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How we do it: use of a venous cannulation needle for endoscopic Teflon injection to the vocal folds

Published online by Cambridge University Press:  29 June 2007

David Strachan ,
Basker Kamath  and
Carol Wengraf
David Strachan*
Affiliation:
Department of Otolaryngology, Hull Royal Infirmary, Hull.
Basker Kamath
Affiliation:
Department of Anaesthesia, Hull Royal Infirmary, Hull.
Carol Wengraf
Affiliation:
Department of Otolaryngology, Hull Royal Infirmary, Hull.
*
Mr D. R. Strachan, Department of Otolaryngology, Seacroft Hospital, York Road, Leeds LS14 6UH.
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Abstract

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Since its introduction in the 1960's the injection of Teflon into a paralysed vocal fold has become a standard treatment in laryngology. Although in recent years alternative treatments have been suggested, such as the injection of collagen or autogenous fat (Mikaelian et al., 1991), re-innervation procedures and thyroplasty (Crumley, 1990), the use of Teflon is still widespread (Rontal and Rontal, 1991; Dedo, 1992). Various instruments have been developed for the application of Teflon paste and these take the form of a gun-like syringe with a ratchet mechanism. For a number of years we have injected Teflon using a needle marketed for internal jugular vein cannulation along with a plastic 1 ml syringe thus making substantial savings to our department in terms of both time and cost.

Keywords

Vocal fold paralysisPolytetrafluoroethylene
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 12 , December 1995 , pp. 1184 - 1185
Copyright
Copyright © JLO (1984) Limited 1995

References

Bates, G. J., Curley, J. W., Ward, M. E. (1984) Respiratory obstruction following vocal cord injection of Teflon paste. Anaesthesia 39: 1232–1234.CrossRefGoogle ScholarPubMed
Crumley, R. L. (1990) Teflon versus thyroplasty versus nerve transfer: a comparison. Annals of Otology, Rhinology and Laryngology 99: 759–763.CrossRefGoogle ScholarPubMed
Dedo, H. H. (1992) Injection and removal of Teflon for unilateral vocal cord paralysis. Annals of Otology, Rhinology and Laryngology 101: 81–86.CrossRefGoogle ScholarPubMed
Kasperbauer, J. L., Slavit, D. H., Maragos, N. F. (1993) Teflon granulomas and overinjection of Teflon: a therapeutic challenge for the otorhinolaryngologist. Annals of Otology, Rhinology and Laryngology 102: 748–751.CrossRefGoogle ScholarPubMed
Mikaelian, D. O., Lowry, L. D., Sataloff, R. T. (1991) Lipoinjection for unilateral vocal cord aralysis [see comments]. Laryngoscope 101: 465–468.CrossRefGoogle Scholar
Rontal, E., Rontal, M. (1991) Vocal cord injection techniques. Otolaryngologic Clinics of North America 24: 1141–1149.CrossRefGoogle ScholarPubMed
Solomons, N. B., Livesey, J. R. (1990) Acute upper airway obstruction following Teflon injection of a vocal cord: the value of nebulized adrenaline and a heliumloxygen mixture in its management. Journal of Laryngology and Otology 104: 654–655.CrossRefGoogle Scholar