Document Detail


Fat augmentation following microsurgical removal of the vocal nodules.
MedLine Citation:
PMID:  12172254     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Ming-Wang Hsiung; Yen-Yu Chen; Lu Pai; Yaoh-Shiang Lin; Bor-Hwang Kang; Hsing-Won Wang
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Laryngoscope     Volume:  112     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-12     Completed Date:  2002-09-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1414-9     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, Republic of China. hsiunm01kimo@yahoo,com.tw
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MeSH Terms
Descriptor/Qualifier:
Adipose Tissue / transplantation*
Adult
Female
Follow-Up Studies
Humans
Laryngeal Diseases / diagnosis,  surgery*
Laryngoscopy
Microsurgery
Middle Aged
Postoperative Care
Retrospective Studies
Video Recording
Vocal Cords / surgery*
Voice Quality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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