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Laryngology/Broncho-Esophagology

Vocal Fold Injection: Patient Selection, Materials, Injection Under Anesthesia (Nonexclusive)

Sunday, October 1, 2023
9:30 AM - 10:30 AM East Coast USA Time
Location: 105AB

    Lead Presenter(s)

  • Clark A. Rosen, MD

    Professor
    UCSF Voice & Swallowing Center
    San Francisco, CA, United States

    • Co-Presenter(s)

  • Lucian Sulica, MD

    Professor of Laryngology
    Sean Parker Institute for the Voice, Weill Cornell Medical College
    New York, NY, United States

Disclosure(s):
Clark A. Rosen, MD: No relevant relationships to disclose.
Lucian Sulica, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Vocal fold injection has been a mainstay of Otolaryngology treatment dating back to Breunings in the early
1900s. Following a period of restraint in the wake of problems with Teflon injection material, injection
augmentation is again enjoying increased use and wider applicability because of (1) new materials, (2) new
injection approaches, (3) improved visualization of the larynx and (4) enhanced understanding of a laryngeal
physiology. This makes vocal fold injection augmentation a very dynamic and exciting topic for all
Otolaryngologists.

This expert series provides a detailed review of the types of vocal fold injection, indications, injection
Materials and anatomic. Factors favoring
office injection in the awake patient or operating room injection under general anesthesia are contrasted.
Selection of patients and materials are examined in detail. Special emphasis will be given to the treatment of
patients with (1) unilateral vocal fold paralysis and (2) vocal fold atrophy. This will include a discussion of the
role of trial vocal fold injection, especially in the rapidly evolving clinical entity of vocal fold paresis.
A detailed “how I do it” section on the different vocal fold injection approaches will be presented.
Clinical video case examples will be used to illustrate vocal fold injection techniques.

OUTCOME OBJECTIVE 1: Understand the decision-making process for potential vocal fold injection patients, especially vocal fold
paralysis and paresis.

OUTCOME OBJECTIVE 2: List the key surgical aspects of vocal fold injection via the Microlaryngoscopy approach

OUTCOME OBJECTIVE 3: Describe the appropriate decisions regarding the selection of different vocal fold injection materials

BACKGROUND STATEMENT: Vocal fold injection is a mainstay of Otolaryngology treatment for a variety of essential laryngological
conditions and substantive changes have occurred in recent years regarding vocal fold injection materials,
indications and approaches.