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Expert Lectures

Laryngology/Broncho-Esophagology

Vocal Fold Injection Part II: Awake Injection, Advanced Techniques and Beyond (Non-Exclusive)

Tuesday, October 14, 2025
8:00 AM - 9:00 AM EDT
Location: 245
PROGRAM DESCRIPTION: Vocal fold injection has been a mainstay of Otolaryngology treatment dating back to Breunings in the early 1900s. Following a period of restraint in the wake of problems with Teflon injection material, injection augmentation is again enjoying increased use and wider applicability because of (1) new materials, (2) new injection approaches, (3) improved visualization of the larynx and (4) enhanced understanding of laryngeal physiology. These aspects make vocal fold injection a very dynamic, important clinical care tool and exciting topic all Otolaryngologists.

This expert series provides a detailed review of type of vocal fold injection, indications, injection materials and indications for vocal fold injection especially as it related to laryngeal framework surgery.

Factors favoring awake injection (sometimes referred to as “office” injection) or vocal fold injection via microlaryngoscopy will be contrasted and outlined in detail.

Patient selection as it relates to indication for injection, material selection and injection approach will be highlighted in both a didactic format and case-based manner. Special emphasis will be placed on patient with (1) Unilateral Vocal Fold Paralysis and (2) Vocal Fold Atrophy. In addition, the concept and implementation of “trial vocal fold injection” will be discussed in detail.

OUTCOME OBJECTIVE 1: Utilized a case-based approach to awake vocal fold injection for the treatment of glottal insufficiency.

OUTCOME OBJECTIVE 2: Identify clinical entities that are treated best with vocal fold injection versus laryngeal framework surgery.

OUTCOME OBJECTIVE 3: Describe the appropriate decisions regarding prevention, identification and management of vocal fold injection-related complications.

BACKGROUND STATEMENT: Vocal fold injection is a mainstay of Otolaryngology treatment for a variety of essential laryngological conditions and substantive changes have occurred in recent years regarding vocal fold injection materials, indications and approaches/techniques.

Comprehensive Otolaryngology Track Statement :

    Co-Presenter(s)

  • Clark A. Rosen, MD

    Professor
    University of California, San Francisco
    San Francisco, CA, United States

    Disclosure information not submitted.

    • Lead Presenter(s)

  • Lucian L. Sulica, MD

    Sean Parker Professor of Laryngology
    Weill Med Clg
    New York, NY, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.