| Local Steroid Injection via the Cricothyroid Membrane in Patients With a Vocal Nodule. | |
| | |
MedLine Citation:
|
PMID: 22006779 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVE: To analyze the usefulness and safety of a steroid injection into vocal nodules via the cricothyroid membrane. Local administration of steroid directly into the larynx has been reported in many laryngeal diseases with different methods. DESIGN: Prospective case series at an academic tertiary care hospital. PATIENTS: Eighty patients with vocal nodules were enrolled between December 2008 and May 2010. INTERVENTIONS: Triamcinolone acetonide was injected through the cricothyroid membrane with a transnasal flexible laryngoscope to patients in a sitting position. MAIN OUTCOME MEASURES: Vocal nodules were evaluated before and 2 and 4 weeks after the injection; improvement was assessed both objectively and subjectively. RESULTS: The nodules disappeared in 35 patients by the fourth week after the injection (44%), and 39 patients showed improvement (49%). Jitter, shimmer, maximum phonation time, and mean voice handicap index also improved significantly after the steroid injection (P < .05 for all). Six patients with voice-related occupations showed improvement at the second week (8%), but the nodules had recurred after 4 weeks. Four patients experienced mild vocal fold atrophy, and 2 patients showed a white plaque formation on the vocal fold that resolved spontaneously 1 to 2 months after the injection. CONCLUSIONS: A local steroid injection via the cricothyroid membrane is a useful and safe treatment option for vocal nodules. However, vocal nodules are caused mainly by excessive voice use; therefore, nodules can recur unless the voice use pattern changes. Further study of this treatment technique, including long-term follow-up, is needed. |
| | |
Authors:
|
Sang-Hyuk Lee; Jang-Ok Yeo; Jeong-Im Choi; Hee-Jin Jin; Jin-Pyeong Kim; Seung-Hoon Woo; Sung-Min Jin |
Related Documents
:
|
19732069 - Right-to-left shunt is common in chronic migraine. 12876249 - Features involved in the diagnostic delay of cluster headache. 7925339 - Post-dural puncture headache: a comparison of the sprotte and yale needles in urologica... 16356649 - Hla-drb1 genotyping in italian migraine patients. 14747499 - Migraine as a risk factor for subclinical brain lesions. 19920719 - A comparison of migraine patients with and without allodynic symptoms. 12123089 - Can fluid resuscitation prevent pancreatic necrosis in severe acute pancreatitis? 17295439 - Prevalence of subclinical amyloidosis in ankylosing spondylitis. 17805119 - Botulinum toxin in facial palsy: an effective treatment for contralateral hyperkinesis. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of otolaryngology--head & neck surgery Volume: 137 ISSN: 1538-361X ISO Abbreviation: Arch. Otolaryngol. Head Neck Surg. Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-10-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1011-6 Citation Subset: AIM; IM |
Affiliation:
|
Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyeong-dong, Jongno-gu, Seoul, Ko 110-746, South Korea. sm7.jin@samsung.net. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Computed tomography and magnetic resonance imaging characteristics of acute invasive fungal sinusiti...
Next Document: Temporal trends in the treatment of early- and advanced-stage laryngeal cancer in the United States,...