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Early results for treatment of unilateral vocal fold palsy with injection medialisation under local anaesthetic

Published online by Cambridge University Press:  07 April 2017

R Pratap*
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, UK
P Mehta
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, UK
B Blagnys
Affiliation:
Department of Speech and Language Therapy, Norfolk and Norwich University Hospital, UK
P Q Montgomery
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, UK
*
Address for correspondence: Mr Rohit Pratap, Department of Otolaryngology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK. Fax: 07092 010618 E-mail: [email protected]

Abstract

Background:

The diagnosis and treatment of unilateral vocal fold palsy is a common part of otolaryngology practice. In those patients in whom resolution of symptoms is slow, the resulting dysphonia can have a dramatic effect on the patient's quality of voice and life. We have previously described the procedure of direct phonoplasty under local anaesthesia using the transnasal laryngoesophagoscope.

Objective:

To examine the subjective and objective data for the first five patients to undergo this procedure, in the form of laryngographic speech analysis, perceptual assessment and therapy outcome measures.

Results:

Analysis showed a statistically significant improvement in voice quality, in all the above assessment categories, following local anaesthetic direct phonoplasty using the transnasal laryngoesophagoscope.

Conclusion:

Collagen injection via transnasal flexible laryngoesophagoscopy is a particularly useful technique for treating vocal fold medialisation, especially in palliative care patients and those with shortened life expectancy.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2009

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