• KOLs
  • Vocal Nodules
  • Fat Augmentation Following...

Direct Impact

Concepts for which they have direct influence:

vocal nodules
fat augmentation
microsurgical removal
video laryngostroboscopic
phonatory function
mucosal wave
glottic insufficiency

External impact

Concepts related to the work of other authors :

vocal fold nodules
combined management
voice therapy
delicate problems
music teachers
potential complications
choir members

Fat Augmentation Following Microsurgical Removal of the Vocal Nodules

Abstract

OBJECTIVES: Autogenous fat augmentation has been used as a treatment for glottic insufficiency. However, no information is available on the effectiveness of fat injection in patients with vocal nodules or recurrent vocal nodules after surgery. STUDY DESIGN: The retrospective study reviews the efficiency of fat injection after surgery in patients with vocal nodules (n = 18) and recurrent vocal nodules (n = 5). METHODS: The perceptual acoustic, phonatory function, and video laryngostroboscopic data were evaluated before and after surgery in 23 patients. RESULTS: Mean follow-up time was 7.5 months. Nineteen patients had excellent results. Two patients had improvement, and no change was observed in two patients. Phonatory function showed significant improvement in shimmer, harmonic-to-noiseratio (P <.05), maximum phonation time, grade, roughness, and breathiness (P <.001). Video laryngostroboscopic rating showed significant improvement in linearity of the vocal fold edge, amplitude of vocal fold vibration, and excursion of the mucosal wave (P <.001). Less improvement was observed in recurrent vocal nodules than in nonrecurrent vocal nodules. CONCLUSIONS: Fat injection is an effective autogenous implant and may be considered as an option in management of patients with vocal nodules after surgery. Recurrence of nodules is a problem, but the procedure may be repeated.


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