Unexplained Profound Hypoglycemia After Vocal Fold Lipoinjection.
Vocal fold injection is used for the management of glottal incompetence from various causes. The procedure is well tolerated and has few reported complications. We present a case of a 66-year-old man with long-lasting hoarseness secondary to vocal fold atrophy, who underwent an uneventful bilateral vocal fold injection with autologous fat. While in the recovery area, he experienced profuse sweating approximately 30 minutes after the surgical procedure. His blood glucose value was measured at 24 mg/dL, and plasmatic insulin level was 246 mU/L. To our knowledge, this is the first reported case of a systemic side effect after vocal fold lipoinjection.
From the *Department of Anesthesiology, Tufts Medical Center, Boston, Massachusetts; and †Brigham and Women's Hospital, Boston, Massachusetts.
Shohreh
S
Modanlou
Nicole
N
Marie Giglio
Thomas
T
Carroll
Carlo
C
Pancaro
D000273:Adipose Tissue / Q000637:transplantation*; D000368:Aged; D001284:Atrophy; D001786:Blood Glucose / Q000378:metabolism; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000209:etiology*; D008297:Male; D014182:Transplantation, Autologous; D064706:Vocal Cord Dysfunction; D014826:Vocal Cord Paralysis / Q000097:blood / Q000628:therapy; D014827:Vocal Cords / Q000473:pathology*; D014832:Voice Disorders / Q000097:blood / Q000473:pathology* / Q000628:therapy*
D001786:Blood Glucose