A vocal fold injection is a procedure in which a substance is directly injected into the vocal fold. This may be a filling agent such as collagen, or a medication such as a steroid. Vocal fold injections may be performed with a patient awake in an office setting or asleep in an operating room.
Vocal fold injections with filling agents are most commonly performed for conditions of paralysis and for treatment of the aging voice. They may also be performed for other causes of glottal insufficiency such as scar. Vocal fold augmentation is performed in the operating room along with microlaryngoscopy. With a patient asleep a laryngoscope is inserted in a patient’s mouth and used to examine a patient’s vocal folds. A telescope or a microscope is used to magnify the view through the laryngoscope. A long needle is used to inject filling agent to the vocal fold. Once an injection is performed there is an obvious change in the shape of the vocal fold. Filling agents may be temporary, intended to last for only a few weeks, or more permanent in nature. Filling agents may also be synthetic, or natural such as use of a patient’s own fat for injection into the vocal folds.
Left vocal fold paralysis, before left vocal fold augmentation. The vocal fold is paralyzed and is noticably thinner than the right side.
A needle is being introduced into the left vocal fold. A microscope is used to guide placement of the injection.
Left vocal fold injection – Before (left image) and after (right image). Note that the left vocal fold has is overcorrected to account for absorbption.
Medications to treat disease may also be injected. For example, steroids may used in the treatment of granuloma. Certain medications, such as cidofovir have been used for management of papilloma. In these applications the only difference is the location of the injection – the tools used are very similar.
Throatdisorder.com is an online resource for patients and physicians to learn more about common voice, swallowing, breathing and throat disorders. Throat complaints, from cough to cancer, are a common reason for patients to seek medical treatment. This website developed as a result of Dr. Sunil Verma's passions: that of education, patient care, and interest in technology.
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Didn’t feel care for left the office feeling discouraged, dr didn’t seem interested in finding out why I’m having my symptoms. From his opinion I’m fine. When a doctor wants to really help they’ll try all test possible to find the problem, instead he said I need to see a pain specialist and I left.
I couldn’t ask for a better experience with a Doctor and staff. Dr. Verma put me at ease and walked me through the Vocal fold injection process. He made it an easy experience and he was always informative and willing to answer questions. I felt heard and never rushed.
Dr. Verma is awesome. He takes the time to answer any questions or concerns you may have without making you feel rushed. He’s very skilled at what he does, and his staff is very friendly. I highly recommend him!!
Dr. Verma was warm, kind, spent adequate time, seemed incredibly knowledgeable. Despite not knowing exactly what I'm experiencing, he was confident in a course of action. His staff was very nice as well.
All the Dr's, Nurse's & Staffs of the UCI are amazing!! They are very polite, loving, kind, and all around great Team!! Special thanks to Doctor Verma for all the work that you're done for my dad. Our family sincerely appreciate all of you very much!!
Dr. Verma and his staff were totally professional. I came in from Palm Springs and it truly was worth the ride. I have what’s called a ZINKER. He had to put a tube down my nose to examine me. I didn’t feel a thing.Forgot to mention I’m a big baby. All in all it was a very good experience. Thank you Dr. Verma