Vocal cord palsy for injection

Gabrielle Morris

84F for microlaryngoscopy and VC injection for unilateral vocal cord palsy

Background:

  • Bowel Adenocarcinoma – recent diagnosis, awaiting surgical review
  • Vocal cord palsy – Idiopathic
    • frequent botox injections
    • Nasendoscopy – nil else significant

Discussion:

Proceed to Surgery?

  • Vocal cord usually moves over time, leading to resolution of vocal changes
  • Indication is prevention of aspiration
  • Surgery may not be required if symptoms improved
  • Nil recent aspiration events
  • Possibility of further surgical procedures for bowel adenocarcinoma – risk of ongoing aspirations?
  • ENT discussion – happy to cancel, states likely no complications from not proceeding.
  • Informed consent process – patient happy not to proceed at this time

Plan:

  • Procedure was cancelled