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A Very Rare Complication of Vocal Fold Augmentation With Calcium Hydroxylapatite: Neck Abscess

  • Ory Madgar
    Correspondence
    Address correspondence and reprint requests to Ory Madgar, MD, Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Israel.
    Affiliations
    Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel

    Sackler Faculty of Medicine, Tel Aviv University, Israel
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  • Adi Primov-Fever
    Affiliations
    Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel

    Sackler Faculty of Medicine, Tel Aviv University, Israel
    Search for articles by this author
Published:November 02, 2020DOI:https://doi.org/10.1016/j.jvoice.2020.10.018

      Summary

      Introduction

      Vocal fold injection augmentation is performed routinely for the treatment of glottic insufficiency especially due to unilateral vocal fold paralysis. There are numerous materials that are used for injection laryngoplasty, calcium hydroxylapatite being one of them.

      Case report

      We present an interesting case of a 64-year-old male patient with metastatic acinic cell carcinoma of the right parotid gland, who underwent right vocal cord injection laryngoplasty with calcium hydroxylapatite for right vocal cord paralysis with glottal insufficiency and developed a neck abscess.

      Discussion

      This is the first report in the literature of neck abscess following vocal fold injection laryngoplasty using calcium hydroxylapatite. It seems that over injection of the vocal fold gave rise to extravasation of the injected material outside the laryngeal framework which later became a nidus for infection.

      Conclusions

      We present the first case in the literature of neck abscess following vocal fold injection laryngoplasty using calcium hydroxylapatite. Clinicians should be aware of this rare but dangerous complication.

      Key Words

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