Technique Benefits Patients With Vocal Fold Polyps

Percutaneous corticosteroid injection offers simple alternative to standard surgery

THURSDAY, Aug. 20 (HealthDay News) -- In patients with vocal fold polyps, percutaneous corticosteroid injection is a minimally invasive and effective treatment that may offer an alternative to standard direct microlaryngoscopic surgery, according to a study in the August issue of the Archives of Otolaryngology -- Head & Neck Surgery.

Yen-Bin Hsu, M.D., of National Yang-Ming University in Taipei, Taiwan, and colleagues performed percutaneous corticosteroid injection on 24 patients between March 1 and Dec. 31, 2007 -- usually within 20 minutes -- and observed successful completion in 22 patients.

In those patients, the researchers observed high rates of overall response and complete remission (91 and 59 percent, respectively) and no complications. They also noted significant postoperative improvements in the Grade of the Severity of Dysphonia, Roughness, Breathiness, Asthenicity, and Strain scale, mean Voice Handicap Index, maximum phonation time, jitter, shimmer, and noise to harmonic ratio.

"For patients with poor medical status and a higher surgical risk, this technique is a good alternative to direct microlaryngoscopic surgery," the authors write. "However, in patients who are uncooperative or who have a hypersensitive gag or swallowing reflex, accurate manipulation is difficult because of a poor and unstable surgical view."

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Rick Ansorge

Rick Ansorge

Published on August 20, 2009

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