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Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
Mar 25, 2025;

Techniques of Injection Laryngoplasty Under Local Anaesthesia in Unilateral Vocal Fold Paralysis: A Systematic Review.

Florent Carsuzaa, Solange Milhe de Saint Victor, Sabine Crestani, Aude Lagier, Florent Espitalier, Erwan de Mones
Author Information
  1. Florent Carsuzaa: Service d'ORL et chirurgie cervico-faciale, CHU de Poitiers, Poitiers, France. ORCID
  2. Solange Milhe de Saint Victor: Service d'ORL et chirurgie cervico-faciale, CHU de Bordeaux, Bordeaux, France.
  3. Sabine Crestani: Service d'ORL et chirurgie cervico-faciale, H��pital Larrey, CHU de Toulouse, Toulouse, France.
  4. Aude Lagier: Service ORL et chirurgie cervico-faciale, CHU de Li��ge, Belgium.
  5. Florent Espitalier: Service d'ORL et chirurgie cervico-faciale, CHU de Nantes, Nantes, France.
  6. Erwan de Mones: Service d'ORL et chirurgie cervico-faciale, CHU de Bordeaux, Bordeaux, France.
PMID: 40130411 DOI: 10.1111/coa.14307

Abstract

INTRODUCTION: To compare the efficacy of vocal results and the occurrence of pulmonary complications of different techniques of injection laryngoplasty under local anaesthesia in unilateral vocal fold paralysis (UVFP).
METHODS: A systematic review of the literature was carried out and selected studies evaluating the efficacy and safety of transnasal, transoral, or transcutaneous injection laryngoplasty in iatrogenic, traumatic, tumoral, or idiopathic UVFP. The equation [(unilateral) AND ((vocal fold) OR (laryngeal) OR (vocal cord)) AND ((injection) OR (laryngoplasty)) AND ((office) OR (in-office) OR (local) OR (outpatient))] was used in an analysis of the literature over a period from 1995 to 2022.
RESULTS: Seventeen articles were retained for the final analysis. Among the 634 patients having undergone a single technique of injection laryngoplasty under local anaesthesia, 27 patients (4%) had medialisation by injection by transnasal route, 103 (17%) by transoral route, and 504 (79%) by transcutaneous route. Among the 278 patients having undergone analysis of maximum phonation time, an improvement of 4.57��������2.3���s was noted after the injection.
CONCLUSION: Injection laryngoplasty under local anaesthesia of UVFP is a reliable and safe technique enabling improved voice quality. The different techniques lead to improved vocal results similar to those found under general anaesthesia.

Keywords

injection laryngoplasty medialization vocal fold paralysis

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