Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-26T14:57:33.899Z Has data issue: false hasContentIssue false
  • English
  • Français

A precricoid swelling in a patient treated with Teflon injection in the vocal fold after idiopathic left vocal fold palsy

Published online by Cambridge University Press:  29 June 2007

J. A. D. Jol ,
R. Y. Seedat  and
D. W. Skinner
J. A. D. Jol*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Royal Shrewsbury Hospitals NHS Trust, Shrewsbury, UK.
R. Y. Seedat
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Royal Shrewsbury Hospitals NHS Trust, Shrewsbury, UK.
D. W. Skinner
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Royal Shrewsbury Hospitals NHS Trust, Shrewsbury, UK.
*
Address for correspondence: J. A. D. Jol, Department of Otorhinolaryngology – HNS, Royal Shrewsbury Hospitals NHS Trust, Mytton Oak Road, Shrewsbury SY3 8XQ.
Get access Rights & Permissions [Opens in a new window]

Abstract

Vocal fold palsy is a cause of dysphonia. Due to incomplete glottic closure during phonation, patients with a unilateral vocal fold palsy present with a weak and breathy voice and recurrent aspiration. To lessen the clinical manifestations of unilateral vocal fold palsy, polytetrafluoroethylene (Teflon) paste is one agent which has been injected into the paraglottic region, thus causing the vocal fold to move more medially. One of the complications associated with Teflon paste injection is migration of the paste into the surrounding tissues. We present a patient with idiopathic left vocal fold palsy who underwent Teflon injection to the vocal fold and subsequently developed a precricoid nodule, mimicking a cartilaginous swelling.

Keywords

Vocal fold palsyPolytetrafluoroethylene
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 9 , September 1998 , pp. 878 - 879
Copyright
Copyright © JLO (1984) Limited 1998

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

Ellis, J. C., McCaffrey, T. V., DeSanto, L. W., Reiman, H. V. (1987) Migration of Teflon after vocal cord injection. Otolaryngology – Head and Neck Surgery 96(1): 63–66.CrossRefGoogle ScholarPubMed
Howard, D. (1997) Neurological affectations of the pharynx and larynx. In Scott-Brown's Otolaryngology. 6th Edition. (Kerr, A. G., Hibbert, J., eds.), Butterworth-Heinemann, pp 5, 9, 12–13.Google Scholar
Kasperbauer, J. L. (1995) Injectable Teflon for vocal cord paralysis. Otolaryngologic Clinics of North America 28(5): 317–323.CrossRefGoogle ScholarPubMed
Lee, S. S. (1990) Experiences with teflon injections in unilateral adductor vocal cord paralysis. Medical Journal of Malaysia 45(3): 239–243.Google ScholarPubMed
McCaffrey, T. V. (1993) Transcutaneous Teflon injection for vocal cord paralysis. Otolaryngology – Head and Neck Surgery 109(1): 54–59.CrossRefGoogle ScholarPubMed
McCarthy, M. P., Gideon, J. K., Schnadig, V. J. (1993) A teflon granuloma presenting as an endotracheal nodule. Chest 104(1): 311–313.CrossRefGoogle ScholarPubMed
Rao, V. M., Melnick, H., Wechsler, R. J., Mikaelian, D. O., Lowry, L. D. (1987) Teflon paste implant in unilateral vocal cord paralysis: CT-characteristics. Journal of Computer Assisted Tomography 11(4): 624–626.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 helium/oxygen mixture in its management. Journal of Laryngology and Otology 104(8): 645–655.CrossRefGoogle Scholar
Varvares, M. A., Montgomery, W. W., Hillman, R. E. (1995) Teflon granuloma of the larynx: etiology, pathophysiology, and management. Annals of Otology, Rhinology and Laryngology 104(7): 511–515.CrossRefGoogle ScholarPubMed
Wassef, M., Achouche, J., Guichard, J. P., Tran Ba Huy, P. (1994) A delayed teflonoma of the neck simulating a thyroid neoplasm. Journal of Oto-Rhino-Laryngology and its Related Specialties 56(6): 352–356.CrossRefGoogle ScholarPubMed
Wenig, B. M., Heffner, D. K., Oertel, Y. C., Johnson, F. B. (1990) Teflonomas of the larynx and neck. Human Pathology 21(6): 617–623.CrossRefGoogle ScholarPubMed
Wilson, R. A., Gartner, W. S. Jr. (1987) Teflon granuloma mimicking a thyroid tumor. Diagnostic Cytopathology 3(2): 156–158.CrossRefGoogle ScholarPubMed