Inflammatory complications of vocal fold injection with hyaluronic acid: a multiinstitutional study
Background/aim: This study aimed to assess the inflammatory adverse reactions of vocal fold injection laryngoplasty with hyaluronic acid. Materials and methods: This study was a retrospective chart review of patients who underwent vocal fold injection augmentation with HA injection from January 2005...
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| Veröffentlicht in: | TURKISH JOURNAL OF MEDICAL SCIENCES 2021-04, Vol.51 (2), p.819-825 |
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| creator | Enver, Necati Azizli, Elad Akbulut, Sevtap Tatar, Emel Cadalli Yelken, Muhammed Kursad Ozturk, Kayhan Coskun, Hakan Birkent, Ahmet Hakan Buyukatalay, Zahide Ciler Ozgursoy, Ozan Bagis Oguz, Haldun |
| description | Background/aim: This study aimed to assess the inflammatory adverse reactions of vocal fold injection laryngoplasty with hyaluronic acid.
Materials and methods: This study was a retrospective chart review of patients who underwent vocal fold injection augmentation with HA injection from January 2005 to September 2016 in nine different institutions. Demographic data, indication for injection, injection techniques, types of injection material, settings of procedure, and complications were reviewed. The types of complication, onset time, and management of complications were also noted.
Results: In all, 467 patients were identified. The majority of patients had been injected under general anesthesia (n = 382, 84.7%). For injection material, two different types of hyaluronic acid were used: hyaluronic acid alone or hyaluronic acid with dextranomer. Complications occurred in nine patients (1.9%). The majority of complications were inflammatory reactions (n = 7, 1.47%). Main symptoms were dysphonia and/or dyspnea with an onset of 0 h to 3 weeks after the hyaluronic acid injection. Three patients were hospitalized, one of which was also intubated and observed in the intensive care unit for 24 h. Systemic steroids and antibiotics were the main medical treatment in the majority of cases. There was no statistical difference in complication rates between patients who received hyaluronic acid and those who received hyaluronic acid with dextranomer (P = 0.220).
Conclusion: Hyaluronic acid can be considered as a safe substance for the injection of vocal folds with a low risk of inflammatory reaction. |
| doi_str_mv | 10.3906/sag-2008-5 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_webof</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8203174</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>33350297</sourcerecordid><originalsourceid>FETCH-LOGICAL-c378t-bc5af007a70d21eccf53e56e290bb99f3ab415c26303f2ccd069e0cf2c348afd3</originalsourceid><addsrcrecordid>eNqNkctKxDAUhoMo3jc-gGStVE-TphcXggzeQHCj65CeJk6kTYYmdZi3t3V00J2rHDjf_4d8IeQkhQteQX4Z1FvCAMpEbJH9lANP8jQX218zJJBm2R45COEdgPFMVLtkj3MugFXFPsFHZ1rVdSr6fkXRd4vWoorWu0C9oR8eVUuNbxtq3bvGaUGXNs7pfKXaoffOIlVomyuqaDe00VoXoo3DBI7JEIdmdUR2jGqDPv4-D8nr3e3L7CF5er5_nN08JciLMiY1CmUAClVAw1KNaATXItesgrquKsNVnaUCWT6-0DDEBvJKA44jz0plGn5Irte9i6HudIPaxV61ctHbTvUr6ZWVfzfOzuWb_5AlA54W2Vhwti7A3ofQa7PJpiAn1XJULSfVUozw6e_bNuiP2xEo18BS194EtNqh3mAAkGc549MfAfCZjV_WZ35wcYye_z_KPwGWk58u</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Inflammatory complications of vocal fold injection with hyaluronic acid: a multiinstitutional study</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>PubMed Central</source><source>TÜBİTAK Scientific Journals</source><creator>Enver, Necati ; Azizli, Elad ; Akbulut, Sevtap ; Tatar, Emel Cadalli ; Yelken, Muhammed Kursad ; Ozturk, Kayhan ; Coskun, Hakan ; Birkent, Ahmet Hakan ; Buyukatalay, Zahide Ciler ; Ozgursoy, Ozan Bagis ; Oguz, Haldun</creator><creatorcontrib>Enver, Necati ; Azizli, Elad ; Akbulut, Sevtap ; Tatar, Emel Cadalli ; Yelken, Muhammed Kursad ; Ozturk, Kayhan ; Coskun, Hakan ; Birkent, Ahmet Hakan ; Buyukatalay, Zahide Ciler ; Ozgursoy, Ozan Bagis ; Oguz, Haldun</creatorcontrib><description>Background/aim: This study aimed to assess the inflammatory adverse reactions of vocal fold injection laryngoplasty with hyaluronic acid.
