Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-16T07:27:26.213Z Has data issue: false hasContentIssue false

Cordectomy: a solution to Teflon granuloma of the vocal fold

Published online by Cambridge University Press:  29 June 2007

J. D. Russell*
Affiliation:
Departments of Otolaryngology, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
Alison Perry
Affiliation:
Departments of Speech Therapy, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
A. D. Cheesman
Affiliation:
Departments of Otolaryngology, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
*
Address for correspondence: Mr J. D. Russell, F.R.C.S., 76 Carysfort Park, Blackrock, Co. Dublin, Ireland.

Abstract

Teflon injection has been widely used for the treatment of unilateral vocal fold paralysis. Complications are few and infrequent. Overinjection and Teflon granuloma are the two commonest problems encountered. Treating such complications and restoring vocal quality is widely regarded as difficult. Endoscopic transmucosal excision of the excess Teflon and/or granuloma has not been successful in improving phonatory quality. Cordectomy is proposed as an alternative surgical approach for managing both the convex vocal fold and Teflon granuloma after injection.

Type
Short Communication
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Paper presented to the 2nd International Symposium on Phonosurgery, held in Amsterdam, May 1992.

References

Arnold, G. E. (1962) vocal rehabilitation of paralytic dysphonia. 1: Technique of intracordal injection. Archives of Otolaryngology 76: 358368.CrossRefGoogle Scholar
Crumley, R. L. (1990) Teflon versus thyroplasty versus nerve transfer: a comparison. Annals of Otology, Rhinology and Laryngology 99: 759763.CrossRefGoogle ScholarPubMed
Dedo, H. H., Urrea, R. D., Lawson, I. (1973) Intracordial injection of Teflon in the treatment of 135 patients with dysphonia. Annals of Otology 82: 661667.Google Scholar
Dedo, H. H. (1988) Avoidance and treatment of complications of Teflon injection of the vocal cord. Journal of Voice 2: 9092.CrossRefGoogle Scholar
Horn, K. L., Dedo, H. H. (1980) Surgical correction of the convex vocal cord after Teflon injection. Laryngoscope 90: 281286.CrossRefGoogle ScholarPubMed
Koch, W. M, Hybels, R. L., Shapshay, S. M. (1987) Carbon dioxide laser in removal of Polytef paste. Archives of Otolaryngology, Head and Neck Surgery 113: 661664.CrossRefGoogle ScholarPubMed
Pohris, E., Kleinsasser, O. (1987) Stenosis of the larynx following Teflon injection. Archives of Otolaryngology 224: 4448.Google Scholar
Maran, A. G. D., Hardcastle, P. E, Hamid, A., Mackenzie, I. J. (1986) An analysis of 102 cases of Polytef injection of the vocal cord. Journal of Laryngology and Otology 100: 4751.CrossRefGoogle ScholarPubMed
Rubin, H. J. (1965) Pitfalls in treatment of dysphonias by intracordal injection of synthetics. Laryngoscope 75: 13811397.CrossRefGoogle ScholarPubMed
Rubin, H. J. (1975) Misadventures with injectable Polytef (Teflon). Archives of Otolaryngology 101: 114116.CrossRefGoogle ScholarPubMed
Sadek, S. A. A., Nassar, W. Y., Tobias, M. A. (1987) Teflon injection of the vocal cords under general anaesthesia. Journal of Laryngology and Otology 101: 695705.CrossRefGoogle ScholarPubMed
Toomey, J. M., Brown, B. S. (1967) The histological response to intracordial injection of Teflon paste. Laryngoscope 77: 110119.CrossRefGoogle Scholar
Tucker, H. M. (1983) Complications after surgical management of the paralysed larynx. Laryngoscope 93: 295298.CrossRefGoogle ScholarPubMed