Intralesional steroid injection as an alternative treatment for 57 patients of vocal fold mucus retention cysts

Wu, Peng; Cheng, Ping‐Chia; Fc, Lin; Ct, Wang

doi:10.1111/coa.13137

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…The cumulative failure rates (subjective symptom recurrence) at 6, 12, 18, and 24 months after VFSI were 12, 17, 24, and 32%, respectively. Similarly, Wu et al [8] also showed a 33% recurrence rate after a single VFSI in a case series of patients with vocal fold cysts. Although our study does not have the long-term surveillance, the possible recurrence rate is important for the patient counselling and decision making.…”

Section: Discussionmentioning

confidence: 68%

“…Post operative scarring is also a concern and many professional voice users would prefer to avoid as it has been associated with irreversible mucosal wave dysfunction [5,6]. With the trend towards non-invasive therapy and advances in both endoscopic imaging and equipment, it is possible to offer an alternate to conventional surgery with vocal fold steroid injection [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…The reported potential complications of vocal fold steroid injection (VFSI) include muscle atrophy, hemorrhage and allergic reaction [7][8][9] Another possible complication is the immunosuppression effect of the steroids, local or systemic [12].…”

Section: Introductionmentioning

confidence: 99%

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The role of steroid injection for vocal folds lesions in professional voice users

Al-Ali

Anderson

2020

J of Otolaryngol - Head & Neck Surg

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Background: Benign vocal fold lesions identified in professional voice users, frequently require further treatment after failure of conservative measures. The role of vocal fold steroid injection as a treatment option for select benign lesions is the focus of this study. Steroid injection may avoid phonosurgery in some individuals thereby reducing the potential for adverse side effects associated with surgery. Objective: The purpose of the study is to review the effect of steroid injection on vocal function in professional voice users associated with a benign lesion(s) using the Voice Handicap Index-10. Method: This study is a retrospective review of patients (professional voice users) that underwent 1 or more steroid injection(s) between July 2014-December 2018. The Voice Handicap Index-10 was compared from pre to post treatment. Patients were identified using billing code data for laryngeal injection. Patient demographics (age, gender, profession), previous phonosurgery, date of steroid injection and follow up dates as well as VHI-10 scores were collected from the electronic medical record. Results: Twenty four patients were identified. The mean Voice HandicapIndex-10 score decreased from 23.5 pre injection to 17.8 post injection which represented a reduction of 24.3%. Vocal fold steroid injection procedure in our series was associated with one complication. Conclusion: Vocal fold steroid injection for benign lesions is a safe, well-tolerated procedure with an improvement in vocal function without surgical intervention. Steroid injection should be considered as a treatment option to avoid surgery in patients with select vocal fold lesions.

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Section: Discussionmentioning

confidence: 68%