Autologous grafts for treatment of vocal sulcus and atrophy

To obtain complete glottal closure, and evaluate improvement of vocal fold vibration amplitude and vocal quality in patients with sulcus vocalis. Autogenous fat and/or fascia augmentation was used in 34 patients with sulcus vocalis. Mean follow-up time was 1 year. The perceptual acoustic and phonato...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2007-11, Vol.137 (5), p.785-791
Main Authors: Pinto, José Antônio, da Silva Freitas, Mario Luiz Augustus, Carpes, Arturo Frick, Zimath, Paula, Marquis, Valeria, Godoy, Luciana
Format: Article
Language:English
Subjects:
Adipose Tissue - transplantation
Adolescent
Adult
Atrophy
Fascia - transplantation
Female
Humans
Laryngoscopy
Male
Middle Aged
Stroboscopy
Transplantation, Autologous
Treatment Outcome
Vocal Cords - pathology
Vocal Cords - surgery
Voice Quality
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Summary:To obtain complete glottal closure, and evaluate improvement of vocal fold vibration amplitude and vocal quality in patients with sulcus vocalis. Autogenous fat and/or fascia augmentation was used in 34 patients with sulcus vocalis. Mean follow-up time was 1 year. The perceptual acoustic and phonatory functions and videolaryngostroboscopic data were evaluated before and after the procedure. Most of the individuals reported an improvement of vocal quality, a complete glottal closure, an enhancement of mucosal wave excursion, and significant results of acoustic perceptual and phonatory functions after the surgery. Fat and fascia injections are effective autogenous implants and should be considered options in the treatment of patients with sulcus vocalis and vocal fold atrophy.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2007.05.059