Materials and methods: This study was a retrospective chart review of patients who underwent vocal fold injection augmentation with HA injection from January 2005 to September 2016 in nine different institutions. Demographic data, indication for injection, injection techniques, types of injection material, settings of procedure, and complications were reviewed. The types of complication, onset time, and management of complications were also noted.
Results: In all, 467 patients were identified. The majority of patients had been injected under general anesthesia (n = 382, 84.7%). For injection material, two different types of hyaluronic acid were used: hyaluronic acid alone or hyaluronic acid with dextranomer. Complications occurred in nine patients (1.9%). The majority of complications were inflammatory reactions (n = 7, 1.47%). Main symptoms were dysphonia and/or dyspnea with an onset of 0 h to 3 weeks after the hyaluronic acid injection. Three patients were hospitalized, one of which was also intubated and observed in the intensive care unit for 24 h. Systemic steroids and antibiotics were the main medical treatment in the majority of cases. There was no statistical difference in complication rates between patients who received hyaluronic acid and those who received hyaluronic acid with dextranomer (P = 0.220).
Conclusion: Hyaluronic acid can be considered as a safe substance for the injection of vocal folds with a low risk of inflammatory reaction.</description><identifier>ISSN: 1300-0144</identifier><identifier>ISSN: 1303-6165</identifier><identifier>EISSN: 1303-6165</identifier><identifier>DOI: 10.3906/sag-2008-5</identifier><identifier>PMID: 33350297</identifier><language>eng</language><publisher>ANKARA: Tubitak Scientific & Technological Research Council Turkey</publisher><subject><![CDATA[Adjuvants, Immunologic - administration & dosage ; Adjuvants, Immunologic - adverse effects ; Adjuvants, Immunologic - therapeutic use ; Adult ; Aged ; Female ; General & Internal Medicine ; Humans ; Hyaluronic Acid - administration & dosage ; Hyaluronic Acid - adverse effects ; Hyaluronic Acid - therapeutic use ; Laryngoplasty ; Life Sciences & Biomedicine ; Male ; Medicine, General & Internal ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Retrospective Studies ; Science & Technology ; Vocal Cord Paralysis - prevention & control ; Vocal Cords - injuries ; Vocal Cords - surgery ; Young Adult]]></subject><ispartof>TURKISH JOURNAL OF MEDICAL SCIENCES, 2021-04, Vol.51 (2), p.819-825</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><rights>Copyright © 2021 The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000646231300003</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c378t-bc5af007a70d21eccf53e56e290bb99f3ab415c26303f2ccd069e0cf2c348afd3</citedby><cites>FETCH-LOGICAL-c378t-bc5af007a70d21eccf53e56e290bb99f3ab415c26303f2ccd069e0cf2c348afd3</cites><orcidid>0000-0002-3161-8810 ; 0000-0002-6494-8664 ; 0000-0002-0881-1444 ; 0000-0003-2106-4735 ; 0000-0003-3334-657X ; 0000-0001-8133-2717 ; 0000-0001-9545-6518 ; 0000-0002-8923-1408 ; 0000-0002-0992-0079 ; 0000-0001-8141-0965 ; 0000-0002-2300-9070</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203174/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203174/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33350297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Enver, Necati</creatorcontrib><creatorcontrib>Azizli, Elad</creatorcontrib><creatorcontrib>Akbulut, Sevtap</creatorcontrib><creatorcontrib>Tatar, Emel Cadalli</creatorcontrib><creatorcontrib>Yelken, Muhammed Kursad</creatorcontrib><creatorcontrib>Ozturk, Kayhan</creatorcontrib><creatorcontrib>Coskun, Hakan</creatorcontrib><creatorcontrib>Birkent, Ahmet Hakan</creatorcontrib><creatorcontrib>Buyukatalay, Zahide Ciler</creatorcontrib><creatorcontrib>Ozgursoy, Ozan Bagis</creatorcontrib><creatorcontrib>Oguz, Haldun</creatorcontrib><title>Inflammatory complications of vocal fold injection with hyaluronic acid: a multiinstitutional study</title><title>TURKISH JOURNAL OF MEDICAL SCIENCES</title><addtitle>TURK J MED SCI</addtitle><addtitle>Turk J Med Sci</addtitle><description>Background/aim: This study aimed to assess the inflammatory adverse reactions of vocal fold injection laryngoplasty with hyaluronic acid.
