Summary
Objectives
Injection medialization laryngoplasty is a commonly performed procedure for the management
of glottic insufficiency. Among complications of this procedure is device failure,
for which the literature is scarce. Our goal was to determine the prevalence of needle
failure during injection laryngoplasty among members of the American Bronchoesophagological
Association (ABEA).
Methods
A questionnaire was designed and subsequently sent to members of ABEA via electronic
mail. Responses were analyzed using descriptive statistics.
Results
Twenty-four members (6.7%) completed the survey. Eighty three percent reported experience
with needle failure; 59% of these were needle clogging, 22% needle twisting, and 19%
needle tip fracture. Fifty-four percent of respondents reported needle failure during
a percutaneous approach, and 48% reported using calcium hydroxyapatite during device
failure. Twenty percent reported having to abort the procedure due to device failure.
Twenty five percent of respondents experienced needle tip fracture that led to an
airway or esophageal foreign body.
Conclusions
Needle failure during injection laryngoplasty was reported by most respondents. Most
commonly this was due to clogging or twisting which was managed by replacing the needle
but in 25% of cases was due to a broken tip that results in an aerodigestive tract
foreign body and aborting of the procedure in most cases.
Key words
Level of Evidence
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REFERENCES
- About a new treatment method of recurrence lameness.Vern Ver Dtsch Laryngol. 1911; 18: 525-530
- Thyrohyoid approach for vocal fold augmentation.Ann Otol Rhinol Laryngol. 2006; 115: 699-702
- Transnasal, endoscopic vocal fold augmentation.Laryngoscope. 2005; 115: 2262-2265
- In-office laryngology injections.Otolaryngol Clin North Am. 2019; 52: 521-536
- Migration of cymetra after vocal fold injection for laryngeal paralysis.Laryngoscope. 2007; 117: 2251-2254
- Long-term results of calcium hydroxylapatite for vocal fold augmentation.Laryngoscope. 2011; 121: 313-319
- Complications of injection laryngoplasty using calcium hydroxylapatite.J Voice. 2012; 26: 614-618
- Comparison of outcomes and complications between awake and asleep injection laryngoplasty: a case-control study.Laryngoscope [Internet]. 2009; 119: 1417-1423https://doi.org/10.1002/lary.20485
- Rigid bronchoscopy for the suspicion of foreign body in the airway.Int J Pediatr Otorhinolaryngol. 2006; 70: 823-828
- Needle fracture during injection medialization laryngoplasty.J Voice. 2021; https://doi.org/10.1016/j.jvoice.2021.08.018
- Office removal of a subglottic bread clip.Case Rep Otolaryngol. 2013; 2013: 480676https://doi.org/10.1155/2013/480676
- Swallowed foreign bodies in adults.Dtsch Arztebl Int. 2012; 109: 869
- Esophageal foreign bodies in adults: systematic review of the literature.Scand J Gastroenterol. 2018; 53: 1171-1178
- Needle breakage: incidence and prevention.Dent Clin North Am [Internet]. 2010; 54 (Available at:): 745-756
- Needle fracture as a complication of dental local anesthesia: recommendations for prevention and a comprehensive treatment algorithm based on literature from the past four decades.Clin Oral Investig. 2019; 23: 1109-1119
- On the needle clogging of staked-in-needle pre-filled syringes: mechanism of liquid entering the needle and solidification process.Eur J Pharm Biopharm [Internet]. 2018; 128 (Available at:): 272-281
Hubbard WG. Tissue augmentation material and method. Google Patents; 2011. Available at: https://patentimages.storage.googleapis.com/6e/b6/76/0a13305e3c9299/US8067027.pdf
Article info
Publication history
Published online: September 11, 2022
Accepted:
August 9,
2022
Publication stage
In Press Corrected ProofFootnotes
Accepted for Poster Presentation American Bronchoesophagological Association 2021 Annual Virtual Meeting
Identification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
