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Teflon in Unilateral Vocal Cord Paralysis: Preoperative and Postoperative Function Studies

Teflon in Unilateral Vocal Cord Paralysis: Preoperative and Postoperative Function Studies Abstract IN A complete unilateral paralysis of the larynx, the affected vocal cord is frequently found in the intermediate position. These patients often develop a weak and breathy voice, due to inadequate approximation of the two vocal cords during phonation. More than 50 years ago Brünings suggested a revolutionary treatment for these patients at a meeting of the Society of German Laryngologists.1 He recommended the injection of a foreign substance into the involved vocal cord, in an effort to move the paralyzed member to the median line and provide an effective buttress for the vibrating healthy fold. Unfortunately, the only substance available for this purpose in Brünings' time was paraffin, which has a tendency to pass from the site of the injection at body temperature. The temporary nature of the improvement and the resulting complications placed this method in disfavor for several decades. Some ten years ago Arnold resurrected this References 1. Brünings, Wilhelm: Über eine neue Behandlungsmethode der Rekurrenslähmung , Ver Deutsch Laryng 18:23, 1911. 2. Arnold, G.E.: Vocal Rehabilitation of Paralytic Dysphonia, abstracted, Proceedings of the Sixth International Congress of Otolaryngology, Washington, 1957, pp 26-27. 3. Goff, W.: Laryngeal Adductor Paralysis Treated by Vocal Cord Injection of Bone Paste , Trans Pacif Coast Otoophthal Soc 41:77, 1960. 4. Lewy, R.B.: Glottic Reformation With Voice Rehabilitation in Vocal Cord Paralysis , Laryngoscope 73:547, 1963.Crossref 5. Rubin, H.J.: Intracordal Injection of Silicone in Selected Dysphonias , Arch Otolaryng 81:604, 1965.Crossref 6. Arnold, G.E.: Vocal Rehabilitation of Paralytic Dysphonia, Technic of Intracordal Injection , Arch Otolaryng 76:358, 1962.Crossref 7. Arnold, G.E.: Vocal Rehabilitation of Paralytic Dysphonia, Functional Results of Intracordal Injection , Arch Otolaryng 78:179, 1963.Crossref 8. Arnold, G.E.: Further Experiences With Intracordal Teflon Injection , Larynscope 74:802, 1964. 9. Lewy, R.B.: Glottic Rehabilitation With Teflon Injection: The Return of Voice, Cough, and Laughter , Acta Otolaryng 58:214, 1964.Crossref 10. Rubin, H.J.: Pitfalls in Treatment of Dysphonias by Intracordal Injection of Synthetics , Laryngoscope 75:1381, 1965.Crossref 11. Lewy, R.B.: Responses of Laryngeal Tissue to Granular Teflon in Situ , Arch Otolaryng 83:355, 1966. Kirchner, F.R.; Toledo, P.S.; and Svoboda, D.J.: Studies of the Larynx After Teflon Injection , Arch Otolaryng 83:350, 1966.Crossref 12. Irwin, J.W., and Yanagihara, N.: A Comparison of Acoustical and Perceptual Characteristics of Hoarseness Among Certain Pathological Larynges, read before the 41st Annual Convention of the American Speech and Hearing Association, Chicago, Oct 31, 1965. 13. Yanagihara, N.; von Leden, H.; and Werner-Kukuk, E.: The Physical Parameters of Cough: The Larynx in a Normal Single Cough , Acta Otolaryng 61:495-510, 1966.Crossref 14. von Leden, H., et al: Improvements in Laryngeal Cinematography , Arch Otolaryng 83:482-487, 1966.Crossref 15. Moore, P.; White, F.D.; and von Leden, H.: The Importance of Ultra-High Speed Photography in Laryngeal Physiology , J Speech Hearing Dis 27:165, 1962. 16. von Leden, H., and Isshiki, N.: Hoarseness-Aerodynamic Studies , Arch Otolaryng 80:206, 1964.Crossref 17. Yanagihara, N.: Significance of Harmonic Changes and Noise Components in Hoarseness , J Speech Hearing Res , to be published. 18. von Leden, H., and Moore, P.: Vibratory Pattern of the Vocal Cords in Unilateral Laryngeal Paralysis , Acta Otolaryng 53:493, 1961.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Teflon in Unilateral Vocal Cord Paralysis: Preoperative and Postoperative Function Studies

