Polydimethylsiloxane for injection laryngoplasty: two cases necessitating tracheotomy.
The surgical treatment of glottic insufficiency due to lesions of the recurrent laryngeal nerve has become a routine procedure in the last few decades. In particular, injection laryngoplasty with polydimethylsiloxane (PDMS) has proved to be an easy, effective and safe method for vocal fold medialization. It is a biologically inert substance having almost ideal properties as a filler; complications related to its intralaryngeal use such as migration, or granuloma formation are extremely rare and allergic reactions have not been reported as yet. We discuss two cases representing the first description of acute severe complications after injection laryngoplasty with PDMS.
Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center, Doberaner Str. 137-139, 18057, Rostock, Germany, atiova@gmail.com.
Attila
A
Ovari
Gabriele
G
Witt
Tobias
T
Schuldt
Volker
V
Hingst
Hans-Wilhelm
HW
Pau
Martin
M
Jäckel
Steffen
S
Dommerich
D000038:Abscess / Q000601:surgery*; D004129:Dimethylpolysiloxanes / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007267:Injections; D007818:Laryngeal Diseases / Q000601:surgery*; D007819:Laryngeal Edema / Q000000981:diagnostic imaging / Q000601:surgery*; D058753:Laryngoplasty / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014140:Tracheotomy; D014826:Vocal Cord Paralysis / Q000601:surgery*; D014827:Vocal Cords / Q000601:surgery*
D004129:Dimethylpolysiloxanes; C013830:baysilon