Premium
Giant teflon granuloma of the larynx
Author(s) -
Benjamin Bruce,
Robb Peter,
Clifford Anthony,
Eckstein Robert
Publication year - 1991
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.2880130516
Subject(s) - larynx , granuloma , medicine , granuloma formation , computed tomographic , foreign body , surgery , computed tomography , radiology , pathology
Abstract Endolaryngeal injection of Teflon paste to augment and medialize the paralyzed hemilarynx aims to improve dysphonia and relieve aspiration. After an initial short‐lived inflammatory reaction in the laryngeal tissues, a foreign body granuloma forms around the Teflon. In most cases the results are good but it may occasionally be necessary to consider removal of the granuloma if too large a volume has been injected, if it is inappropriately placed, or if the paralyzed vocal cord subsequently recovers. Surgical removal is difficult and the results are unpredictable. This case illustrates, for the first time, that evaluation using both a high‐resolution computed tomographic (CT) scan and endos‐copy with telescopes permits satisfactory assessment before removal of Teflon.