Abstract THE EFFECTIVENESS of intracordally injected Teflon in restoring or improving the voice in a variety of dysphonias, particularly unilateral recurrent nerve paralysis, has been established by Arnold1-5 and corroborated by others.6,7 Specific indications for the use of Teflon are restricted to situations in which dysfunction is permanent. Where there is doubt as to whether cordal function will return, injection of Teflon must be withheld until at least six months have elapsed. Should this rule not be observed and a paralyzed vocal cord spontaneously recover after the injection of Teflon, the voice would be rendered permanently disturbed instead of returning to its normal preparalytic state by virtue of the foreign material within the substance of the cord acting as a benign space-occupying lesion. There is a period of time, therefore, during which the patient with dysphonia from unilateral palsy of uncertain prognosis must endure his disability with no immediate References 1. Arnold, G. E.: Vocal Rehabilitation of Paralytic Dysphonia: IX. Technique of Intracordal Injection , Arch Otolaryng 76:358, 1962.Crossref 2. Arnold, G. E.: Vocal Rehabilitation of Paralytic Dysphonia: X. Functional Results of Intrachordal Injection , Arch Otolaryng 78:179, 1963.Crossref 3. Arnold, G. E.: Alleviation of Aphonia or Dysphonia Through Intrachordal Injection of Teflon Paste , Ann Otol 72:384, 1963. 4. Arnold, G. E.: Paralytic Dysphonia , Eye Ear Nose Throat Monthly 43:27 ( (Feb) ) 1964. 5. Arnold, G. E.: Further Experiences With Intrachordal Teflon Injection , Laryngoscope 74:802, 1964.Crossref 6. Lewy, R. B.: Glottic Reformation With Voice Rehabilitation in Vocal Cord Paralysis: Injection of Teflon and Tantalum , Laryngoscope 73:547, 1963.Crossref 7. Rubin, H. J.: Treatment of Dysphonia Due to Unilateral Recurrent Nerve Paralysis by Intracordal Injection of Synthetics , Calif Med 102:105, 1965. 8. Arnold, G. E.: Vocal Rehabilitation of Paralytic Dysphonia: I. Cartilage Injection Into Paralyzed Vocal Cord , Arch Otolaryng 62:1, 1955.Crossref 9. Arnold, G. E.: "Vocal Rehabilitation of Paralytic Dysphonia," in Abstracts of 6th International Congress of Otolaryngology, 1957, p 26 10. Arnold, G. E.3 11. Jaff, W. F.: Laryngeal Adductor Paralysis Treated by Vocal Cord Injection of Bone Paste: Preliminary Investigation , Trans Pacif Coast Otoophthal Soc 41:77, 1960. 12. Palmer, J. M.: Aphonia Relief From Bone Paste Injections , J Speech Hearing Dis 27:86, 1962. 13. Braley, S. B.: Use of Silicones in Plastic Surgery , Arch Otolaryng 78:669, 1963.Crossref 14. Armaly, M. D.: Organo-silicones and Eye , Eye Ear Nose Throat Digest 26:51, 1964. 15. Rubin, H. J.: Unpublished high-speed photographic data.
Archives of Otolaryngology – American Medical Association
Published: Jun 1, 1965