Materials and methods: This study was a retrospective chart review of patients who underwent vocal fold injection augmentation with HA injection from January 2005 to September 2016 in nine different institutions. Demographic data, indication for injection, injection techniques, types of injection material, settings of procedure, and complications were reviewed. The types of complication, onset time, and management of complications were also noted.
Results: In all, 467 patients were identified. The majority of patients had been injected under general anesthesia (n = 382, 84.7%). For injection material, two different types of hyaluronic acid were used: hyaluronic acid alone or hyaluronic acid with dextranomer. Complications occurred in nine patients (1.9%). The majority of complications were inflammatory reactions (n = 7, 1.47%). Main symptoms were dysphonia and/or dyspnea with an onset of 0 h to 3 weeks after the hyaluronic acid injection. Three patients were hospitalized, one of which was also intubated and observed in the intensive care unit for 24 h. Systemic steroids and antibiotics were the main medical treatment in the majority of cases. There was no statistical difference in complication rates between patients who received hyaluronic acid and those who received hyaluronic acid with dextranomer (P = 0.220).
Conclusion: Hyaluronic acid can be considered as a safe substance for the injection of vocal folds with a low risk of inflammatory reaction.</description><subject>Adjuvants, Immunologic - administration & dosage</subject><subject>Adjuvants, Immunologic - adverse effects</subject><subject>Adjuvants, Immunologic - therapeutic use</subject><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>General & Internal Medicine</subject><subject>Humans</subject><subject>Hyaluronic Acid - administration & dosage</subject><subject>Hyaluronic Acid - adverse effects</subject><subject>Hyaluronic Acid - therapeutic use</subject><subject>Laryngoplasty</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine, General & Internal</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Vocal Cord Paralysis - prevention & control</subject><subject>Vocal Cords - injuries</subject><subject>Vocal Cords - surgery</subject><subject>Young Adult</subject><issn>1300-0144</issn><issn>1303-6165</issn><issn>1303-6165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkctKxDAUhoMo3jc-gGStVE-TphcXggzeQHCj65CeJk6kTYYmdZi3t3V00J2rHDjf_4d8IeQkhQteQX4Z1FvCAMpEbJH9lANP8jQX218zJJBm2R45COEdgPFMVLtkj3MugFXFPsFHZ1rVdSr6fkXRd4vWoorWu0C9oR8eVUuNbxtq3bvGaUGXNs7pfKXaoffOIlVomyuqaDe00VoXoo3DBI7JEIdmdUR2jGqDPv4-D8nr3e3L7CF5er5_nN08JciLMiY1CmUAClVAw1KNaATXItesgrquKsNVnaUCWT6-0DDEBvJKA44jz0plGn5Irte9i6HudIPaxV61ctHbTvUr6ZWVfzfOzuWb_5AlA54W2Vhwti7A3ofQa7PJpiAn1XJULSfVUozw6e_bNuiP2xEo18BS194EtNqh3mAAkGc549MfAfCZjV_WZ35wcYye_z_KPwGWk58u</recordid><startdate>20210430</startdate><enddate>20210430</enddate><creator>Enver, Necati</creator><creator>Azizli, Elad</creator><creator>Akbulut, Sevtap</creator><creator>Tatar, Emel Cadalli</creator><creator>Yelken, Muhammed Kursad</creator><creator>Ozturk, Kayhan</creator><creator>Coskun, Hakan</creator><creator>Birkent, Ahmet Hakan</creator><creator>Buyukatalay, Zahide Ciler</creator><creator>Ozgursoy, Ozan Bagis</creator><creator>Oguz, Haldun</creator><general>Tubitak Scientific & Technological Research Council Turkey</general><general>The Scientific and Technological Research Council of