Article: Managing glottal incompetence following Teflon injection.(Brief Article)

A 76-year-old woman came to the office with a 2-year history of progressive dysphonia. Her voice had been fluctuating in quality and was weak in nature. She had received a Teflon injection 20 years earlier for left vocal fold paralysis secondary to thyroid surgery. She had noted a moderate improvement in her voice after the procedure.

The patient did not complain of dysphagia, but she did cough excessively. She had recently been diagnosed with Parkinson's disease. She denied weight loss or pneumonia. Her head and neck examination was notable for a mild palatal tremor that was consistent with her neurologic disease.

Laryngovideostroboscopy revealed an ...

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