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Published on: June 13, 2017
Endoscopic vocal fold injection using a 25-gauge butterfly needle
M A Buchanan1, F Riffat1, C E Palme1
1Department of Otolaryngology/Head and Neck Surgery,Westmead Hospital,Sydney,Australia.
Objective:
To describe a useful technique for infiltrating a bulking agent using a butterfly needle, as part of a transoral endoscopic vocal fold medialisation procedure.
Methods:
This paper describes the procedure of grasping the needle with phonosurgery forceps and administering the injectate to the vocal fold through careful application of the syringe plunger via a length of rubber tubing from outside the mouth.
Results:
This procedure is performed routinely in our institution without complication. The advantages of this technique are discussed.
Conclusion:
This is a safe and easy method of injecting into a vocal fold.

