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Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management

Published online by Cambridge University Press:  29 June 2007

Neil B. Solomons  and
Jonathan R. Livesey
Neil B. Solomons*
Affiliation:
(Guildford)
Jonathan R. Livesey
Affiliation:
(Guildford)
*
Mr N. B. Solomons, FRCS Senior Registrar in ENTRoyal Surrey County HospitalGuildford SurreyGU2 5XX
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Abstract

A 67-year-old man presented with a 45-year history of a weak voice. This was the result of polio which had left him with a right vocal cord palsy.

The patient underwent a Teflon injection of the right vocal cord under general anaesthesia to improve the quality of his voice. In the immediate post-operative period, he suffered acute upper airway obstruction. The problem of acute upper airway obstruction following Teflon injection is considered and its management with nebulized adrenaline and a helium/oxygen mixture is discussed.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 8 , August 1990 , pp. 654 - 655
Copyright
Copyright © JLO (1984) Limited 1990

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References

Adair, J. C., Ring, W. H., Jordan, W. S., Elwyn, R. A. (1971) Ten year experience with IPPB in the treatment of acute laryngotracheobronchitis. Anaesthesia and Analgesia, 50: 649–655.CrossRefGoogle ScholarPubMed
Arnold, G. E. (1962) Vocal rehabilitation of paralytic dysphonia. IX. Technique of intracordal injection. Archives of Otolaryngology, 76: 358–368.CrossRefGoogle Scholar
Bates, G. J. E. M., Curley, J. W. A., Ward, M. E. (1984) Respiratory obstruction following vocal cord injection of Teflon paste. Anaesthesia, 39: 1232–134.CrossRefGoogle ScholarPubMed
Brünings, W. (1911) Uber eine neue Behandlungsmethode der Rekurrenslahmung. Verhandlungender Deutschen Laryngolischen Gesellschaft, 18: 93–151.Google Scholar
Couriel, J. M. (1988) Management of croup. Archives of Disease in Childhood, 63: 1305–1308.Google Scholar
Howard, D. J. (1987) In Scott Brown's Otolaryngology 5th edn. (Kerr, A. G., ed.) vol. 5 (Stell, P. M., ed.) p 184, Butterworths, London.Google Scholar
Lewy, R. B., Millet, D. (1978) Immediate local tissue reactions to Teflon vocal cord implants. Laryngoscope, 88: 1339–1342.Google Scholar
Lewy, R. B. (1983) Teflon injection of the vocal cord: complications, errors and precautions. Annals of Otology, Rhinology and Laryngology, 92: 473–474.Google Scholar
Macintosh, R., Mushin, W. W., Epstein, H. G. (1958) In Physics for Anaesthetists 2nd edn., pp 192–195, Blackwell Scientific Publications, Oxford.Google Scholar
Maran, A. G. D., Hardcastle, P. F., Hamid, A., Mackenzie, I. J. (1986) An analysis of 102 cases of Polytef injection of the vocal cord. Journal of Larynogology and Otology, 100: 47–51.Google Scholar
Sadek, S. A. A., Nassar, W. Y., Tobias, M. A. (1987) Teflon injection of the vocal cords under general anaesthesia (review of 262 cases) Journal of Laryngology and Otology, 101: 695–705.Google Scholar