A Complication of Injection Laryngoplasty Using Radiesse

✍ Scribed by Erik R. Swanson; Dale C. Ekbom; I-Fan T. Mau; Robert H. Ossoff

• Book ID: 102448061
• Publisher: John Wiley and Sons
• Year: 2009
• Tongue: English
• Weight: 466 KB
• Volume: 119
• Category: Article
• ISSN: 0023-852X
• DOI: 10.1002/lary.20394

✦ Synopsis

A 50-year-old male presented to a community-based otolaryngologist with a four year history of hoarseness. Fiberoptic laryngoscopy revealed mild, bilateral atrophy of the true vocal folds with incomplete closure. The patient underwent bilateral true vocal fold injection laryngoplasty with Radiesse. He continued to have a breathy voice postoperatively. Three months after the first injection, bilateral injection laryngoplasty with Radiesse was repeated. Following this operation, the patient's voice became significantly worse. He presented to our center where videostroboscopy revealed significant loss of mucosal wave. There was evidence of calcium hydroxylapatite bilaterally within the superficial lamina propria of the true vocal folds. We cared for this patient conservatively using a combination of medical management, voice therapy and serial videostroboscopy. His voice improved and videostroboscopy confirmed partial resorption of Radiesse. The patient's voice has returned to eighty percent of baseline.