Safety and cost-effectiveness of intra-office flexible videolaryngoscopy with transoral vocal fold injection in dysphagic patients

被引:31
作者
Andrade Filho, Pedro A.
Carrau, Ricardo L.
Buckmire, Robert A.
机构
[1] Univ Pittsburgh, Med Ctr, Inst Eye & Ear, Dept Otolaryngol, Pittsburgh, PA 15213 USA
[2] Univ N Carolina, Dept Otolaryngol, Chapel Hill, NC USA
关键词
D O I
10.1016/j.amjoto.2006.01.009
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Setting: A tertiary care referral-based otolaryngology practice. Objectives: To evaluate the safety of office-based transoral oral vocal fold injection in an ambulatory dysphagic population and to evaluate cost-effectiveness in comparison with traditional injection laryngoplasty done under general anesthesia in the operating room. Abstract: Dysphagia is a nonspecific and common symptom of many head and neck and systemic disease processes. In patients with glottal incompetence, the presenting complaint of dysphagia generally portends to more global oropharyngeal dysfunction than dysphonia alone. Although many authors have reported on-and advocated the use of office injection technique in the management of dysphonia caused by glottal insufficiency, there is a paucity of literature regarding the use of this technique in a more medically compromised dysphagic patient population (Ann Otol Rhinol Laryngol 1997;106:778-83). We describe our experience with vocal fold injection in the office setting using a transoral technique under flexible videolaryngoscopy for the treatment of glottal insufficiency in dysphagic patients. The safety and cost-effectiveness of this approach are highlighted. (C) 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码:319 / 322
页数:4
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