Teflon injection has been widely used for the treatment of unilateral
vocal fold paralysis. Complications are few and infrequent. Overinject
ion and Teflon granuloma are the two commonest problems encountered. T
reating such complications and restoring vocal quality is widely regar
ded as difficult. Endoscopic transmucosal excision of the excess Teflo
n and/or granuloma has not been successful in improving phonatory qual
ity. Cordectomy is proposed as an alternative surgical approach for ma
naging both the convex vocal fold and Teflon granuloma after injection
.