Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-19T09:11:34.875Z Has data issue: false hasContentIssue false
  • English
  • Français

How we do it: use of a venous cannulation needle for endoscopic Teflon injection to the vocal folds

Published online by Cambridge University Press:  29 June 2007

David Strachan ,
Basker Kamath  and
Carol Wengraf
David Strachan*
Affiliation:
Department of Otolaryngology, Hull Royal Infirmary, Hull.
Basker Kamath
Affiliation:
Department of Anaesthesia, Hull Royal Infirmary, Hull.
Carol Wengraf
Affiliation:
Department of Otolaryngology, Hull Royal Infirmary, Hull.
*
Mr D. R. Strachan, Department of Otolaryngology, Seacroft Hospital, York Road, Leeds LS14 6UH.
Get access Rights & Permissions [Opens in a new window]

Abstract

Since its introduction in the 1960's the injection of Teflon into a paralysed vocal fold has become a standard treatment in laryngology. Although in recent years alternative treatments have been suggested, such as the injection of collagen or autogenous fat (Mikaelian et al., 1991), re-innervation procedures and thyroplasty (Crumley, 1990), the use of Teflon is still widespread (Rontal and Rontal, 1991; Dedo, 1992). Various instruments have been developed for the application of Teflon paste and these take the form of a gun-like syringe with a ratchet mechanism. For a number of years we have injected Teflon using a needle marketed for internal jugular vein cannulation along with a plastic 1 ml syringe thus making substantial savings to our department in terms of both time and cost.

Keywords

Vocal fold paralysisPolytetrafluoroethylene
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 12 , December 1995 , pp. 1184 - 1185
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bates, G. J., Curley, J. W., Ward, M. E. (1984) Respiratory obstruction following vocal cord injection of Teflon paste. Anaesthesia 39: 1232–1234.CrossRefGoogle ScholarPubMed
Crumley, R. L. (1990) Teflon versus thyroplasty versus nerve transfer: a comparison. Annals of Otology, Rhinology and Laryngology 99: 759–763.CrossRefGoogle ScholarPubMed
Dedo, H. H. (1992) Injection and removal of Teflon for unilateral vocal cord paralysis. Annals of Otology, Rhinology and Laryngology 101: 81–86.CrossRefGoogle ScholarPubMed
Kasperbauer, J. L., Slavit, D. H., Maragos, N. F. (1993) Teflon granulomas and overinjection of Teflon: a therapeutic challenge for the otorhinolaryngologist. Annals of Otology, Rhinology and Laryngology 102: 748–751.CrossRefGoogle ScholarPubMed
Mikaelian, D. O., Lowry, L. D., Sataloff, R. T. (1991) Lipoinjection for unilateral vocal cord aralysis [see comments]. Laryngoscope 101: 465–468.CrossRefGoogle Scholar
Rontal, E., Rontal, M. (1991) Vocal cord injection techniques. Otolaryngologic Clinics of North America 24: 1141–1149.CrossRefGoogle ScholarPubMed
Solomons, N. B., Livesey, J. R. (1990) Acute upper airway obstruction following Teflon injection of a vocal cord: the value of nebulized adrenaline and a heliumloxygen mixture in its management. Journal of Laryngology and Otology 104: 654–655.CrossRefGoogle Scholar