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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1967.00760040668014
Publisher site
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Abstract

Abstract IN A complete unilateral paralysis of the larynx, the affected vocal cord is frequently found in the intermediate position. These patients often develop a weak and breathy voice, due to inadequate approximation of the two vocal cords during phonation. More than 50 years ago Brünings suggested a revolutionary treatment for these patients at a meeting of the Society of German Laryngologists.1 He recommended the injection of a foreign substance into the involved vocal cord, in an effort to move the paralyzed member to the median line and provide an effective buttress for the vibrating healthy fold. Unfortunately, the only substance available for this purpose in Brünings' time was paraffin, which has a tendency to pass from the site of the injection at body temperature. The temporary nature of the improvement and the resulting complications placed this method in disfavor for several decades. Some ten years ago Arnold resurrected this References 1. Brünings, Wilhelm: Über eine neue Behandlungsmethode der Rekurrenslähmung , Ver Deutsch Laryng 18:23, 1911. 2. Arnold, G.E.: Vocal Rehabilitation of Paralytic Dysphonia, abstracted, Proceedings of the Sixth International Congress of Otolaryngology, Washington, 1957, pp 26-27. 3. Goff, W.: Laryngeal Adductor Paralysis Treated by Vocal Cord Injection of Bone Paste , Trans Pacif Coast Otoophthal Soc 41:77, 1960. 4. Lewy, R.B.: Glottic Reformation With Voice Rehabilitation in Vocal Cord Paralysis , Laryngoscope 73:547, 1963.Crossref 5. Rubin, H.J.: Intracordal Injection of Silicone in Selected Dysphonias , Arch Otolaryng 81:604, 1965.Crossref 6. Arnold, G.E.: Vocal Rehabilitation of Paralytic Dysphonia, Technic of Intracordal Injection , Arch Otolaryng 76:358, 1962.Crossref 7. Arnold, G.E.: Vocal Rehabilitation of Paralytic Dysphonia, Functional Results of Intracordal Injection , Arch Otolaryng 78:179, 1963.Crossref 8. Arnold, G.E.: Further Experiences With Intracordal Teflon Injection , Larynscope 74:802, 1964. 9. Lewy, R.B.: Glottic Rehabilitation With Teflon Injection: The Return of Voice, Cough, and Laughter , Acta Otolaryng 58:214, 1964.Crossref 10. Rubin, H.J.: Pitfalls in Treatment of Dysphonias by Intracordal Injection of Synthetics , Laryngoscope 75:1381, 1965.Crossref 11. Lewy, R.B.: Responses of Laryngeal Tissue to Granular Teflon in Situ , Arch Otolaryng 83:355, 1966. Kirchner, F.R.; Toledo, P.S.; and Svoboda, D.J.: Studies of the Larynx After Teflon Injection , Arch Otolaryng 83:350, 1966.Crossref 12. Irwin, J.W., and Yanagihara, N.: A Comparison of Acoustical and Perceptual Characteristics of Hoarseness Among Certain Pathological Larynges, read before the 41st Annual Convention of the American Speech and Hearing Association, Chicago, Oct 31, 1965. 13. Yanagihara, N.; von Leden, H.; and Werner-Kukuk, E.: The Physical Parameters of Cough: The Larynx in a Normal Single Cough , Acta Otolaryng 61:495-510, 1966.Crossref 14. von Leden, H., et al: Improvements in Laryngeal Cinematography , Arch Otolaryng 83:482-487, 1966.Crossref 15. Moore, P.; White, F.D.; and von Leden, H.: The Importance of Ultra-High Speed Photography in Laryngeal Physiology , J Speech Hearing Dis 27:165, 1962. 16. von Leden, H., and Isshiki, N.: Hoarseness-Aerodynamic Studies , Arch Otolaryng 80:206, 1964.Crossref 17. Yanagihara, N.: Significance of Harmonic Changes and Noise Components in Hoarseness , J Speech Hearing Res , to be published. 18. von Leden, H., and Moore, P.: Vibratory Pattern of the Vocal Cords in Unilateral Laryngeal Paralysis , Acta Otolaryng 53:493, 1961.Crossref

Journal

Archives of Otolaryngology – American Medical Association

Published: Jun 1, 1967

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