WHILE A resident, one of us (McDevitt) became interested in the newly resurrected procedure of injecting the vocal cords for lateral fixation or adductor paralysis. The procedure reduced to basic simplicity consists of injecting a suitable material lateral to the margin of the paralyzed vocal cord, and thereby crowding the paralyzed margin medially.1 At present, the best materials we have for injection are Teflon and silicone.1-4
The first two patients which we considered for vocal cord injection were a 35-year-old female school teacher and a 46-year-old unemployed man. The school teacher had right adductor paralysis of two months' duration secondary to section of the recurrent nerve during thyroid surgery. The man's paralysis was an isolated entity of idiopathic origin present for six weeks.
Almost from the beginning of vocal cord injection, authors have stressed the importance of not being in too big of a hurry to inject the
McDevitt TJ, Edlin AI, Nelson RB. Experimental Recurrent Nerve Resection. Arch Otolaryngol. 1969;89(6):892–894. doi:10.1001/archotol.1969.00770020894018
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