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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References
- Vocal fold augmentation with calcium hydroxylapatite (CaHA).Otolaryngol Head Neck Surg. 2007; 136: 198-204
- A very rare complication of hyaluronic acid injection for medialization laryngoplasty: a case with laryngeal abscess.J Voice. 2020; 34: 812.e5-812.e8https://doi.org/10.1016/j.jvoice.2019.03.011
- Vocal fold augmentation with calcium hydroxylapatite.Otolaryngol Head Neck Surg. 2004; 131: 351-354
- Office-based injection laryngoplasty for the management of unilateral vocal fold paralysis.J Voice. 2014; 28: 382-386
- Complications of injection laryngoplasty using calcium hydroxylapatite.J Voice. 2012; 26: 614-618
- Calcium hydroxylapatite filler: an overview of safety and tolerability.J Drugs Dermatol. 2013; 12: 996-1002
- Laryngeal abscess after injection laryngoplasty with micronized AlloDerm.Laryngoscope. 2004; 114: 1522-1524
- An unusual complication of vocal fold lipoinjection: case report and review of the literature.Arch Otolaryngol Head Neck Surg. 2012; 138: 418-420
- Homologous collagen substances for vocal fold augmentation.Laryngoscope. 2001; 111: 747-758
- Treatment of late sequelae after radiotherapy for head and neck cancer.Cancer Treat Rev. 2017; 59: 79-92
Article info
Publication history
Published online: November 02, 2020
Accepted:
October 27,
2020
Identification
Copyright
© 2020 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
