Injection laryngoplasty with autologous fat in patients after laser cordectomy (preliminary report)
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2015, Vol 4, Issue 2
Abstract
Transoral endoscopic laser surgery has been widely used in the treatment of the early stage of glottic cancer. Phonatory dysfunction is the main problem after cordectomy. The quality of voice depends on the extent of surgery, especially when resection involves the anterior commissure, vocal process, arytenoid or contralateral vocal folds. Many of surgery (phonosurgery) procedure is performed to improve the activity of the larynx phonatory function. One of them is the autologous fat injection. The aime of this study is evaluation of possibilities of injecting laryngoplasty with autogenous fat in patients after laser cordectomy to improve phonatory function of the larynx (preliminary report). Two patients, underwent CO2 laser cordectomy type III because of T1aN0M0 glottic carcinoma.After surgery, respectively in the 7th and 8th month, patients were injected on autologous fat into the rest of the vocal fold. Before and after laryngoplasty phoniatric and subjective and objective evaluation of the voice were performed. As a result of the injecting laryngoplasty we observed improvement of the glottic closure, phonatory quality voice and voice perceptual improvement. Injecting laryngoplasty with autologous fat in patients after laser cordectomy is highly recommended, especially after type III laser cordectomy.<br/><br/>
Authors and Affiliations
Antoni Bruzgielewicz, Ewelina Sielska-Badurek, Kazimierz Niemczyk, Ewa Osuch-Wójcikiewicz
Keywords
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- EP ID EP51319
- DOI 10.5604/20845308.1154499
- Views 176
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