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Lateral thyrotomy with strap muscle transposition for Teflon granuloma
Ming-Wang Hsiung1, Yu-Liang Lin
1Department of Otolaryngology, Tri-Service General Hospital, National Defense Medical Center, No. 325 Chenggong Road, Section 2, 114 Taipei , Taiwan R.O.C. mingwan.hsiung@msa.hinet.net
Summary
This study presents a novel surgical approach for Teflon granuloma, combining lateral thyrotomy and strap muscle transposition. This combined technique successfully treated vocal fold paralysis symptoms, restoring glottic function.
Area of Science:
- Otolaryngology
- Laryngeal Surgery
Background:
- Teflon injection was used to treat vocal fold paralysis.
- Teflon granuloma developed two years post-injection, causing voice and breathing issues.
Observation:
- A patient presented with Teflon granuloma after vocal fold paralysis treatment.
- Symptoms included husky voice, shortness of breath, and suffocation.
Findings:
- Surgical excision of Teflon granuloma via lateral thyrotomy was performed.
- Strap muscle transposition reconstructed the paraglottic space.
- One year post-surgery, complete glottic closure was achieved with moderate voice roughness.
Implications:
- Coordinated use of lateral thyrotomy and strap muscle transposition is effective for Teflon granuloma.
- This surgical combination can restore vocal fold function and improve breathing.
- The technique offers a viable solution for managing Teflon granuloma complications.
