OBJECTIVES/HYPOTHESIS To assess the costs, charges, reimbursement, and efficiency of performing awake laryngology procedures in an endoscopy suite (ES) compared with like procedures performed in the operating room (OR). STUDY DESIGN Retrospective review of billing records. METHODS Cost, charges, and reimbursements for the hospital, surgeon, and anesthesiologist were compared between ES inje...

Introduction In recent years, there has been a reduction in mortality rates in neonatal intensive care units (NICUs) due to the impact of modern technological advances in the perinatal field. As a consequence, prolonged orotracheal intubation is used more frequently, and there has been an increase in acquired subglottic stenosis (SGS) in children. Subglottic stenosis is a narrowing of the endol...

Injection laryngoplasty has gained popularity as a treatment modality for glottal insufficiency. Several approaches have been described, specifically transcutaneous, transoral and transnasal. The authors describe a novel technique performed successfully on three subjects, namely endoscopic injection laryngoplasty using the modified Guedel oral airway. There was marked improvement in dysphonia, ...

Altered communication (hoarseness, dysphonia, and breathy voice) that can result from vocal fold paralysis, secondary to numerous etiologies, may be amenable to surgical restoration. In this article, both traditional and cutting-edge phonosurgical procedures targeting the symptoms resulting from vocal fold paralysis are reviewed, with emphasis on the characteristic imaging appearances of variou...

INTRODUCTION Introduced a century ago by Bruening as a transoral procedure under general anesthesia, injection laryngoplasty is the oldest surgical management technique for vocal fold insufficiency. In 1985, Ward et al. introduced the office-based transcutaneous approach for vocal fold injection augmentation. They described the technique for Teflon injection under local anesthesia using the cri...

INTRODUCTION Injection laryngoplasty (IL) is typically performed either awake or under general anesthesia with paralysis. There is a subgroup of patients, however, for whom neither of these is a good option. For such patients, we report a hybrid technique that allows for a percutaneous injection without paralysis but with sedation to increase patient tolerance. Supraglottic airway laryngotrache...

BACKGROUND Treatment for adult subglottic stenosis is technically demanding and no therapeutic algorithm exists. We performed the present meta-analysis of treatment for this condition in an attempt to compare efficacy on the basis of type of procedure. METHODS We identified 24 eligible retrospective studies reporting the therapeutic results for inclusion criteria. Meta-analysis was performed ...

Background: Although chemotherapy induced vocal fold motion impairment was first reported in 1971, there are few reports. Herein, we describe a case which life threatening side effects occurred after injection laryngoplasty for the treatment of accompanied by dysphonia and aspiration patient with lymphoma.