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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.
The Journal of Laryngology and Otology
|February 17, 2016
Summary
A novel technique using a butterfly needle simplifies vocal fold medialisation. This safe and easy injection method is routinely performed without complications, enhancing voice restoration procedures.
Area of Science:
- Otolaryngology
- Phonosurgery
- Endoscopic Surgery
Background:
- Vocal fold medialisation is crucial for voice restoration.
- Transoral endoscopic procedures offer minimally invasive approaches.
- Effective injection techniques for bulking agents are essential.
Purpose of the Study:
- To present a refined technique for vocal fold bulking agent injection.
- To detail the use of a butterfly needle within transoral endoscopic vocal fold medialisation.
Main Methods:
- A butterfly needle is grasped with phonosurgery forceps.
- Injectate is administered to the vocal fold via syringe plunger.
- A rubber tube facilitates external control of injection from outside the mouth.
Main Results:
- The described technique is performed routinely without reported complications.
- Advantages of this specific injection method are discussed.
Conclusions:
- This method provides a safe and straightforward approach for vocal fold injection.
- The technique is suitable for transoral endoscopic vocal fold medialisation procedures.

