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MICHAEL J. SULLIVAN, MD
Ann Arbor, Mich

Arch Otolaryngol Head Neck Surg. 1988;114(10):1084.

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Robert B. Lewy, MD, and John P. Leontti, MD, reported their observations in performing 296 vocal cord injection procedures over a 24-year period. Their report, presented at the Middle Section meeting of the Triological Society, Ann Arbor, Mich, emphasized the importance of evaluating candidates for vocal cord injection with respect to anatomic variations, surgical technique, and perioperative care. The authors stated that the results with Teflon injection are better when flat, nonatrophic vocal cords are injected at their central portion and that thin atrophic cord injections should be angled outward toward the thyroid cartilage ala. Variable results can be expected with Teflon injection of asymmetric vocal cords. The authors emphasize the importance of not distorting the glottis with the laryngoscope during the injection procedure, although accurate placement for maximum visualization is essential. They found no advantage to microscopic laryngoscopy and suggested that the indirect mirror technique should be reserved for . . . [Full Text PDF of this Article]

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