الفهرس 
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Abstract
Glottic insufficiency, resulting from UVFP, is a major clinical problem in every phoniatric practice. It results in glottic gap between the 2 VFs, which in turn might cause dysphonia, dysphagia and breathing problems. Patient’s voice becomes breathy and asthenic. Aspiration (especially to fluid) is also a common complaint. Office-based injection laryngoplasty is considered a safe, reliable and highly effective method of treatment. The present study enrolled 10 patients (4 males and 6 females), their age ranges from 20-60 (mean 41.9 ± SD 13.1) years. Nine patients were injected with Radiesse as the duration of their dysphonia was more than 6 months. Radiesse was chosen for those patients for being long acting and their chance of spontaneous recovery is almost null. One the other hand, one patient was injected with Hyaluronic acid because her complaint was only for 3 months, so it was a perfect choice for its temporary action. All patients were subjected to awake laryngeal injection. The aim of this study was to assess voice, swallowing and respiratory outcomes in patients with UVFP after office-based laryngeal injection. Voice, swallowing and respiratory parameters were assessed pre-injection, 1week and 3 months after injection. The results of the study revealed satisfactory improvement in both subjective and objective voice outcomes following office-based injection. The nonsignificane of spirometry results implies that laryngeal injection do not affect respiratory status of the patient.