Turkey</general><scope>95M</scope><scope>AFTVD</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3161-8810</orcidid><orcidid>https://orcid.org/0000-0002-6494-8664</orcidid><orcidid>https://orcid.org/0000-0002-0881-1444</orcidid><orcidid>https://orcid.org/0000-0003-2106-4735</orcidid><orcidid>https://orcid.org/0000-0003-3334-657X</orcidid><orcidid>https://orcid.org/0000-0001-8133-2717</orcidid><orcidid>https://orcid.org/0000-0001-9545-6518</orcidid><orcidid>https://orcid.org/0000-0002-8923-1408</orcidid><orcidid>https://orcid.org/0000-0002-0992-0079</orcidid><orcidid>https://orcid.org/0000-0001-8141-0965</orcidid><orcidid>https://orcid.org/0000-0002-2300-9070</orcidid></search><sort><creationdate>20210430</creationdate><title>Inflammatory complications of vocal fold injection with hyaluronic acid: a multiinstitutional study</title><author>Enver, Necati ; Azizli, Elad ; Akbulut, Sevtap ; Tatar, Emel Cadalli ; Yelken, Muhammed Kursad ; Ozturk, Kayhan ; Coskun, Hakan ; Birkent, Ahmet Hakan ; Buyukatalay, Zahide Ciler ; Ozgursoy, Ozan Bagis ; Oguz, Haldun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-bc5af007a70d21eccf53e56e290bb99f3ab415c26303f2ccd069e0cf2c348afd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adjuvants, Immunologic - administration & dosage</topic><topic>Adjuvants, Immunologic - adverse effects</topic><topic>Adjuvants, Immunologic - therapeutic use</topic><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>General & Internal Medicine</topic><topic>Humans</topic><topic>Hyaluronic Acid - administration & dosage</topic><topic>Hyaluronic Acid - adverse effects</topic><topic>Hyaluronic Acid - therapeutic use</topic><topic>Laryngoplasty</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Medicine, General & Internal</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Vocal Cord Paralysis - prevention & control</topic><topic>Vocal Cords - injuries</topic><topic>Vocal Cords - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Enver, Necati</creatorcontrib><creatorcontrib>Azizli, Elad</creatorcontrib><creatorcontrib>Akbulut, Sevtap</creatorcontrib><creatorcontrib>Tatar, Emel Cadalli</creatorcontrib><creatorcontrib>Yelken, Muhammed Kursad</creatorcontrib><creatorcontrib>Ozturk, Kayhan</creatorcontrib><creatorcontrib>Coskun, Hakan</creatorcontrib><creatorcontrib>Birkent, Ahmet Hakan</creatorcontrib><creatorcontrib>Buyukatalay, Zahide Ciler</creatorcontrib><creatorcontrib>Ozgursoy, Ozan Bagis</creatorcontrib><creatorcontrib>Oguz, Haldun</creatorcontrib><collection>Conference Proceedings Citation Index - Science (CPCI-S)</collection><collection>Conference Proceedings Citation Index - Science (CPCI-S) 2021</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Enver, Necati</au><au>Azizli, Elad</au><au>Akbulut, Sevtap</au><au>Tatar, Emel Cadalli</au><au>Yelken, Muhammed Kursad</au><au>Ozturk, Kayhan</au><au>Coskun, Hakan</au><au>Birkent, Ahmet Hakan</au><au>Buyukatalay, Zahide Ciler</au><au>Ozgursoy, Ozan Bagis</au><au>Oguz, Haldun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inflammatory complications of vocal fold injection with hyaluronic acid: a multiinstitutional study</atitle><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle><stitle>TURK J MED SCI</stitle><addtitle>Turk J Med Sci</addtitle><date>2021-04-30</date><risdate>2021</risdate><volume>51</volume><issue>2</issue><spage>819</spage><epage>825</epage><pages>819-825</pages><issn>1300-0144</issn><issn>1303-6165</issn><eissn>1303-6165</eissn><abstract>Background/aim: This study aimed to assess the inflammatory adverse reactions of vocal fold injection laryngoplasty with hyaluronic acid.
