Office-based laryngeal injections.

Area of Science:

• Otolaryngology
• Laryngology
• Voice Science

Background:

• Vocal fold injection (VFI) was first described over 100 years ago.
• Office-based VFI has reemerged as a viable alternative to surgical VFI.
• Microsuspension laryngoscopy is the traditional method for VFI.

Purpose of the Study:

• To highlight the resurgence and advantages of office-based vocal fold injection.
• To discuss various office-based VFI approaches and their technical considerations.
• To establish office-based VFI as a standard treatment for specific indications.

Main Methods:

• Review of existing literature and clinical practices regarding office-based VFI.
• Comparison of office-based VFI techniques (percutaneous, peroral, transnasal endoscopic) with traditional methods.
• Analysis of factors influencing approach selection, including surgeon preference and patient anatomy.

Main Results:

• Office-based VFI offers distinct advantages over traditional laryngoscopy VFI.
• Multiple approaches allow for tailored treatment based on patient and surgeon factors.
• Preparation and familiarity with techniques are crucial for optimal outcomes.

Conclusions:

• Office-based vocal fold injection is an effective and increasingly standard treatment modality.
• The technique provides a valuable alternative for managing various vocal fold pathologies.
• Further familiarity and standardization of office-based VFI techniques are recommended.