortcomings of cricothyroid approach. The purpose of this review is to provide an up-to-date review of office-based, trans-cricothyroid membrane approach injection laryngoplasty technique under local anesthesia and efforts made to increase the preciseness of amount and location of the injected materials in the management of glottic insufficiency. A review of variable efforts undertaken to maximize the result of cricothyroid approach by technically increasing accuracy of the location of needle tip was done. With the proper patient selection and utilization of the new technologies, office-based and un-sedated vocal fold injection laryngoplasty via cricothyroid approach can be redeem as a mainstay in the management of glottic insufficiency, such as vocal fold paralysis, vocal fold paresis, vocal fold atrophy and vocal fold scar.

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The usefulness of the transcricothyroid injection laryngoplasty via contralateral paramedian approach

Cited by 2 publications

References 14 publications

Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics

Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics

Technical Review of How to Determine the Exact Location of Needle Tip During Office-Based Injection Augmentation of the Vocal Folds Via Cricothyroid Approach

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