In-Office Laryngology Injections

Area of Science:

• Otolaryngology
• Laryngology
• Minimally Invasive Procedures

Background:

• Videolaryngoscopy advancements have significantly improved in-office laryngeal injection capabilities.
• Flexible laryngoscopes offer enhanced visualization and access for vocal fold procedures.

Purpose of the Study:

• To review the expanded applications of in-office laryngeal injections.
• To discuss the efficacy, approaches, and management of these procedures.
• To outline potential complications associated with in-office laryngeal injections.

Main Methods:

• Review of current literature on videolaryngoscopy-guided laryngeal injections.
• Analysis of techniques for vocal fold augmentation, botulinum toxin, steroid injections, and neurogenic cough treatments.
• Discussion of post-procedure care and complication management.

Main Results:

• In-office laryngeal injections are now used for glottic insufficiency, vocal immobility, spasmodic dysphonia, benign vocal fold lesions, scars, and neurogenic cough.
• Improved optics and flexible scopes facilitate precise injection delivery.
• Evidence supports the efficacy of various in-office injection materials and techniques.

Conclusions:

• In-office laryngeal injections guided by videolaryngoscopy are effective and versatile procedures.
• These minimally invasive techniques offer expanded treatment options for diverse laryngeal conditions.
• Understanding approaches, efficacy, and potential complications is crucial for successful patient outcomes.