Clinical Note
Apr 2012

An Unusual Complication of Vocal Fold LipoinjectionCase Report and Review of the Literature

Author Affiliations

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, University of Pittsburgh Voice Center, Pittsburgh, Pennsylvania (Drs Young and Rosen); and Department of Otolaryngology, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York (Drs Wijewickrama and Pizzuto).

Arch Otolaryngol Head Neck Surg. 2012;138(4):418-420. doi:10.1001/archoto.2012.46

Vocal fold injection is used for the management of glottal incompetence from various causes.1,2 The procedure is well tolerated and has few reported complications.25 The only previously reported case of infection following vocal fold injection was an intralaryngeal abscess from micronized cadaveric collagen (Cymetra Micronized Alloderm, LifeCell Corp).6 We present a case of a 14-year-old healthy girl with lifelong hoarseness secondary to vocal fold paralysis after patent ductus arteriosus ligation as an infant, who underwent an uneventful bilateral vocal fold injection with autologous fat and presented 3 weeks later with a superficial neck abscess requiring incision and drainage. She has recovered well and has experienced no adverse effect on her voice. To our knowledge, this is the first reported case of a neck abscess following lipoinjection. Literature describing complications of this procedure was also reviewed.

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