xRead - Swallowing Disorders in the Adult Patient (October 2024)

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8 Coulter et al

Otolaryngology–Head and Neck Surgery

Figure2. Forest plot of overall postoperative complication rate for injection laryngoplasty.

Figure3. Forest plot of overall postoperative complication rate for laryngeal framework surgery.

al 39 presented a cohort of 80 patients who underwent IL for UVFI and stated that 13.7% experienced recovery of mobility. Complications range from minor, such as edema requiring steroids or wound seroma, to significant, including 3 reports of airway obstruction necessitating tracheostomy after revi sion Gelfoam IL, 23 fat IL, 39 and arytenoid adduction. 33 A single patient death was directly attributable to study out comes with recurrent aspiration pneumonias after IL, 39 and 1 patient with no aspiration preoperatively had worse swallow ing with aspiration postoperatively. 17

endoscopic investigation after the intervention to determine if vocal fold mobility might have recovered (which would be expected at least in some subjects). While IL is a very low risk procedure, without these necessary follow-up data it is difficult to determine what percentage of subjects under going IL for acute UVFI might have recovered without the need for surgical intervention. Because of this, overall success in these studies might be overestimated. In a cohort of 11 patients with aspiration who underwent IL, Anderson and Mirza 35 found that all improved following the proce dure, but 3 recovered vocal fold mobility. Laccourreye et