Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Anesthesia for Office Based Vocal Fold Injection

외래 시행 성대주입술을 위한 마취 방법

  • Kim, Han Su (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Ewha Womans University)
  • 김한수 (이화여자대학교 의과대학 이비인후과학교실)
  • Received : 2020.10.23
  • Accepted : 2020.11.16
  • Published : 2020.12.30
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Abstract

Vocal fold injections are usually performed with a patient wake in an office under local anesthesia. For comfortable and safe office-based procedures, thorough anesthesia and premedication should be provided to the following three regions; nasal cavity, oropharynx, and larynx. Topical lidocaine is most widely used anesthetics on office based procedure. Lidocaine has a low to intermediate potency, 45 minutes to 60 minutes' duration of action, and onset of sufficient anesthesia within 90 seconds of topical administration. Tetracaine, prilocaine, ropivacaine, and bupivacaine also have been used in the office-based procedures. Nasal decongestant, oxymetazoline, is also used for widening nasal cavity by constriction of nasal mucosa. The amount of topical and local anesthetics used in vocal fold injection rarely exceeds toxic doses. The physician should know proper anesthesia techniques and must be familiar with the safe dose and complication of all anesthetics used.

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References

  1. Ballard DP, Abramowitz J, Sukato DC, Bentsianov B, Rosenfeld RM. Systematic review of voice outcomes for injection laryngoplasty performed under local vs general anesthesia. Otolaryngol Head Neck Surg 2018;159(4):608-14. https://doi.org/10.1177/0194599818780207
  2. Frosh AC, Jayaraj S, Porter G, Almeyda J. Is local anaesthesia actually beneficial in flexible fibreoptic nasendoscopy? Clin Otolaryngol Allied Sci 1998;23(3):259-62. https://doi.org/10.1046/j.1365-2273.1998.00149.x
  3. Gaviola GC, Chen V, Chia SH. A prospective, randomized, doubleblind study comparing the efficacy of topical anesthetics in nasal endoscopy. Laryngoscope 2013;123(4):852-8. https://doi.org/10.1002/lary.23966
  4. Cain AJ, Murray DP, McClymont LG. The use of topical nasal anaesthesia before flexible nasendoscopy: a double-blind, randomized controlled trial comparing cophenylcaine with placebo. Clin Otolaryngol Allied Sci 2002;27(6):485-8. https://doi.org/10.1046/j.1365-2273.2002.00608.x
  5. Haytogu S, Kuran G, Muluk NB, Arikan OK. Different anesthetic agents-soaked sinus packings on pain management after functional endoscopic sinus surgery: which is the most effective? Eur Arch Otorhinolaryngol 2016;273(7):1769-77. https://doi.org/10.1007/s00405-015-3807-2
  6. Hornung DE. Nasal anatomy and the sense of smell. Adv Otorhinolaryngol 2006;63:1-22.
  7. Wang SX, Simpson CB. Anesthesia for office procedures. Otolaryngol Clin North Am 2013;46(1):13-9. https://doi.org/10.1016/j.otc.2012.08.014
  8. Yoshida Y, Tanaka Y, Hirano M, Nakashima T. Sensory innervation of the pharynx and larynx. Am J Med 2000;108(4):51-61. https://doi.org/10.1016/S0002-9343(99)00342-3
  9. Sahin MI, Kokoglu K, Gulec S, Ketenci I, Unlu Y. Premedication methods in nasal endoscopy: a prospective, randomized, double-blind study. Clin Exp Otorhinolaryngol 2017;10(2):158-63. https://doi.org/10.21053/ceo.2016.00563
  10. Gencer ZK, Ozkiris M, Gencer M, Saydam L. Comparison of ropivacaine, bupivacaine, prilocaine,andlidocaine in the management of pain and hemorrhage during nasal pack removal. Am J Rhinol Allergy 2013;27(5):423-5. https://doi.org/10.2500/ajra.2013.27.3945
  11. Cherobin ACFP, Tavares GT. Safety of local anesthetics. An Bras Dermatol 2020;95(1):82-90. https://doi.org/10.1016/j.abd.2019.09.025
  12. Bourolias C, Gkotsis A, Kontaxakis A, Tsoukarelis P. Lidocaine spray vs tetracaine solution for transnasal fiber-optic laryngoscopy. Am J Otolaryngol 2010;31(2):114-6. https://doi.org/10.1016/j.amjoto.2008.11.011
  13. Latham GJ, Jardine DS. Oxymetazoline and hypertensive crisis in a child: can we prevent it? Paediatr Anaesth 2013;23(10):952-6. https://doi.org/10.1111/pan.12192
  14. Prasanna D, Bhat S. Nasotracheal intubation: an overview. J Maxillofac Oral Surg 2014;13(4):366-72. https://doi.org/10.1007/s12663-013-0516-5
  15. pie.med.utoronto.ca [Internet]. Toronto: University Health Network [cited 2020 Oct 23]. Available from: http://pie.med.utoronto.ca/BI/index.htm.
  16. McPartlin DW, Nouraei SAR, Tatla T, Howard DJ, Sandhu GS. How we do it: transnasal fibreoptic oesophagoscopy. Clin Otolaryngol 2005;30(6):547-50. https://doi.org/10.1111/j.1749-4486.2005.01082.x
  17. Verma SP, Smith ME, Dailey SH. Transnasal tracheoscopy. Laryngoscope 2012;122(6):1326-30. https://doi.org/10.1002/lary.23221
  18. Neal JM, Bernards CM, Butterworth JF, Di Gregorio G, Drasner K, Hejtmanek MR, et al. ASRA practice advisory on local anesthetic systemic toxicity. Reg Anesth Pain Med 2010;35(2):152-61. https://doi.org/10.1097/AAP.0b013e3181d22fcd