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Phonosurgery: Transoral Endoscopic Techniques

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Neurolaryngology

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Abstract

Injection laryngoplasty is a transoral technique of vocal fold augmentation in order to close or reduce glottic insufficiency. Unilateral vocal fold paralysis is the most important indication. The technique is an alternative to thyroplasty in many cases, an adjuvant treatment in some. Both options should be offered to the patient and should be considered complementary. Technically, the injection can be done under general anaesthesia or office based in the awake patient. Advantages and disadvantages of both approaches are discussed. There is a variety of injection materials with significant differences in characteristics, mode of application and indication. A review of substances available and used in clinical routine is performed. With proper patient and material selection, injection laryngoplasty plays a major role in the treatment of many patients with dysphonia.

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology/Head and Neck Surgery, Klinikum Stuttgart, Stuttgart, Germany

    Christian Sittel

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  1. Christian Sittel
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Correspondence to Christian Sittel .

Editor information

Editors and Affiliations

  1. Department of Otorhinolaryngology/Head and Neck Surgery, Clinical Centre Stuttgart, Stuttgart, Germany

    Christian Sittel

  2. Department of Otorhinolaryngology and Institute of Phoniatry and Pedaudiology, Jena University Hospital, Jena, Germany

    Orlando Guntinas-Lichius

10.1 Electronic Supplementary Material

Injection laryngoplasty with Vox Implants in suspension microlaryngoscopy. Procedure documented in real time without editing (MP4 44646 kb)

Subglottic overfilling, avoiding passive mobility of the stiffened vocal fold with poor functional outcome (MP4 5985 kb)

Delicate and atrophic vocal folds in an elderly woman. PDMS particles can be repositioned well immediately after injection (MP4 31325 kb)

Severe dysphonia due to complete unilateral recurrent laryngeal nerve paralysis following partial pneumonectomy for bronchial carcinoma (MP4 1410 kb)

Endoscopic view, same patient as Video 10.4 (MP4 5245 kb)

Voice result 3 weeks post Vox Implants laryngoplasty, same patient as Video 10.4 (MP4 1855 kb)

Endoscopic view, same patient as Video 10.6 (MP4 3924 kb)

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Sittel, C. (2018). Phonosurgery: Transoral Endoscopic Techniques. In: Sittel, C., Guntinas-Lichius, O. (eds) Neurolaryngology. Springer, Cham. https://doi.org/10.1007/978-3-319-61724-4_10

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  • DOI: https://doi.org/10.1007/978-3-319-61724-4_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61722-0

  • Online ISBN: 978-3-319-61724-4

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