• Users Online: 409
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 16  |  Issue : 3  |  Page : 241-246

Transnasal endoscopic steroid injection for treatment of vocal fold polyps (a noninvasive technique)


Department of ENT, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Correspondence Address:
Ahmed S Abdelgelil
Lecturer of ENT Faculty of Medicine Al-Azhar University
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AZMJ.AZMJ_43_18

Rights and Permissions

Background Numerous studies have demonstrated the effectiveness of vocal fold steroid injection for treating benign laryngeal lesions, including vocal nodules, polyp, cyst, and Reinke’s edema. Glucocorticoids are the most-effective anti-inflammatory agents available, as they offer symptom alleviation in a series of clinical manifestations. Objective This study was designed to investigate the clinical applicability, effectiveness, and adverse events of transnasal endoscopic steroid injection for benign vocal fold polyps. Patients and methods This study was conducted on 25 patients with vocal cord polyps, under monitoring using a high-resolution camera system. Injection was performed using a disposable 180 cm long flexible varices needle inserted into the operating channel of the fiberoptic nasolaryngoscope. Results Endoscopic evaluation revealed complete resolution of the polyps in five (20%) patients after 1 month and in 12 (48%) patients after 3 months. Polyp size was reduced in 18 (72%) patients after 1 month and in 11 (44%) patients after 3 months, whereas two cases had no change in polyp size after the procedure. The maximum phonation time before the procedure of an average of 10.2 s was prolonged to an average of 13.5 s after the procedure. The mean flow rate before the procedure was 225 ml/s, which was reduced to 172 ml/s after the procedure. Conclusion The transnasal endoscopic steroid injection has the advantages of allowing surgical manipulations under direct visual guidance, thus ensuring an accurate easy approach to the lesion. The procedure can be used for patients refusing or unfit for general anesthesia.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed944    
    Printed52    
    Emailed0    
    PDF Downloaded101    
    Comments [Add]    

Recommend this journal