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Arch Otolaryngol Head Neck Surg. 2008;134(8):896.

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Diagnosis: "Teflonoma" of the thyroid and the soft tissues of the neck

Histopathologic examination of an ultrasound-guided fine-needle aspiration biopsy (FNAB) specimen from an enlarged area of the thyroid isthmus demonstrated foreign crystaloid material (Figure 4, A) arranged in patterns that resembled an elongated or wrinkled 50-µm-diameter ball. Surrounding these crystals, there were groups of follicular cells, multinucleated giant cells (Figure 4, B), and fibrous tissue. Based on this description, a diagnosis of thyroid teflonoma was suggested. Following the pathology report, an archive inquiry was done at the hospital in which the laryngoscopy had taken place 24 years earlier. The patient had indeed undergone a Teflon injection for vocal cord paralysis.

Figure appears in full text version. Figure 4.

Polytef (Teflon) paste endoscopic injection has gained widespread use in the treatment of unilateral vocal cord paralysis. It is injected lateral to the vocal process to protrude the paralyzed vocal cord toward the midline, to prevent aspiration, and to improve voice quality. A rare complication . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2008;134(8):895.
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