Office-Based Laryngology.

Area of Science:

• Otolaryngology
• Laryngology

Background:

• Injection laryngoplasty, first described in 1911, historically used paraffin for vocal cord paralysis.
• Glottic insufficiency, leading to dysphonia, dysphagia, and aspiration, is a primary indication.
• Etiologies include vocal fold immobility, hypomobility, sulcus vocalis, vocal scar, and atrophy.

Purpose of the Study:

• To highlight the benefits and applicability of in-office injection laryngoplasty.
• To discuss the role of modern advancements in enabling these procedures.

Main Methods:

• Review of historical and current practices in injection laryngoplasty.
• Emphasis on the advantages of in-office procedures facilitated by endoscopic technology.

Main Results:

• In-office laryngology procedures offer cost-effectiveness and avoid general anesthesia.
• These procedures are efficient and possess a high safety profile.
• Careful patient selection is key for successful outcomes.

Conclusions:

• In-office injection laryngoplasty is a viable and beneficial treatment option for glottic insufficiency.
• Advancements in equipment and endoscopy have made these procedures more accessible and safer.
• The technique provides a minimally invasive solution for vocal fold dysfunction.