Journal article
Management of Vocal Fold Scar with Autologous Fat Implantation: Perceptual Results
Journal of voice, v 15(2), pp 295-304
01 Jun 2001
PMID: 11411484
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Vocal fold scar disrupts the mucosal wave and interferes with glottic closure. Treatment involves a multidisciplinary approach that includes voice therapy, medical management, and sometimes surgery. We reviewed the records of the first eight patients who underwent autologous fat implantation for vocal fold scar. Information on the etiology of scar, physical findings, and prior interventions were collected. Videotapes of videostroboscopic findings and perceptual voice ratings [
Grade,
Roughness,
Breathiness,
Asthenia,
Strain (GRBAS)] were randomized and analyzed independently by four blinded observers. Etiology of scar included mass excision (7), vocal fold stripping (3), congenital sulcus (2), and hemorrhage (1). Prior surgical procedures performed included thyroplasty (1), autologous fat injection (9), excision of scar (2), and lysis of adhesions (2).
Strobovideolaryngoscopy: Statistically significant improvement was found in glottic closure, mucosal wave, and stiffness (
P = 0.05).
Perceptual ratings (GRBAS): Statistically significant improvement was found in all five parameters, including overall
Grade,
Roughness,
Breathiness,
Asthenia, and
Strain (
P = 0.05). Patients appear to have improved vocal fold function and quality of voice after autologous fat implantation in the vocal fold. Autologous fat implantation is an important adjunctive procedure in the management of vocal fold scar, and a useful addition to the armamentarium of the experienced phonomicrosurgeon.
Metrics
Details
- Title
- Management of Vocal Fold Scar with Autologous Fat Implantation: Perceptual Results
- Creators
- Michael C Neuenschwander - Thomas Jefferson University HospitalRobert Thayer Sataloff - Thomas Jefferson University HospitalMona M Abaza - University of Colorado DenverMary J Hawkshaw - American Institute for Voice and Ear ResearchDavid Reiter - Thomas Jefferson University HospitalJoseph R Spiegel - Thomas Jefferson University Hospital
- Publication Details
- Journal of voice, v 15(2), pp 295-304
- Publisher
- Mosby, Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000169205100015
- Scopus ID
- 2-s2.0-0034995768
- Other Identifier
- 991020705331804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Audiology & Speech-language Pathology
- Otorhinolaryngology