Summary
Objectives
This case report aims to identify local allergic reaction as a rare complication of
vocal fold injection augmentation with carboxymethylcellulose and discuss the management
of airway swelling following this reaction.
Introduction
Glottis insufficiency due to true vocal fold immobility is important to manage to
reduce risk of aspiration and improve voice function. Vocal fold injection augmentation
with carboxymethylcellulose is considered a safe and effective treatment for glottis
insufficiency, commonly due to vocal fold immobility.
Methods
Retrospective medical records review and case report.
Results
We report a unique case of an adult female with vocal fold immobility that was treated
with injection laryngoplasty using carboxymethylcellulose and subsequently developed
a local reaction requiring intubation and tracheostomy placement.
Conclusion
Otolaryngologists should be aware of this rare, but life-threatening complication
and counsel patients accordingly when obtaining consent. If there are signs and symptoms
of airway edema, the patient should be transferred to the ICU for airway watch, intravenous
steroids, and possible intubation.
Key Words
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Article info
Publication history
Published online: March 10, 2023
Accepted:
January 19,
2023
Publication stage
In Press Corrected ProofFootnotes
This case was presented as a poster presentation at the Fall Voice Conference on October 7, 2022 in San Francisco, California.Consent: Written consent was obtained from the patient prior to journal submission.
Identification
Copyright
© 2023 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
