Laryngeal steroid injection for vocal fold scar.
OBJECTIVE
Vocal fold scar is generally caused by trauma or from iatrogenic causes such as intubation, radiation therapy or phonomicrosurgery. Once a vocal fold scar has occurred it becomes a difficult problem to treat. There are many different tools that otolaryngologists use for vocal fold scar treatment. This study reviews the literature and discusses the usefulness of laryngeal steroid injection for the treatment of vocal fold scar.


RESULTS
Steroid injection can be performed on an outpatient basis using a rigid laryngeal telescope or with a flexible laryngoscope under topical anesthesia. This technique allows easy surgical manipulation with a good visual field and an easy accurate approach to the lesion. The literature is limited regarding the benefits of steroid injection for vocal fold scar.


CONCLUSIONS
Steroid injection of the scarred vocal fold using an office-based technique is one of the ways that we can treat vocal fold scarring that may improve the patient's voice outcomes with minimal side effects or complications.
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia 22908, USA. mm6nj@virginia.edu
Melissa
M
Mortensen
D000553:Ambulatory Care; D002921:Cicatrix / Q000188:drug therapy* / Q000473:pathology / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015552:Injections, Intralesional; D007818:Laryngeal Diseases / Q000188:drug therapy* / Q000473:pathology; D007828:Laryngoscopy / Q000379:methods; D008297:Male; D018570:Risk Assessment; D013256:Steroids / Q000008:administration & dosage*; D016896:Treatment Outcome; D014827:Vocal Cords / Q000187:drug effects* / Q000293:injuries / Q000473:pathology; D014833:Voice Quality
D013256:Steroids