Abstract
While autogenous fat augmentation for glottic insufficiency has been used before, relatively little information is currently available on the effectiveness of fat injection in patients with nonparalytic glottic insufficiency resulting from problems such as various defects of vocal atrophy or sulcus vocalis. This paper compares retrospectively the efficiency of fat injection after surgery in patients with vocal atrophy (n = 16) and sulcus vocalis (n = 8). The perceptual acoustic and phonatory functions and videolaryngostroboscopic data were evaluated before and after fat augmentation in 24 patients. The mean follow-up time was 19.5 months. Fifteen patients displayed excellent results; 1 showed some improvement; 6 experienced postprocedure failure, and 2 were not available for follow-up analysis. Perceptual rating showed significant improvement in grade, roughness and breathiness (p <0.05). The videolaryngostroboscopic rating showed significant improvements in vocal fold edge linearity, vocal fold vibration amplitude and mucosal wave excursion (p <0.05). More improvement in vocal atrophy was observed compared with sulcus vocalis following fat injection procedures. Our research showed that middle defects improved more compared to those in the anterior and posterior area. Fat injection is an effective autogenous implant and may be considered as an option in the treatment of patients with vocal atrophy or sulcus vocalis. Although fat reabsorption was a problem, repeating the procedure could be considered.
| Original language | English |
|---|---|
| Pages (from-to) | 176-183 |
| Number of pages | 8 |
| Journal | ORL |
| Volume | 65 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2003 |
| Externally published | Yes |
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Keywords
- Fat injection
- Nonparalytic glottic insufficiency
- Sulcus vocalis
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Fat augmentation for nonparalytic glottic insufficiency. / Chen, Yen Yu; Pai, Lu; Lin, Yaoh Shiang; Wang, Hsing Won; Hsiung, Ming Wang.
In: ORL, Vol. 65, No. 3, 2003, p. 176-183.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Fat augmentation for nonparalytic glottic insufficiency
AU - Chen, Yen Yu
AU - Pai, Lu
AU - Lin, Yaoh Shiang
AU - Wang, Hsing Won
AU - Hsiung, Ming Wang
PY - 2003
Y1 - 2003
N2 - While autogenous fat augmentation for glottic insufficiency has been used before, relatively little information is currently available on the effectiveness of fat injection in patients with nonparalytic glottic insufficiency resulting from problems such as various defects of vocal atrophy or sulcus vocalis. This paper compares retrospectively the efficiency of fat injection after surgery in patients with vocal atrophy (n = 16) and sulcus vocalis (n = 8). The perceptual acoustic and phonatory functions and videolaryngostroboscopic data were evaluated before and after fat augmentation in 24 patients. The mean follow-up time was 19.5 months. Fifteen patients displayed excellent results; 1 showed some improvement; 6 experienced postprocedure failure, and 2 were not available for follow-up analysis. Perceptual rating showed significant improvement in grade, roughness and breathiness (p <0.05). The videolaryngostroboscopic rating showed significant improvements in vocal fold edge linearity, vocal fold vibration amplitude and mucosal wave excursion (p <0.05). More improvement in vocal atrophy was observed compared with sulcus vocalis following fat injection procedures. Our research showed that middle defects improved more compared to those in the anterior and posterior area. Fat injection is an effective autogenous implant and may be considered as an option in the treatment of patients with vocal atrophy or sulcus vocalis. Although fat reabsorption was a problem, repeating the procedure could be considered.
AB - While autogenous fat augmentation for glottic insufficiency has been used before, relatively little information is currently available on the effectiveness of fat injection in patients with nonparalytic glottic insufficiency resulting from problems such as various defects of vocal atrophy or sulcus vocalis. This paper compares retrospectively the efficiency of fat injection after surgery in patients with vocal atrophy (n = 16) and sulcus vocalis (n = 8). The perceptual acoustic and phonatory functions and videolaryngostroboscopic data were evaluated before and after fat augmentation in 24 patients. The mean follow-up time was 19.5 months. Fifteen patients displayed excellent results; 1 showed some improvement; 6 experienced postprocedure failure, and 2 were not available for follow-up analysis. Perceptual rating showed significant improvement in grade, roughness and breathiness (p <0.05). The videolaryngostroboscopic rating showed significant improvements in vocal fold edge linearity, vocal fold vibration amplitude and mucosal wave excursion (p <0.05). More improvement in vocal atrophy was observed compared with sulcus vocalis following fat injection procedures. Our research showed that middle defects improved more compared to those in the anterior and posterior area. Fat injection is an effective autogenous implant and may be considered as an option in the treatment of patients with vocal atrophy or sulcus vocalis. Although fat reabsorption was a problem, repeating the procedure could be considered.
KW - Fat injection
KW - Nonparalytic glottic insufficiency
KW - Sulcus vocalis
UR - http://www.scopus.com/inward/record.url?scp=0042887343&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0042887343&partnerID=8YFLogxK
U2 - 10.1159/000072256
DO - 10.1159/000072256
M3 - Article
C2 - 12925819
AN - SCOPUS:0042887343
VL - 65
SP - 176
EP - 183
JO - ORL; journal for oto-rhino-laryngology and its related specialties
JF - ORL; journal for oto-rhino-laryngology and its related specialties
SN - 0301-1569
IS - 3
ER -