Revision laryngeal surgery for the suboptimal injection of calcium hydroxylapatite

Neil N. Chheda, Clark A. Rosen, Peter C. Belafsky, C. Blake Simpson, Gregory N. Postma

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objective: The objective of this study was to describe the management of suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Study Design: A retrospective review was conducted at four Voice and Swallowing centers to identify patients who had a suboptimal injection of calcium hydroxylapatite during augmentation laryngoplasty. Results: Five patients (ages 19-75) were identified with an impaired voice secondary to a superficial injection of calcium hydroxylapatite or over-medialization of the true vocal fold. All patients underwent revision surgery with all experiencing subjective and objective improvement. Conclusion: Micro flap excision can lead to successful return of vibratory function after a suboptimal injection of calcium hydroxylapatite. Complete control of the initial injection is paramount to avoiding this complication.

Original languageEnglish (US)
Pages (from-to)2260-2263
Number of pages4
JournalLaryngoscope
Volume118
Issue number12
DOIs
StatePublished - Dec 1 2008

Keywords

  • Calcium hydroxylapatite
  • Injection laryngoplasty
  • Superficial injection
  • Vocal fold augmentation

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Chheda, N. N., Rosen, C. A., Belafsky, P. C., Simpson, C. B., & Postma, G. N. (2008). Revision laryngeal surgery for the suboptimal injection of calcium hydroxylapatite. Laryngoscope, 118(12), 2260-2263. https://doi.org/10.1097/MLG.0b013e318184e6ee