Revision laryngeal surgery for the suboptimal injection of calcium hydroxylapatite.

Chheda, Neil N; Rosen, Clark A; Belafsky, Peter C; Simpson, C Blake; Postma, Gregory N · Laryngoscope · 2008

retrospective_cohort · Level III

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Abstract

The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. A retrospective review was conducted at four Voice and Swallowing centers to identify patients who had a suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Five patients (ages 19-75) were identified with an impaired voice secondary to a superficial injection of calcium hydroxylapatite or over-medialization of the true vocal fold. All patients underwent revision surgery with all experiencing subjective and objective improvement. Microflap excision can lead to successful return of vibratory function after a suboptimal injection of calcium hydroxylapatite. Complete control of the initial injection is paramount to avoiding this complication.

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