Procedural Options & White Papers
Renú® Voice and Renú® Gel Injection Options
- Transoral (Office based)
- Percutaneous (Office based)
- Transoral (Operating Room)
Office-Based Transoral Procedure
- Topical anesthesia (dripped on larynx)
- Attach appropriate needle to Renú® Voice and/or Renú® Gel syringe
- Prime needle with Renú® Voice and/or Renú® Gel (dead volume equals ≈0.18cc)
- Special Note – record syringe starting and ending volume for exact volume delivered to patient.
Operating Room (OR) Transoral Injection
- Visualization via direct laryngoscopy or micro-laryngoscopy
- Inject with approximately 10 – 15% over correction
Peer Reviewed Journals
Rosen CA1, Gartner-Schmidt J, Casiano R, Anderson TD, Johnson F, Remacle M, Sataloff RT, Abitbol J, Shaw G, Archer S, Zraick RI.”Vocal fold augmentation with calcium hydroxylapatite: twelve-month report.” Laryngoscope. 2009 May;119(5):1033-41. doi: 10.1002/lary.20126.
Rosen, C.A., J. Gartner- Schmidt,(et al.), “Vocal fold augmentation with calcium hydroxylapatite (CaHA). Otolaryngology Head and Neck Surgery (2007) 136, 198-204
Rosen, C.A., J. Gartner- Schmidt,(et al.), “Vocal fold augmentation with calcium hydroxylapatite (CaHA): Twelve month report. Presented on May 19, 2006 at the Annual Meeting of the American Bronco-Esophageal Association, Chicago, IL.
Rosen, Clark A. (et al.), “Vocal Fold Augmentation with Injectable Calcium Hydroxylapatite: Short-Term Results.” Journal of Voice, September 2004, Vol. 18, No. 3. p. 387-391.
Mallur PS1, Morrison MP, Postma GN, Amin MR, Rosen CA. “Safety and efficacy of carboxymethylcellulose in the treatment of glottic insufficiency.” Laryngoscope. 2012 Feb;122(2):322-6. doi: 10.1002/lary.21930. Epub 2012 Jan 18.
Sulica L1, Rosen CA, Postma GN, Simpson B, Amin M, Courey M, Merati A. “Current practice in injection augmentation of the vocal folds: indications, treatment principles, techniques, and complications.” Laryngoscope. 2010 Feb;120(2):319-25. doi: 10.1002/lary.20737.
Belafsky, Peter C. (et al.), “Vocal Fold Augmentation with Calcium Hydroxyapatite.” Otolaryngology – Head and Neck Surgery, October 2004, Vol. 131, No. 3, p. 351-354.
Chhetri, Dinesh K. (et al.), “Injection Laryngoplasty with Calcium Hydroxylapatite Gel Implant in an In-Vivo Canine Model.” Annals of Otology, Rhinology & Laryngology, April 2004, Vol. 113, No. 4, p. 259-264.
Hughes, Richard G. M., “Vocal Cord Medialization by Transcutaneous Injection of Calcium Hydroxylapatite.” Journal of Voice, December 2005, Vol. 19, No. 4, p. 674-678.
Kwon, T. K. (et al.), “Preliminary Results of a New Temporary Vocal Fold Injection Material.” Journal of Voice, December 2005, Vol. 19, No. 4, p. 668-673.