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A comparative study of voice outcomes and complication rates in patients undergoing injection laryngoplasty performed under local versus general anaesthesia: an Adelaide voice specialist's experience

Published online by Cambridge University Press:  06 February 2017

D Chandran ,
C Woods ,
S Ullah ,
E Ooi  and
T Athanasiadis
D Chandran
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia
C Woods
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia
S Ullah
Affiliation:
Flinders Centre for Epidemiology and Biostatistics, School of Medicine, Flinders University, Adelaide, Australia
E Ooi
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia
T Athanasiadis*
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia Adelaide Voice Specialists, Australia
*
Address for correspondence: Dr Theodore Athanasiadis, Flinders ENT, Department of Surgery, Flinders University and Flinders Medical Centre, Bedford Park, Adelaide, SA 5042, Australia Fax: +61 8 8204 7524 E-mail: theoathans@gmail.com
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Abstract

Objective:

To compare clinical outcomes and complication rates in patients undergoing injection laryngoplasty performed under local versus general anaesthesia.

Methods:

A retrospective review was conducted of patients who underwent injection laryngoplasty performed by a single laryngologist in a tertiary Australian laryngology centre, between February 2013 and December 2014. Patient demographics, anaesthetic modality and complications were recorded. Voice Handicap Index 10 and the Grade, Breathiness, Roughness, Asthenia, Strain scale were evaluated.

Results:

Thirty-four laryngoplasties were performed under general anaesthesia and 41 under local anaesthesia, with mean patient ages of 59.5 and 68.8 years, respectively. Voice Handicap Index 10 scores were significantly improved post-injection (p < 0.001), with no significant difference between general anaesthesia and local anaesthesia (p > 0.05). All aspects of the Grade, Breathiness, Roughness, Asthenia, Strain scale showed significant improvement post-injection, except asthenia. There were seven (9.3 per cent) minor complications (five in the general anaesthesia group, two in the local anaesthesia group), all managed conservatively.

Conclusion:

Injection laryngoplasties performed under general anaesthesia and local anaesthesia offer similar voice outcomes, with comparable complication rates. Hence, development of a management algorithm for injection laryngoplasties performed under local anaesthesia is recommended.

Keywords

LaryngoplastyVocal CordsDysphoniaRestylaneComplicationsVocal Cord Paralysis

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Supplement S1 , January 2017 , pp. S41 - S46
Copyright
Copyright © JLO (1984) Limited 2017 

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Footnotes

Presented orally at the 65th Australian Society of Otolaryngology Head and Neck Surgery Annual Scientific Meeting, 4–7 March 2015, Sydney, Australia.

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