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ORIGINAL ARTICLE Michael S. Cohen, MD; Deepak K. Mehta, MD; Raymond C. Maguire, DO; Jeffrey P. Simons, MD Objective: To review our experience with vocal fold in- vocal fold paralysis or paresis; 3 had vocal fold atrophy; jection medialization in children. and 2 had vocal fold scarring. Indications for surgery in- cluded hoarseness (11 patients), aspiration (5 patients), Design: Retrospective case series. and dysphagia without aspiration (1 patient). Materials injected included Gelfoam (n=13), Radiesse Voice Setting: Tertiary care academic children’s hospital. (n=10), and Radiesse Voice Gel (n=4). The average num- ber of injections per patient was 2.1 (range, 1-9). Pa- Patients: All pediatric patients at our institution who tients experienced improvement in symptoms (subjec- underwent injection laryngoplasty for vocal fold medi- tive or objective) after injection in 24 of 27 cases (89%); alization from 2003 to 2009. 15 of 16 injections in patients with hoarseness led to im- provement (94%); and 11 of 13 injections in patients with Main Outcome Measures: Age, sex, indication for in- dysphagia or aspiration led to improvement (85%). One jection, injection material, surgical and anesthetic tech- patient experienced 2 days of inspiratory stridor post- nique, outcomes including effect on voice and swallow- operatively, which
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Mar 1, 2011
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