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[Implantation microsurgery in the phoniatric practice]

Iu S Vasilenko, G F Ivanchenko, O S Orlova

    Vestnik Otorinolaringologii
    |September 1, 1995
    PubMed
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    Teflon paste (polytef) implantation effectively treats unilateral laryngeal paralysis in 368 patients. Collagen injections showed minimal tissue response but required repeat treatments due to metabolism.

    Area of Science:

    • Otolaryngology
    • Vocal fold surgery
    • Biomaterials

    Context:

    • Unilateral laryngeal paralysis and vocal fold deformities significantly impair voice function.
    • Surgical interventions are necessary to restore vocal fold function.
    • Evaluating biomaterials for vocal fold augmentation is crucial.

    Purpose:

    • To compare the efficacy and tissue response of teflon paste (polytef) and collagen injections for vocal fold augmentation.
    • To assess the long-term functional outcomes of teflon paste implantation in patients with unilateral laryngeal paralysis.

    Summary:

    • Teflon paste (polytef) implantation was performed on 368 patients with unilateral laryngeal paralysis, scar deformities, or vocal muscle atrophy.
    • Collagen injections were administered to 38 patients, showing a minimal positive tissue response compared to teflon.

    Related Experiment Videos

  • 10 patients receiving collagen required repeat injections within 6-18 months due to collagen metabolism, indicating potential limitations.
  • Impact:

    • Teflon paste (polytef) implantation demonstrates a high functional effect in treating unilateral laryngeal paralysis.
    • Collagen presents a viable alternative with minimal tissue reaction but necessitates further investigation into long-term efficacy and repeat administration protocols.