Current practice in injection augmentation of the vocal folds: Indications, treatment principles, techniques, and complications

  title={Current practice in injection augmentation of the vocal folds: Indications, treatment principles, techniques, and complications},
  author={Lucian Sulica and Clark A. Rosen and Gregory N. Postma and Blake Simpson and Milan R. Amin and Mark S Courey and Albert L. Merati},
  journal={The Laryngoscope},
OBJECTIVES/HYPOTHESIS. [] Key MethodSTUDY DESIGN Multi-institutional retrospective review. METHODS Records of patients undergoing injection augmentation at seven university medical centers from July 2007 through June 2008 were reviewed for information regarding diagnosis, unilateral or bilateral injection, route of injection, anesthesia, treatment site (office or operating room), material used, reason for technique selected, and technical success.
Prospective study of voice outcomes and patient tolerance of in‐office percutaneous injection laryngoplasty
In‐office percutaneous injection laryngoplasty is a common treatment for glottal insufficiency and voice outcomes and patient tolerance of the procedure are studied.
Outpatient‐based injection laryngoplasty for the management of unilateral vocal fold paralysis – clinical outcomes from a UK centre
  • H. Mohammed, L. Masterson, S. Gendy, R. Nassif
  • Medicine
    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2016
To assess voice outcomes in patients undergoing vocal fold injection (VFI) augmentation laryngoplasty in a clinic‐based setting, a database of voice outcomes is analyzed.
Perception and duration of pain after office‐based vocal fold injection augmentation
Examination of pain perception during and after in‐office vocal fold injection augmentation in patients with voice and swallowing disorders finds no change in patient tolerance.
Effect of temporary vocal fold injection medialization on the rate of permanent medialization laryngoplasty in unilateral vocal fold paralysis patients
To determine whether temporary vocal fold injection affects the need for permanent medialization laryngoplasty in patients with unilateral vocal fold paralysis (UVFP), data are analyzed through positron emission tomography and x-ray diffraction.
Topical anesthetic techniques in office‐based laryngeal surgery: A comparison of patient preferences
The objective was to assess patient and surgeon satisfaction for three different techniques for office‐based laryngeal surgery.
Long‐term effects of injection laryngoplasty with a temporary agent on voice quality and vocal fold position
Patients with unilateral vocal fold paralysis treated with temporary injection laryngoplasty have a decreased rate of permanent medialization laryNGoplasty compared to patients initially treated by observation, and whether the lower rate corresponded with improved quantifiable measures is investigated.
Injection Laryngoplasty: Techniques and Choices of Fillers
Injection laryngoplasty has evolved into a versatile technique for the treatment of dysphonia in patients with a glottic insufficiency, and the various approaches available for injection have provided for injections to be performed accurately in both the office and operating room.
Quantification of injection force mechanics during injection laryngoplasty
No reports compare injection forces based on needle gauge, bends, length, or material type or temperature and it is hypothesized these factors alter injection forces and could impact clinical use.
Comparison of treatment outcomes of transnasal vocal fold polypectomy versus microlaryngoscopic surgery
This study was intended to further compare the treatment outcomes of office transnasal vocal fold polypectomy (VFP) with those of microlaryngoscopic surgery (MLS).
Vocal Fold Injection: Review of Indications, Techniques, and Materials for Augmentation
A review of materials available and different vocal fold injection approaches is performed, and a comparison of vocal fold injections to laryngeal framework surgery is also undertaken.


Revision Laryngeal Surgery for the Suboptimal Injection of Calcium Hydroxylapatite
Objective: The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty.
Operating Room Versus Office‐Based Injection Laryngoplasty: A Comparative Analysis of Reimbursement
The results of a reimbursement analysis comparing office‐based versus operative IL are presented, which shows that office-based IL is more profitable than operative IL.
Transcutaneous teflon injection of the paralyzed vocal cord: A new technique
A new technique is applied to effect improved vocal cord closure by the usual techniques of Teflon® injection to problem cases of anatomical deformity, trismus, or for other reasons.
Thyrohyoid Approach for Vocal Fold Augmentation
  • M. Amin
  • Medicine
    The Annals of otology, rhinology, and laryngology
  • 2006
The study findings demonstrate that the thyrohyoid approach can be used successfully in patients who need vocal fold augmentation, and that it is generally well tolerated.
Point-Touch Technique of Botulinum Toxin Injection for the Treatment of Spasmodic Dysphonia
An anatomic approach to Botox injection that requires only flexible nasopharyngeal endoscopy and careful evaluation of the anatomic landmarks is described, used successfully on 13 patients and objective pretreatment and posttreatment measures are reported.
Trial vocal fold injection.
Transcutaneous Intrafold Injection for Unilateral Vocal Fold Paralysis: Functional Results
In the majority of the patients, MPT, FO range, and SPL range increased and MFRc, PPQ, APQ, and NNEa decreased postoperatively, and the most frequent cause of failure was an insufficient amount injected.
Cost Savings of Unsedated Office-Based Laser Surgery for Laryngeal Papillomas
UOLS is now an effective alternative to traditional operating room-based suspension microdirect laryngoscopy under general anesthesia and the potential cost savings are tremendous; however, at present significant financial disincentives prevent proliferation of this technology.
Botulinum toxin for the treatment of spasmodic dysphonia.