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Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management

  • Neil B. Solomons (a1) and Jonathan R. Livesey (a1)

Abstract

A 67-year-old man presented with a 45-year history of a weak voice. This was the result of polio which had left him with a right vocal cord palsy.

The patient underwent a Teflon injection of the right vocal cord under general anaesthesia to improve the quality of his voice. In the immediate post-operative period, he suffered acute upper airway obstruction. The problem of acute upper airway obstruction following Teflon injection is considered and its management with nebulized adrenaline and a helium/oxygen mixture is discussed.

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Corresponding author

Mr N. B. Solomons, FRCS Senior Registrar in ENTRoyal Surrey County HospitalGuildford SurreyGU2 5XX

References

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Adair, J. C., Ring, W. H., Jordan, W. S., Elwyn, R. A. (1971) Ten year experience with IPPB in the treatment of acute laryngotracheobronchitis. Anaesthesia and Analgesia, 50: 649655.
Arnold, G. E. (1962) Vocal rehabilitation of paralytic dysphonia. IX. Technique of intracordal injection. Archives of Otolaryngology, 76: 358368.
Bates, G. J. E. M., Curley, J. W. A., Ward, M. E. (1984) Respiratory obstruction following vocal cord injection of Teflon paste. Anaesthesia, 39: 1232–134.
Brünings, W. (1911) Uber eine neue Behandlungsmethode der Rekurrenslahmung. Verhandlungender Deutschen Laryngolischen Gesellschaft, 18: 93151.
Couriel, J. M. (1988) Management of croup. Archives of Disease in Childhood, 63: 13051308.
Howard, D. J. (1987) In Scott Brown's Otolaryngology 5th edn. (Kerr, A. G., ed.) vol. 5 (Stell, P. M., ed.) p 184, Butterworths, London.
Lewy, R. B., Millet, D. (1978) Immediate local tissue reactions to Teflon vocal cord implants. Laryngoscope, 88: 13391342.
Lewy, R. B. (1983) Teflon injection of the vocal cord: complications, errors and precautions. Annals of Otology, Rhinology and Laryngology, 92: 473474.
Macintosh, R., Mushin, W. W., Epstein, H. G. (1958) In Physics for Anaesthetists 2nd edn., pp 192195, Blackwell Scientific Publications, Oxford.
Maran, A. G. D., Hardcastle, P. F., Hamid, A., Mackenzie, I. J. (1986) An analysis of 102 cases of Polytef injection of the vocal cord. Journal of Larynogology and Otology, 100: 4751.
Sadek, S. A. A., Nassar, W. Y., Tobias, M. A. (1987) Teflon injection of the vocal cords under general anaesthesia (review of 262 cases) Journal of Laryngology and Otology, 101: 695705.

Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management

  • Neil B. Solomons (a1) and Jonathan R. Livesey (a1)

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