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  • Book
    Byung-Joo Lee, Tack-Kyun Kwon, Clark A. Rosen, editors.
    Summary: This book provides step-by-step illustrated descriptions of diverse vocal fold injection techniques, including some not previously described. The aim is to provide laryngologists in general, and especially those who are less experienced, with the detailed understanding and guidance needed in order to achieve optimal outcomes. Highly experienced experts describe approaches via the transoral, transnasal, and transcutaneous routes and offer guidance on indications, injection materials, pre- and postoperative care, and the management of complications. Special considerations that must be borne in mind when employing different vocal fold injection techniques, in different settings, are also carefully explained. In offering comprehensive, up-to-date information on this minimally invasive and cost-effective procedure, Vocal Fold Injection will be an essential aid for practitioners.

    Contents:
    Intro
    Preface
    Contents
    Contributors
    Part I: General Considerations and Preoperative Preparations
    1: History of Vocal Fold Injection
    1.1 Historical Perspective of Vocal Fold Injection
    1.2 Paraffin
    1.3 Cartilage and Bone Paste
    1.3.1 Cartilage
    1.3.2 Bone Paste
    1.3.3 Shortcomings of Cartilage and Bone Paste
    1.4 Tantalum
    1.5 Teflon
    1.5.1 Introduction of Teflon
    1.5.2 Clinical Efficacy and Technical Improvement of Teflon Injection
    1.5.3 Tissue Response to Injected Teflon
    1.5.4 Complications of Teflon
    1.6 Silicone 1.6.1 Introduction of Silicone
    1.6.2 Development of Improved Form of Silicone
    1.6.3 Shortcoming of Silicone
    1.7 Gelfoam
    1.8 Collagen
    1.8.1 Exogenous Collagen (Heterologous Bovine Collagen, Zyderm® or Zyplast®)
    1.8.2 Human Collagen
    1.8.2.1 Autologous Collagen (Purified Human Forms of Autologous Collagen)
    1.8.2.2 Homologous Collagen (Purified Forms of Human Collagen from Homologous Cadaveric Skin, Micronized Acellular Derma Compound, Cymetra®)
    References
    2: Surgical Anatomy for Vocal Fold Injection
    2.1 Laryngeal Framework
    2.1.1 Hyoid Bone 2.1.2 Thyroid Cartilage
    2.1.3 Cricoid Cartilage
    2.2 Laryngeal Membranes and Ligaments
    2.2.1 Extrinsic
    2.2.2 Intrinsic
    2.3 Laryngeal Cavity
    2.3.1 Preepiglottic Space
    2.3.2 Paraglottic Space
    2.4 Vocal Fold
    2.4.1 Gross Anatomy
    2.4.2 Microanatomy
    2.5 Anatomical Consideration for VFI
    References
    3: Indications for Vocal Fold Injection
    3.1 Unilateral Vocal Fold Paralysis
    3.1.1 Definition
    3.1.2 Etiology
    3.1.2.1 Iatrogenic
    3.1.2.2 Neoplastic (Non Laryngeal)
    3.1.2.3 Idiopathic
    3.1.3 Evaluation
    3.1.3.1 History Taking 3.1.3.2 Laryngoscopy and Stroboscopy
    3.1.3.3 Imaging Studies
    3.1.3.4 Voice Assessments
    3.1.3.5 Laryngeal Electromyography
    3.1.4 Treatment
    3.1.4.1 Principle
    3.1.4.2 Spontaneous Recovery
    3.1.4.3 Voice Therapy
    3.1.4.4 Surgical Management
    3.2 Benign Vocal Fold Lesions
    3.2.1 Definition
    3.2.2 Etiology
    3.2.3 Diagnosis
    3.2.4 Treatment
    3.3 Spasmodic Dysphonia
    3.3.1 Definition
    3.3.2 Etiology
    3.3.3 Diagnosis
    3.3.4 Treatment
    3.4 Vocal Process Granuloma
    3.4.1 Definition
    3.4.2 Etiology
    3.4.3 Diagnosis
    3.4.4 Treatment References
    4: Anesthesia for Vocal Fold Injection
    4.1 Introduction
    4.2 Anatomy
    4.2.1 Nasal Cavity
    4.2.2 Oropharynx
    4.2.3 Larynx
    4.3 Medications
    4.3.1 Anesthetics
    4.3.1.1 Lidocaine
    4.3.1.2 Tetracaine
    4.3.2 Decongestants
    4.3.3 Anti-Secretion Medications
    4.4 Procedures
    4.4.1 Patient Preparation
    4.4.2 Nasal Anesthesia
    4.4.3 Pharyngeal Anesthesia
    4.4.4 Laryngeal Anesthesia
    4.4.5 Skin Anesthesia
    4.5 Medical Concerns
    References
    Part II: Approaches for Vocal Fold Injection
    5: Trans-Oral Approach
    5.1 Introduction
    5.2 Indications for Trans-Oral Technique.
    Digital Access Springer 2021