Techniques of Injection Laryngoplasty Under Local Anaesthesia in Unilateral Vocal Fold Paralysis: A Systematic Review

IF 1.5 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-03-25 DOI:10.1111/coa.14307

Florent Carsuzaa, Solange Milhe de Saint Victor, Sabine Crestani, Aude Lagier, Florent Espitalier, Erwan de Mones

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引用次数: 0

Abstract

Introduction

To compare the efficacy of vocal results and the occurrence of pulmonary complications of different techniques of injection laryngoplasty under local anaesthesia in unilateral vocal fold paralysis (UVFP).

Methods

A systematic review of the literature was carried out and selected studies evaluating the efficacy and safety of transnasal, transoral, or transcutaneous injection laryngoplasty in iatrogenic, traumatic, tumoral, or idiopathic UVFP. The equation [(unilateral) AND ((vocal fold) OR (laryngeal) OR (vocal cord)) AND ((injection) OR (laryngoplasty)) AND ((office) OR (in-office) OR (local) OR (outpatient))] was used in an analysis of the literature over a period from 1995 to 2022.

Results

Seventeen articles were retained for the final analysis. Among the 634 patients having undergone a single technique of injection laryngoplasty under local anaesthesia, 27 patients (4%) had medialisation by injection by transnasal route, 103 (17%) by transoral route, and 504 (79%) by transcutaneous route. Among the 278 patients having undergone analysis of maximum phonation time, an improvement of 4.57 ± 2.3 s was noted after the injection.

Conclusion

Injection laryngoplasty under local anaesthesia of UVFP is a reliable and safe technique enabling improved voice quality. The different techniques lead to improved vocal results similar to those found under general anaesthesia.

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局部麻醉下注射喉成形术治疗单侧声带麻痹的系统回顾。

前言：比较不同麻醉方式注射喉成形术治疗单侧声带麻痹（UVFP）的声带效果及肺部并发症的发生情况。方法：对文献进行了系统的回顾，并选择了一些研究来评估经鼻、经口或经皮注射喉部成形术治疗医源性、外伤性、肿瘤性或特发性UVFP的有效性和安全性。公式[（单侧）AND（（声带）OR（喉）OR（声带））AND（注射）OR（喉成形术）AND（办公室）OR（办公室）OR（局部）OR（门诊）]]用于1995年至2022年期间的文献分析。结果：保留17篇文章进行最终分析。在634例局部麻醉下接受单次注射喉成形术的患者中，27例（4%）患者经鼻注射麻醉，103例（17%）经口注射麻醉，504例（79%）经皮注射麻醉。278例患者进行最大发声时间分析，注射后改善4.57±2.3 s。结论：局部麻醉下UVFP注射喉成形术是一种可靠、安全的喉成形术，可改善喉的声音质量。不同的技术导致改善的声音结果类似于在全身麻醉下发现的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.