Document Detail


Direct phonoplasty under local anaesthetic.
MedLine Citation:
PMID:  15829067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A new technique of direct phonoplasty under local anaesthetic is described. BACKGROUND: Vocal-fold medialization is an accepted method to improve voice in patients with a paralysed vocal fold. Various materials have been used to inject into the paralysed vocal fold, resulting in medialization of the fold and improved phonation. The two established methods are direct injection under general anaesthetic and transcutaneous injection under local anaesthetic; both have advantages and disadvantages. METHOD: A Pentax 80K series flexible endoscope is used to directly inject collagen into the paralysed vocal fold via a reusable 23G endoscopic needle under local anaesthetic. CONCLUSION: New technology and innovation have allowed development of the new technique of direct phonoplasty under local anaesthetic. This combines the advantages of transcutaneous injection under local anaesthetic and direct injection under general anaesthetic, without their disadvantages.
Authors:
P Montgomery; A Sharma; A Qayyum; K Mierzwa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  119     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-04-14     Completed Date:  2005-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  134-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology-Head & Neck Surgery, Norfolk and Norwich University Hospital, Norwich, UK.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Local / methods*
Anesthetics, Local / administration & dosage
Collagen / administration & dosage*,  therapeutic use
Drug Administration Schedule
Humans
Injections, Intralesional / methods
Laryngoscopy
Phonation
Treatment Outcome
Vocal Cord Paralysis / therapy*
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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