Injection Laryngoplasty as an office procedure скачать в хорошем качестве

Injection Laryngoplasty as an office procedure

Injection laryngoplasty (IL) is an extremely effective and easy way to manage patients who have developed a breathy voice following unilateral vocal fold paralysis or paresis. A filler material such as hyaluronic acid is injected into the paraglottic space of the effected vocal fold in order to medialise it and close the phonatory gap. Most commonly IL is performed as an office laryngeal procedure not requiring any hospital admission or hospital stay. As the procedure is performed with local anaesthesia, it is possible to do even in patients who may not be fit for general anaesthesia. IL may be performed percutaneosly via the neck or transorally and a flexible laryngoscope is ideally used to visualise and perform the injection accurately.The principles and technique of percutaneous transthyroid IL is demonstrated in this video. For long standing ( over 6 months) vocal fold paralysis , a permanent surgery called medialisation laryngoplasty is preferred, as the injection materials are not permanent.