Document Detail


Laryngeal abscess after injection laryngoplasty with micronized AlloDerm.
MedLine Citation:
PMID:  15475773     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Patients with unilateral vocal cord paralysis usually present with dysphonia and occasionally with swallowing problems. Operative management includes thyroplasty type I, injection laryngoplasty, arytenoid adduction, and reinnervation. Recent publications have documented the safety of micronized AlloDerm (Cymetra, LifeCell Corporation, Branchburg, NJ) for injection laryngoplasty, but we report the first documented case of a laryngeal abscess after injection laryngoplasty with Cymetra. STUDY DESIGN: Single case report of a laryngeal abscess after injection laryngoplasty with Cymetra. METHODS: The patient's clinical course is presented and discussed, and the pertinent literature is reviewed. RESULTS: Prompt hospital admission with intravenous antibiotics and steroids resolved this airway emergency. Follow-up visits showed a significantly improved postoperative voice with an intact airway. CONCLUSION: A review of the literature reveals that this case of a laryngeal abscess after injection laryngoplasty with Cymetra is the first of its kind. Studies have shown that the use of AlloDerm in the head and neck region is safe, but otolaryngologists need to be cognizant of potential complications when working with this material.
Authors:
Philip E Zapanta; Steven A Bielamowicz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  114     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-10-11     Completed Date:  2004-10-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1522-4     Citation Subset:  IM    
Affiliation:
Voice Treatment Center, Division of Otolaryngology-Head and Neck Surgery, George Washington University Medical Center, Washington DC, USA.
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MeSH Terms
Descriptor/Qualifier:
Abscess / diagnosis,  etiology*
Airway Obstruction / diagnosis,  etiology
Biocompatible Materials*
Carcinoma, Papillary / surgery
Collagen / administration & dosage*
Female
Humans
Injections, Intramuscular / adverse effects*
Laryngeal Diseases / etiology*
Laryngoscopy*
Middle Aged
Postoperative Complications / diagnosis,  etiology*
Risk Factors
Thyroid Neoplasms / surgery
Thyroidectomy
Tomography, X-Ray Computed
Vocal Cord Paralysis / surgery*
Vocal Cords / surgery
Chemical
Reg. No./Substance:
0/Alloderm; 0/Biocompatible Materials; 9007-34-5/Collagen

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


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