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KERD
논문KCI 등재

경피적 성대 스테로이드 주입술에 대한 전국 다기관 설문조사

Nationwide Multicenter Consensus on Practical Percutaneous Steroid Injection

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초록

Background and Objectives We evaluated the current status of percutaneous steroid injec-tion (PSI) procedure for benign vocal fold lesions performed in Korea in order to achieve con-sensus about the indications, contraindications, anesthesia, complications, and the role of PSI. Subjects and Method An email-based questionnaire survey consisting of 11 questions wasadministered to 20 experienced laryngologists. Results The most commonly used indication was small vocal nodule (32.7%). The mostcommon contraindication was vocal fold lesion with atrophy (46.9%). Triamcinolone injectionunder local anesthesia by cricothyroid was usually used in the PSI procedure. Following theprocedure, vocal fold atrophy was the most prominent complication (39.1%). The role of PSI isstill not well established; however, most laryngologists considered it to be an adjunctive treat-ment (61.9%). Conclusion The survey results provide an insight into the general consensus of opinionabout PSI that guidelines for the indications, contraindications, anesthesia, and complicationsassociated with this treatment option should be facilitated.

Abstract

Background and Objectives We evaluated the current status of percutaneous steroid injec-tion (PSI) procedure for benign vocal fold lesions performed in Korea in order to achieve con-sensus about the indications, contraindications, anesthesia, complications, and the role of PSI. Subjects and Method An email-based questionnaire survey consisting of 11 questions wasadministered to 20 experienced laryngologists. Results The most commonly used indication was small vocal nodule (32.7%). The mostcommon contraindication was vocal fold lesion with atrophy (46.9%). Triamcinolone injectionunder local anesthesia by cricothyroid was usually used in the PSI procedure. Following theprocedure, vocal fold atrophy was the most prominent complication (39.1%). The role of PSI isstill not well established; however, most laryngologists considered it to be an adjunctive treat-ment (61.9%). Conclusion The survey results provide an insight into the general consensus of opinionabout PSI that guidelines for the indications, contraindications, anesthesia, and complicationsassociated with this treatment option should be facilitated.

참고문헌 (9)

  1. Tateya I, "Steroid injection to vocal nodules using fiberoptic laryngeal surgery under topical anesthesia", Eur Arch Otorhinolaryngol, 261(9), pp.489~492 (2004)
  2. Martins RH, "Is Reinke’s edema a precancerous lesion? Histological and electron microscopic aspects", J Voice, 23(6), pp.721~725 (2009)
  3. Wang CT, "Intralesional steroid injection for benign vocal fold disorders : A systematic review and meta-analysis", Laryngoscope, 123(1), pp.197~203 (2013)
  4. Tateya I, "Steroid injection for Reinke’s edema using fiberoptic laryngeal surgery", Acta Otolaryngol, 123(3), pp.417~420 (2003)
  5. Wang CT, "Comparison of benign lesion regression following vocal fold steroid injection and vocal hygiene education", Laryngoscope, 124(2), pp.510~515 (2014)
  6. Woo JH, "Efficacy of percutaneous vocal fold injections for benign laryngeal lesions : Prospective multicenter study", Acta Otolaryngol, 131(12), pp.1326~1332 (2011)
  7. Wang CT, "Transnasal endoscopic steroid injection : A practical and effective alternative treatment for benign vocal fold disorders", Laryngoscope, 123(6), pp.1464~1468 (2013)
  8. Mortensen M, "Office steroid injections of the larynx", Laryngoscope, 116(10), pp.1735~1739 (2006)
  9. Kuppermann BD, "Steroid differentiation : The safety profile of various steroids on retinal cells in vitro and their implications for clinical use(an American Ophthalmological Society thesis)", Trans Am Ophthalmol Soc, 112, pp.116~141 (2014)

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