To describe a useful technique for infiltrating a bulking agent using a butterfly needle, as part of a transoral endoscopic vocal fold medialisation procedure.

This paper describes the procedure of grasping the needle with phonosurgery forceps and administering the injectate to the vocal fold through careful application of the syringe plunger via a length of rubber tubing from outside the mouth.

This procedure is performed routinely in our institution without complication. The advantages of this technique are discussed.

This is a safe and easy method of injecting into a vocal fold.

Paediatric foreign bodies may present with vague and nonspecific symptoms. It is important to have a high index of suspicion when managing such cases.

We report the case of a nine-month-old infant who presented with a wheeze, cough and fever following ingestion of a needle.

This patient developed pericardial tamponade as a consequence of the needle ingestion, and required a thoracotomy for retrieval. We discuss the pathophysiology involved and the surgery required.

Pericardial tamponade is a rare but potentially fatal manifestation of an ingested foreign body.

A case of a needle lodged in the larynx is reported. The needle had been inhaled via an asthma inhaler.