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AAO-HNSF 2012: Challenging Vocal Fold Paralysis Cases

by Thomas R. Collins • October 1, 2012

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Dr. Blumin said he would not normally do an EMG but might if the patient agrees. “I usually present that to the patient, saying that it’s sort of an academic exercise, and we would see if you have some kind of bilateral involvement,” he said. “However, I would treat what clinically seems to need to be treated, which appears to be the left side.”

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Explore This Issue
October 2012

Most of the panel said that they used to prefer Zyplast as the injection material, but it’s been off the market for two and a half years—removed by the manufacturer strictly for financial reasons, said Dr. Simpson. Dr. Merati said he “felt like I lost a friend that day.” Now, they tend to use Restylane, largely for its feeling of “cushioning” compared with some other agents.

Panel members agreed that the length of time a material will last after being injected is hard to predict from patient to patient, regardless of which material is used. “I’ve seen it happen variably with all these materials,” Dr. Johns said. “And I’ve tried them all, so I think they’re largely substitutable.”

Pages: 1 2 3 4 | Single Page

Filed Under: Departments, Laryngology, Medical Education, Practice Focus Tagged With: AAO-HNSF, laryngoplasty, paralysis, technology, treatment, vocal foldIssue: October 2012

You Might Also Like:

  • Treatment Options for Vocal Fold Paralysis
  • Vocal Fold Paralysis Treatments
  • Is Laryngeal Electromyography Useful in the Diagnosis and Management of Vocal Fold Paresis/Paralysis?
  • Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis: Are We Ready

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