title: Early results for treatment of unilateral vocal fold palsy with injection medialisation under local anaesthetic.
abstract: BACKGROUND
  The diagnosis and treatment of unilateral vocal fold palsy is a common part of otolaryngology practice. In those patients in whom resolution of symptoms is slow, the resulting dysphonia can have a dramatic effect on the patient's quality of voice and life. We have previously described the procedure of direct phonoplasty under local anaesthesia using the transnasal laryngoesophagoscope.
  
  
  OBJECTIVE
  To examine the subjective and objective data for the first five patients to undergo this procedure, in the form of laryngographic speech analysis, perceptual assessment and therapy outcome measures.
  
  
  RESULTS
  Analysis showed a statistically significant improvement in voice quality, in all the above assessment categories, following local anaesthetic direct phonoplasty using the transnasal laryngoesophagoscope.
  
  
  CONCLUSIONS
  Collagen injection via transnasal flexible laryngoesophagoscopy is a particularly useful technique for treating vocal fold medialisation, especially in palliative care patients and those with shortened life expectancy.
authors.affiliation: Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich, UK. rohitpratap@doctors.org.uk
authors.forename: Rohit
authors.initials: R
authors.lastname: Pratap
authors.forename: P
authors.initials: P
authors.lastname: Mehta
authors.forename: B
authors.initials: B
authors.lastname: Blagnys
authors.forename: P Q
authors.initials: PQ
authors.lastname: Montgomery
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007267:Injections; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000601:surgery*; D014833:Voice Quality
chemical_list: D000779:Anesthetics, Local