{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:29:30Z","timestamp":1777620570808,"version":"3.51.4"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T00:00:00Z","timestamp":1674432000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215123000038_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Conventional injection medialisation laryngoplasty techniques may be compromised by patient-specific factors such as marked kyphosis, an anteriorly positioned larynx or intolerance to nasendoscopy. This paper describes a technique for successful injection medialisation laryngoplasty where conventional methods are precluded, in an 88-year-old man with presbyphonia on a background of Parkinson's disease.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000038_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>After induction of general anaesthesia, a transoral introducing needle, shaped by tactile manipulation to match the curvature of a \u2018C-MAC\u2019 intubating video-laryngoscope \u2018D-blade\u2019 attachment, was introduced until visible above the glottis. The implant material was then injected into the paraglottic space as normal until satisfactory medialisation of the vocal fold was achieved.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000038_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>When reviewed in the out-patient clinic four weeks later, the patient's post-operative Voice Handicap Index score fell to 6, from a pre-operative score of 21.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000038_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>By utilising commonly available equipment and anaesthetic support to recreate the views and access conventional nasendoscopy and laryngoscopy facilitate, this novel procedure provides a viable and proven alternative in uncommon but challenging cases.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215123000038","type":"journal-article","created":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T07:27:43Z","timestamp":1674458863000},"page":"1406-1408","source":"Crossref","is-referenced-by-count":5,"title":["Injection medialisation laryngoplasty: an alternative approach for challenging cases"],"prefix":"10.1017","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0251-0544","authenticated-orcid":false,"given":"T","family":"Gupta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Sudan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P F D","family":"Bowles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,1,23]]},"reference":[{"key":"S0022215123000038_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102532"},{"key":"S0022215123000038_ref7","doi-asserted-by":"publisher","DOI":"10.3390\/cells9112417"},{"key":"S0022215123000038_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26894"},{"key":"S0022215123000038_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414567936"},{"key":"S0022215123000038_ref6","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR-20-00344"},{"key":"S0022215123000038_ref5","first-page":"Doc14","article-title":"Surgical procedures for voice restoration","volume":"4","author":"Nawka","year":"2005","journal-title":"GMS Curr Top Otorhinolaryngol Head Neck Surg"},{"key":"S0022215123000038_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2012.07.011"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215123000038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T07:40:53Z","timestamp":1701675653000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215123000038\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,23]]},"references-count":7,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S0022215123000038"],"URL":"https:\/\/doi.org\/10.1017\/s0022215123000038","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,23]]}}}