Teflon granuloma

A 68-year-old diabetic woman presented to the Center for Voice and Swallowing with progressive dyspnea and dysphonia of 5 years' duration. She was a lifelong nonsmoker. Her medical history was notable for a right subtotal thyroidectomy for benign disease 50 years earlier. That surgery had been complicated by right vocal fold paralysis, and 31 years later, she underwent an injection medialization with Teflon at another institution.