Autogenous fat injection for vocal fold XXXX .

@entity1 @entity1887 @entity194 @entity7364
Autogenous fat augmentation for @entity1887 has been used previously in @entity1 treatment regimes. However, relatively little information is currently available regarding the effectiveness of fat injection for @entity1 with vocal fold @entity194 who have complete glottal closure (VFACGC). This paper compares, in retrospect, the efficiency of fat injection after surgery in @entity1 with VFACGC (n=21). The perceptual acoustic and phonatory functions and videolaryngostroboscopic data were evaluated before and after fat augmentation was performed on 13 @entity1 . Mean follow-up time was 9.5 months. Fifteen @entity1 displayed excellent results, four experienced post-procedure failure, and two were unavailable for follow-up analysis. The majority of VFACGC @entity1 (71%) also suffered from muscular @entity7364 (MTD) preoperatively. The procedure also resolved the MTD in half (54%) of the @entity1 in this study. Perceptual rating showed significant improvement in grade, roughness and breathiness (P<0.05). The videolaryngostroboscopic rating showed significant improvements in vocal fold edge linearity (P<0.01), vocal fold vibration amplitude and mucosal wave excursion (P<0.05). VFACGC is commonly misdiagnosed as MTD and is, therefore, unresponsive to speech therapy that is targeted to the latter. Fat injection is an effective autogenous implant and should be considered as an option in the treatment of @entity1 with VFACGC. Although fat re-absorption was identified as a problem, repeating the procedure could be considered to minimize the effect of such.
