Revision laryngeal surgery for the suboptimal injection of calcium hydroxylapatite

Neil N. Chheda, Clark A. Rosen, Peter C. Belafsky, C. Blake Simpson, Gregory N Postma

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Study Design: 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. Results: 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. Conclusion: Micro flap 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.

Original languageEnglish (US)
Pages (from-to)2260-2263
Number of pages4
JournalLaryngoscope
Volume118
Issue number12
DOIs
StatePublished - Dec 1 2008

Fingerprint

Durapatite
Reoperation
Calcium
Injections
Laryngoplasty
Vocal Cords
Deglutition

Keywords

  • Calcium hydroxylapatite
  • Injection laryngoplasty
  • Superficial injection
  • Vocal fold augmentation

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

Cite this

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.

In: Laryngoscope, Vol. 118, No. 12, 01.12.2008, p. 2260-2263.

Research output: Contribution to journalArticle

Chheda, Neil N. ; Rosen, Clark A. ; Belafsky, Peter C. ; Simpson, C. Blake ; Postma, Gregory N. / Revision laryngeal surgery for the suboptimal injection of calcium hydroxylapatite. In: Laryngoscope. 2008 ; Vol. 118, No. 12. pp. 2260-2263.
@article{e65cc11ae01f4b65b5cfe583a5cc69e7,
title = "Revision laryngeal surgery for the suboptimal injection of calcium hydroxylapatite",
abstract = "Objective: The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Study Design: 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. Results: 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. Conclusion: Micro flap 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.",
keywords = "Calcium hydroxylapatite, Injection laryngoplasty, Superficial injection, Vocal fold augmentation",
author = "Chheda, {Neil N.} and Rosen, {Clark A.} and Belafsky, {Peter C.} and Simpson, {C. Blake} and Postma, {Gregory N}",
year = "2008",
month = "12",
day = "1",
doi = "10.1097/MLG.0b013e318184e6ee",
language = "English (US)",
volume = "118",
pages = "2260--2263",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "Wiley-Blackwell",
number = "12",

}

TY - JOUR

T1 - Revision laryngeal surgery for the suboptimal injection of calcium hydroxylapatite

AU - Chheda, Neil N.

AU - Rosen, Clark A.

AU - Belafsky, Peter C.

AU - Simpson, C. Blake

AU - Postma, Gregory N

PY - 2008/12/1

Y1 - 2008/12/1

N2 - Objective: The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Study Design: 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. Results: 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. Conclusion: Micro flap 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.

AB - Objective: The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Study Design: 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. Results: 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. Conclusion: Micro flap 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.

KW - Calcium hydroxylapatite

KW - Injection laryngoplasty

KW - Superficial injection

KW - Vocal fold augmentation

UR - http://www.scopus.com/inward/record.url?scp=58149361413&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58149361413&partnerID=8YFLogxK

U2 - 10.1097/MLG.0b013e318184e6ee

DO - 10.1097/MLG.0b013e318184e6ee

M3 - Article

C2 - 19029857

AN - SCOPUS:58149361413

VL - 118

SP - 2260

EP - 2263

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 12

ER -