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[Surgical excision and botulinum toxin A injection for vocal process granuloma].

Abstract

OBJECTIVE

To study the efficacy of treatment with microsurgery in combination with local injection of type A botulinum toxin for vocal process granuloma.

METHOD

28 patients with vocal process granuloma received endotracheal intubation under general anesthesia. The lesion was removed with micro-scissor and CO2 laster under a self-retaining laryngoscope and microscope. The incision and mucous membrane surrounding the wound was closed with 8-0 absorbable suture. 4-point injection of botulinum toxin type A 8-15 u was then performed along the thyroarytenoid muscle and arytenoid muscle of the same side. Postoperative medication was administered based on disease causes.

RESULT

All patients experienced vocal cord dyskinesia of the injected side 2-3 days after surgery. At 1 month after the surgery, wound healing was good in all the 28 patients, and the vocal cord movement was limited at the injected side. At 3 months, movement of the bilateral vocal cords was normal, and the vocal cord process mucosa was smooth. Patients were followed up for more than a year, and only one patient had recurrence in 2 months after surgery. The cure rate was 96. 4%.

CONCLUSION

Combination of laryngeal microsurgery and type A botulinum toxin local injection can shorten the treatment course of vocal process granuloma.

Authors

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Pub Type(s)

Journal Article

Language

chi

PubMed ID

25989662

Citation

Ma, Lijing, et al. "[Surgical Excision and Botulinum Toxin a Injection for Vocal Process Granuloma]." Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, vol. 29, no. 2, 2015, pp. 140-3.
Ma L, Xiao Y, Ye J, et al. [Surgical excision and botulinum toxin A injection for vocal process granuloma]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015;29(2):140-3.
Ma, L., Xiao, Y., Ye, J., Yang, Q., & Wang, J. (2015). [Surgical excision and botulinum toxin A injection for vocal process granuloma]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 29(2), 140-3.
Ma L, et al. [Surgical Excision and Botulinum Toxin a Injection for Vocal Process Granuloma]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015;29(2):140-3. PubMed PMID: 25989662.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical excision and botulinum toxin A injection for vocal process granuloma]. AU - Ma,Lijing, AU - Xiao,Yang, AU - Ye,Jingying, AU - Yang,Qingwen, AU - Wang,Jun, PY - 2015/5/21/entrez PY - 2015/5/21/pubmed PY - 2015/6/3/medline SP - 140 EP - 3 JF - Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery JO - Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi VL - 29 IS - 2 N2 - OBJECTIVE: To study the efficacy of treatment with microsurgery in combination with local injection of type A botulinum toxin for vocal process granuloma. METHOD: 28 patients with vocal process granuloma received endotracheal intubation under general anesthesia. The lesion was removed with micro-scissor and CO2 laster under a self-retaining laryngoscope and microscope. The incision and mucous membrane surrounding the wound was closed with 8-0 absorbable suture. 4-point injection of botulinum toxin type A 8-15 u was then performed along the thyroarytenoid muscle and arytenoid muscle of the same side. Postoperative medication was administered based on disease causes. RESULT: All patients experienced vocal cord dyskinesia of the injected side 2-3 days after surgery. At 1 month after the surgery, wound healing was good in all the 28 patients, and the vocal cord movement was limited at the injected side. At 3 months, movement of the bilateral vocal cords was normal, and the vocal cord process mucosa was smooth. Patients were followed up for more than a year, and only one patient had recurrence in 2 months after surgery. The cure rate was 96. 4%. CONCLUSION: Combination of laryngeal microsurgery and type A botulinum toxin local injection can shorten the treatment course of vocal process granuloma. SN - 2096-7993 UR - https://www.unboundmedicine.com/medline/citation/25989662/[Surgical_excision_and_botulinum_toxin_A_injection_for_vocal_process_granuloma]_ DB - PRIME DP - Unbound Medicine ER -