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Comparative study of framework surgery and fat injection laryngoplasty

Published online by Cambridge University Press:  22 May 2009

H Umeno ,
S Chitose ,
K Sato  and
T Nakashima
H Umeno*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
S Chitose
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
K Sato
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
T Nakashima
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
*
Address for correspondence: Dr Hirohito Umeno, Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. Fax: +81 942 37 1200 E-mail: umeno2@med.kurume-u.ac.jp
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Abstract

Objective:

To evaluate differences between the functional results of framework surgery and autologous fat injection laryngoplasty, for patients with unilateral vocal fold paralysis.

Study design:

Sixty-two patients underwent framework surgery, while 64 received autologous fat injection laryngoplasty. Voice function before and after both procedures was assessed using aerodynamic and acoustic analysis, with differences evaluated using paired t-test in both groups.

Results:

In both groups, all parameters improved significantly after surgery, compared with before surgery. Post-operative improvement in all parameters was significantly greater after fat injection laryngoplasty, compared with framework surgery.

Conclusion:

Autologous fat injection laryngoplasty was thus found to be a more effective and reliable therapy for improving voice function in patients with vocal fold paralysis, compared with framework surgery.

Keywords

Vocal Fold ParalysisAutologous Fat Injection LaryngoplastyFramework SurgeryVoice Function
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Supplement S31 , May 2009 , pp. 35 - 41
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Mikaelian, DO, Lowry, LD, Sataloff, RT. Lipoinjection for unilateral vocal cord paralysis. Laryngoscope 1991;101:465–8CrossRefGoogle ScholarPubMed
2Glats, FR, Kalkanis, J, Neumeister, M, Suchy, H, Lyons, S, Moulavi, A . Volume analysis of preadipocyte injection for vocal cord medialization. Laryngoscope 2003;113:1113–17CrossRefGoogle Scholar
3Umeno, H, Chitose, S, Sato, K, Nakashima, T. Efficacy of additional injection laryngoplasty after framework surgery. Ann Otol Rhinol Laryngol 2008;117:5–10CrossRefGoogle ScholarPubMed
4Umeno, H, Shirouzu, H, Chitose, S, Nakashima, T. Analysis of voice function following autologous fat injection for vocal fold paralysis. Otolaryngol Head Neck Surg 2005;132:103–7CrossRefGoogle ScholarPubMed
5Laccourreye, O, Papon, JF, Kania, R, Crevier-Buchman, L, Brasnu, D, Hans, S. Intracordal injection of autologous fat in patients with unilateral laryngeal nerve paralysis: long-term results from the patient's perspective. Laryngoscope 2003;113:541–5Google Scholar
6Chan, RW, Titze, IR. Viscosities of implantable biomaterials in vocal fold augmentation surgery. Laryngoscope 1998;108:725–31CrossRefGoogle ScholarPubMed
7Sato, K, Umeno, H, Nakashima, T. Histological investigation of liposuctioned fat for injection laryngoplasty. Am J Otolaryngol 2005;26:219–25CrossRefGoogle ScholarPubMed
8Mikus, JL, Koufman, JA, Kilpatrick, SE. Fate of liposuctioned and purified autologous fat injection in the canine vocal fold. Laryngoscope 1995;105:17–27CrossRefGoogle ScholarPubMed
9Illouz, YG. Present results of fat injection. Aesthetic Plast Surg 1988;12:175–81CrossRefGoogle ScholarPubMed
10Peer, LA. The neglected “free fat graft”, its behavior and clinic use. Am J Surg 1956;92:40–7CrossRefGoogle Scholar
11Peer, LA. Loss of weight and volume in human fat grafts. Plast Reconstr Surg 1950;5:217–30CrossRefGoogle Scholar
12Agris, J. Autologous fat transplantation: a 3-year study. Am J Cosm Surg 1987;4:95–102Google Scholar
13Johnson, GW. Body contouring by microinjection of autogenous fat. Am J Cosm Surg 1987;4:103–9CrossRefGoogle Scholar
14Chajchir, A, Benzaquen, I, Wexter, E, Arellano, A. Fat injection. Aesthetic Plast Surg 1990;14:127–36CrossRefGoogle ScholarPubMed
15Hörl, HW, Feller, AM, Biemer, E. Technique for liposuction fat reimplantation and long-term volume evaluation by magnetic resonance imaging. Ann Plast Surg 1991;26:248–58Google Scholar
16Zaretsky, LS, Shindo, ML, deTar, M, Rice, DH. Autologous fat injection for vocal fold paralysis: long-term histologic evaluation. Ann Otol Rhinol Laryngol 1995;104:1–4Google Scholar