Results of fascial augmentation in unilateral vocal fold paralysis.
The objective of this study was to evaluate the effects on voice quality of augmentation by injection of minced fascia in patients with unilateral vocal fold paralysis. Preoperative and postoperative voice samples from 14 patients (6 men and 8 women; mean age, 59 years) were analyzed by computerized acoustic analysis and blinded perceptual evaluation. Statistically significant improvements were seen in perturbation measurements (jitter and shimmer), noise-to-harmonics ratio, and maximum phonation time. A panel of evaluators rated 10 of the 14 postoperative voices as normal or near-normal. Injection laryngoplasty with minced fascia offers a new, effective, well-tolerated, and inexpensive method to medialize a paralyzed vocal fold. The graft seems to survive well, as indicated by good vocal results with a follow-up ranging from 5 to 32 months.
Reijonen
Petri
P
Clinic of Otorhinolaryngology--Head and Neck Surgery, Helsinki University Hospital, Espoo, Finland.
Lehikoinen-Söderlund
Sari
S
Rihkanen
Heikki
H
D005205:Fascia / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D010699:Phonation / Q000502:physiology; D013997:Time Factors; D014182:Transplantation, Autologous; D014826:Vocal Cord Paralysis / Q000601:surgery*; D014833:Voice Quality