Teflon granulomas and overinjection of teflon

A therapeutic challenge for the otorhinolaryngologist

Jan Kasperbauer, David H. Slavit, Nicholas E. Maragos

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

We have found that Teflon granulomas and the overinjection of Teflon with the resulting laryngeal dysfunction, although uncommon, present a challenge to the otorhinolaryngologist, due in large part to the inflammatory reaction to the injected Teflon. This report addresses the management of 16 patients (12 women and 4 men) treated surgically for symptoms secondary to Teflon granulomas or vocal folds that had been overinjected with Teflon. The presenting symptoms varied and included airway obstruction, cough, choking, swallowing difficulties, and dysphonia. In each case the granuloma and Teflon were removed endoscopically via a lateral cordotomy. A second procedure to address dysphonia due to vocal cord lateralization was frequently required and presents the challenge for the surgeon to select the appropriate procedure and time of intervention. The results of this retrospective review suggest that resolution of inflammatory changes and fibrosis subsequent to Teflon removal requires significant lengths of time and that thyroplasty techniques provide a means for medialization without reintroduction of the original inflammatory material.

Original languageEnglish (US)
Pages (from-to)748-751
Number of pages4
JournalAnnals of Otology, Rhinology & Laryngology
Volume102
Issue number10
DOIs
StatePublished - Jan 1 1993

Fingerprint

Polytetrafluoroethylene
Granuloma
Dysphonia
Vocal Cords
Airway Obstruction
Therapeutics
Cordotomy
Laryngoplasty
Deglutition
Cough
Fibrosis

Keywords

  • granuloma
  • Teflon injection
  • thyroplasty
  • vocal cord

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Teflon granulomas and overinjection of teflon : A therapeutic challenge for the otorhinolaryngologist. / Kasperbauer, Jan; Slavit, David H.; Maragos, Nicholas E.

In: Annals of Otology, Rhinology & Laryngology, Vol. 102, No. 10, 01.01.1993, p. 748-751.

Research output: Contribution to journalArticle

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