Skip to main content
SpringerLink
Log in

Steroid injection to vocal nodules using fiberoptic laryngeal surgery under topical anesthesia

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology and Head & Neck Aims and scope Submit manuscript

Abstract

Since 1990, we have performed steroid injection into the vocal fold by fiberoptic laryngeal surgery (FLS) under local anesthesia. In this study, the usefulness of this method was evaluated in 28 patients with vocal nodules. Under monitoring using a fiberoptic laryngoscope, a curved injection needle was inserted via the oral cavity and steroid was injected. Endoscopic findings showed that the vocal nodule had disappeared in 17 patients of the 27 patients and decreased in 10 after injection. The maximum phonation time was 10.9 s before operation and 13.9 s after operation, showing a significant increase (P<0.05), and the mean flow rate also showed a significant improvement (P<0.05). The patients’ self-rating concerning hoarseness demonstrated great improvement after injection. This technique can be performed under local anesthesia in combination with voice therapy on an outpatient basis, and it is considered to be useful for treating vocal nodules.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Glanz H, Schulz A, Kleinsasser O, Schulze W, Dreyer T, Arens C (1997) Benign lesions of the larynx: basic clinical and histopathological data. In Kleinsasser O, Glanz H, Olofsson J (eds) Advances in laryngology in Europe. Elsevier Science, Amsterdam, pp 3–14

    Google Scholar 

  2. Benjamin B (1998) Vocal nodules. In: Benjamin B (ed) Endolaryngeal surgery. Dunitz, London, pp 113–124

  3. Isshiki N, Shiba M, Yubiyado T, Honjo I (1968) Corticosteroid injection for chronic rhinitis. Practica Otorhinolaryngol 61:1581–1589

    Google Scholar 

  4. Klossek JM, Laliberte F, Laliberte MF, Mounedji N, Bousquet J (2001) Local safety of intranasal triamcinolone acetonide: clinical and histological aspects of nasal mucosa in the long-term treatment of perennial allergic rhinitis. Rhinology 39:17–22

    CAS  PubMed  Google Scholar 

  5. Yanagihara N, Azuma F, Koike Y, Honjo I, Imanishi Y (1964) Intracordal injection of dexamethasone. Practica Otorhinolaryngol 57:496–500

    Google Scholar 

  6. Kojima H, Honjo I (1992) Fiberoptic laryngeal surgery with strobolight. In: Isshiki N (ed) Syllabus of international phonosurgery workshop—laryngeal framework surgery. Kyoto University, Kyoto, pp 157–162

  7. Nonomura M, Kojima K, Ohmori K, Kanaji M (1993) Fiberoptic laryngeal steroid injection. Larynx Japan 5:59–61

    Google Scholar 

  8. Omori K, Shinohara K, Tsuji T, Kojima H (2000) Videoendoscopic laryngeal surgery. Ann Otol Rhinol Laryngol 109:149–155

    CAS  PubMed  Google Scholar 

  9. Boehnke M, Behrend R, Dietz G, Kuster RM (1994) Intraarticular hip treatment with triamcinolonehexacetonide in juvenile chronic arthritis. Acta Univ Carol 40:123–126

    CAS  Google Scholar 

  10. Caldwell JR (1996) Intra-articular corticosteroids. Guide to selection and indications for use. Drugs 52:507–514

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology—Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Ichiro Tateya, Shigeru Hirano, Ken-ichi Kaneko & Juichi Ito

  2. Division of Otolaryngology—Head and Neck Surgery, University of Wisconsin-Madison, K4/789 CSC 600 Highland Ave., Madison, WI 53792 , USA

    Ichiro Tateya

  3. Department of Otolaryngology, Fukushima Medical University, 960-1295 , Fukushima, Japan

    Koichi Omori

  4. Kojima ENT Clinic, 5-9 Shimogamo-Maehagi-cho, 606-0833, Kyoto, Japan

    Hisayoshi Kojima

Authors
  1. Ichiro Tateya
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Koichi Omori
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hisayoshi Kojima
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shigeru Hirano
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ken-ichi Kaneko
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Juichi Ito
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ichiro Tateya.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tateya, I., Omori, K., Kojima, H. et al. Steroid injection to vocal nodules using fiberoptic laryngeal surgery under topical anesthesia. Eur Arch Otorhinolaryngol 261, 489–492 (2004). https://doi.org/10.1007/s00405-003-0720-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-003-0720-x

Keywords

Search

Navigation