Endoscopic vocal fold injection using a 25-gauge butterfly needle

Abstract

AbstractObjective:To describe a useful technique for infiltrating a bulking agent using a butterfly needle, as part of a transoral endoscopic vocal fold medialisation procedure.Methods:This paper describes the procedure of grasping the needle with phonosurgery forceps and administering the injectate to the vocal fold through careful application of the syringe plunger via a length of rubber tubing from outside the mouth.Results:This procedure is performed routinely in our institution without complication. The advantages of this technique are discussed.Conclusion:This is a safe and easy method of injecting into a vocal fold.