Korean J Otorhinolaryngol-Head Neck Surg.  2024 Mar;67(3):159-165. 10.3342/kjorl-hns.2023.00549.

Nationwide Multicenter Consensus on Practical Percutaneous Steroid Injection

• Kim SY
• Kim HJ
• Lee SW

• KMID: 2553736
• DOI: http://doi.org/10.3342/kjorl-hns.2023.00549

Abstract

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

Keyword

Data collection; Injections; Steroid