Prof. Yakubu Karagama (London)
History:16 yr old Male hoarseness congenital bilateral grade 3 sulcus, atrophy both vocal cords and phonatory gap
VHI 10=20 GRBAS=21222. Premature birthday and drunk hot water scalding his throat as a child.
Plan to do a test injection with hyaluronic acid into the paraglottic space.
Later to discuss abdominal fat and freeing of sulcus with fat implantation in Reinke's space and augmentation in paraglottic space or thyroplasty type 1 depending on the initial outcome from the Restylane injection.