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Managing voice impairment after injection laryngoplasty.
J Voice. 2012 Nov; 26(6):797-800.JV

Abstract

To date, there is a paucity of literature on the management of suboptimal voice outcomes after injection laryngoplasty. We present three cases of worsened voice quality and impaired mucosal waveform propagation on videostroboscopy after calcium hydroxylapatite (CaHA) injection. The first was found to have superficial deposits of CaHA in Reinke's space. The second case appeared to have overaugmentation of the vocal folds. The third case had atrophic vocal folds, and despite having a deep CaHA injection (within the thyroarytenoid muscles), the injected vocal folds had diminished mucosal waveform amplitude, which was likely because of poor pulmonary function. In summary, there can be multiple reasons for suboptimal voice outcomes after CaHA. Clinician awareness and intraoperative recognition of improper CaHA injection/overinjection can help prevent most negative outcomes.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22633331

Citation

Ting, Jonathan Y., et al. "Managing Voice Impairment After Injection Laryngoplasty." Journal of Voice : Official Journal of the Voice Foundation, vol. 26, no. 6, 2012, pp. 797-800.
Ting JY, Patel R, Halum SL. Managing voice impairment after injection laryngoplasty. J Voice. 2012;26(6):797-800.
Ting, J. Y., Patel, R., & Halum, S. L. (2012). Managing voice impairment after injection laryngoplasty. Journal of Voice : Official Journal of the Voice Foundation, 26(6), 797-800. https://doi.org/10.1016/j.jvoice.2012.02.004
Ting JY, Patel R, Halum SL. Managing Voice Impairment After Injection Laryngoplasty. J Voice. 2012;26(6):797-800. PubMed PMID: 22633331.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Managing voice impairment after injection laryngoplasty. AU - Ting,Jonathan Y, AU - Patel,Ruchin, AU - Halum,Stacey L, Y1 - 2012/05/26/ PY - 2011/03/08/received PY - 2012/02/22/accepted PY - 2012/5/29/entrez PY - 2012/5/29/pubmed PY - 2013/5/15/medline SP - 797 EP - 800 JF - Journal of voice : official journal of the Voice Foundation JO - J Voice VL - 26 IS - 6 N2 - To date, there is a paucity of literature on the management of suboptimal voice outcomes after injection laryngoplasty. We present three cases of worsened voice quality and impaired mucosal waveform propagation on videostroboscopy after calcium hydroxylapatite (CaHA) injection. The first was found to have superficial deposits of CaHA in Reinke's space. The second case appeared to have overaugmentation of the vocal folds. The third case had atrophic vocal folds, and despite having a deep CaHA injection (within the thyroarytenoid muscles), the injected vocal folds had diminished mucosal waveform amplitude, which was likely because of poor pulmonary function. In summary, there can be multiple reasons for suboptimal voice outcomes after CaHA. Clinician awareness and intraoperative recognition of improper CaHA injection/overinjection can help prevent most negative outcomes. SN - 1873-4588 UR - https://www.unboundmedicine.com/medline/citation/22633331/Managing_voice_impairment_after_injection_laryngoplasty_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(12)00031-8 DB - PRIME DP - Unbound Medicine ER -