Outcomes After Adjuvant Vocal Fold Steroid Injection for Fibrosis After Microlaryngeal Surgery

Vocal fold fibrosis is a known complication of microlaryngeal surgery. In a 2019 JAMA Otolaryngology–Head & Neck Surgery case series, vocal fold corticosteroid injections with dexamethasone sodium phosphate and triamcinolone acetate in patients with postoperative fibrosis led to recovery of mucosal waves on videolaryngostroboscopy in some, suggesting the intervention may be a useful technique. This video demonstrates vocal cord appearance in a patient with a left-sided vocal cyst before surgery; focal fibrosis and decreased mucosal waves on the left vocal fold 1 month after surgery; and resolution of the fibrosis with improved mucosal waves 1 month after being given adjuvant vocal fold steroid injection.