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Injection Laryngoplasty in the Pediatric Population

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Injection Laryngoplasty

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Abstract

Injection laryngoplasty in children is an uncommon practice, in literature only twelve experiences are described; at the time, the only two medical conditions in children, in which IL is indicated, are vocal fold paralysis and type I laryngeal cleft; indications for IL include aspiration, dysphagia without aspiration, and hoarseness when poor voice quality has a considerable impact on quality of life. The infant larynx is not just a miniature of the adult organ; it shows differences in its position relative to the vertebral column, in the composition of cartilages and soft tissues, and in environmental adaptation. Vocal fold paralysis (VFP) is defined as the absence or reduction of motion of the true vocal fold; it can be unilateral or bilateral; a possible surgical treatment option includes injection Laryngoplasty (vocal fold augmentation). Type I laryngeal cleft is a supraglottic interarytenoid defect that extends no further caudally than the true vocal folds; injection laryngoplasty with temporary agent is used in little patients with this defect and important swallowing dysfunction to resolve the aspiration problem and scarring and improve the competence of the deficient interarytenoid space. Injection laryngoplasty in children is usually made with resorbable agents in VFP in which children may experience a spontaneous recovery of vocal fold movement up to 5 years after onset of paralysis.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Azienda Ospedaliera Universitaria Policlinico, Via Del Pozzo 71, Modena, 41124, Italy

    Angelo Ghidini MD, Elisa Aggazzotti Cavazza MD & Maria Paola Alberici

  2. ENT Department, Bambino Gesù Children Hospital Rome, Piazza S’Onofrio 4, Rome, 00165, Italy

    Sergio Bottero MD

Authors
  1. Angelo Ghidini MD
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  2. Sergio Bottero MD
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  3. Elisa Aggazzotti Cavazza MD
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  4. Maria Paola Alberici
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Corresponding author

Correspondence to Angelo Ghidini MD .

Editor information

Editors and Affiliations

  1. Head and Neck Surgery, Policlinico di Modena, Modena, Modena, Italy

    Giuseppe Bergamini

  2. Head and Neck Surgery, Policlinico di Modena, Modena, Italy

    Livio Presutti

  3. Head and Neck Surgery, Policlinico di Modena, Modena, Modena, Italy

    Gabriele Molteni

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Ghidini, A., Bottero, S., Aggazzotti Cavazza, E., Alberici, M.P. (2015). Injection Laryngoplasty in the Pediatric Population. In: Bergamini, G., Presutti, L., Molteni, G. (eds) Injection Laryngoplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-20143-6_8

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  • DOI: https://doi.org/10.1007/978-3-319-20143-6_8

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20142-9

  • Online ISBN: 978-3-319-20143-6

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