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Endoscopic vocal fold injection using a 25-gauge butterfly needle.

OBJECTIVE: To describe a useful technique for infiltrating a bulking agent using a butterfly needle, as part of a transoral endoscopic vocal fold medialisation procedure.

METHODS: This paper describes the procedure of grasping the needle with phonosurgery forceps and administering the injectate to the vocal fold through careful application of the syringe plunger via a length of rubber tubing from outside the mouth.

RESULTS: This procedure is performed routinely in our institution without complication. The advantages of this technique are discussed.

CONCLUSION: This is a safe and easy method of injecting into a vocal fold.

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