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Revision Laryngeal Surgery for the Suboptimal Injection of Calcium Hydroxylapatite
Author(s) -
Chheda Neil N.,
Rosen Clark A.,
Belafsky Peter C.,
Simpson C Blake,
Postma Gregory N.
Publication year - 2008
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/mlg.0b013e318184e6ee
Subject(s) - medicine , hydroxylapatite , swallowing , surgery , complication , calcium , chemistry , biochemistry , enzyme
Abstract Objective: The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Study Design: A retrospective review was conducted at four Voice and Swallowing centers to identify patients who had a suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Results: Five patients (ages 19–75) were identified with an impaired voice secondary to a superficial injection of calcium hydroxylapatite or over‐medialization of the true vocal fold. All patients underwent revision surgery with all experiencing subjective and objective improvement. Conclusion: Microflap excision can lead to successful return of vibratory function after a suboptimal injection of calcium hydroxylapatite. Complete control of the initial injection is paramount to avoiding this complication.