Materials and methods: This study was a retrospective chart review of patients who underwent vocal fold injection augmentation with HA injection from January 2005 to September 2016 in nine different institutions. Demographic data, indication for injection, injection techniques, types of injection material, settings of procedure, and complications were reviewed. The types of complication, onset time, and management of complications were also noted.
Results: In all, 467 patients were identified. The majority of patients had been injected under general anesthesia (n = 382, 84.7%). For injection material, two different types of hyaluronic acid were used: hyaluronic acid alone or hyaluronic acid with dextranomer. Complications occurred in nine patients (1.9%). The majority of complications were inflammatory reactions (n = 7, 1.47%). Main symptoms were dysphonia and/or dyspnea with an onset of 0 h to 3 weeks after the hyaluronic acid injection. Three patients were hospitalized, one of which was also intubated and observed in the intensive care unit for 24 h. Systemic steroids and antibiotics were the main medical treatment in the majority of cases. There was no statistical difference in complication rates between patients who received hyaluronic acid and those who received hyaluronic acid with dextranomer (P = 0.220).
Conclusion: Hyaluronic acid can be considered as a safe substance for the injection of vocal folds with a low risk of inflammatory reaction.</abstract><cop>ANKARA</cop><pub>Tubitak Scientific & Technological Research Council Turkey</pub><pmid>33350297</pmid><doi>10.3906/sag-2008-5</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3161-8810</orcidid><orcidid>https://orcid.org/0000-0002-6494-8664</orcidid><orcidid>https://orcid.org/0000-0002-0881-1444</orcidid><orcidid>https://orcid.org/0000-0003-2106-4735</orcidid><orcidid>https://orcid.org/0000-0003-3334-657X</orcidid><orcidid>https://orcid.org/0000-0001-8133-2717</orcidid><orcidid>https://orcid.org/0000-0001-9545-6518</orcidid><orcidid>https://orcid.org/0000-0002-8923-1408</orcidid><orcidid>https://orcid.org/0000-0002-0992-0079</orcidid><orcidid>https://orcid.org/0000-0001-8141-0965</orcidid><orcidid>https://orcid.org/0000-0002-2300-9070</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central; TÜBİTAK Scientific Journals |
| subjects | Adjuvants, Immunologic - administration & dosage Adjuvants, Immunologic - adverse effects Adjuvants, Immunologic - therapeutic use Adult Aged Female General & Internal Medicine Humans Hyaluronic Acid - administration & dosage Hyaluronic Acid - adverse effects Hyaluronic Acid - therapeutic use Laryngoplasty Life Sciences & Biomedicine Male Medicine, General & Internal Middle Aged Minimally Invasive Surgical Procedures - methods Retrospective Studies Science & Technology Vocal Cord Paralysis - prevention & control Vocal Cords - injuries Vocal Cords - surgery Young Adult |
| title | Inflammatory complications of vocal fold injection with hyaluronic acid: a multiinstitutional study |
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