TỔNG QUAN LUẬN ĐIỂM VỀ TIÊM STEROID TẠI CHỖ ĐIỀU TRỊ CÁC BỆNH LÀNH TÍNH DÂY THANH

Abstract

Objective: to describe methods of vocal fold steroid injection (VFSI) for treatment of benign vocal fold diseases. Methods: the analytic framework is based on a scoping review methodology. The databases Pubmed, Google Scholar, Sciencedirect, Cochrane were searched to identify relevant studies. Results: 26 studies were chosen in this review. Indications of benign vocal fold diseases include: vocal nodules and vocal polyp make up mainly, followed by Reinke’s edema, vocal mucus cyst, vocal process granuloma and vocal scars. VFSI was often performed under local anesthesia of the pharynx and larynx, with a success rate greater than 90%. The most common VFSI is the transoral approach and nasal transfer in case the patient has a lot of pharyngeal reflex. Other methods include transcutaneous injection (transcricothyroid, transthyrohyoid, transcartilage), transnasal approach and VFSI combined microsurgery. Conclusion: VFSI is often performed under local anesthesia in office, with a high rate of success. Triamcinolone is the most favoured steroid. The most common method of VFSI is transoral approach and nasal transfer in case the patient has a lot of pharyngeal reflex. Vocal nodules and polyp are the main indications of VFSI.