title: Autologous grafts for treatment of vocal sulcus and atrophy.
abstract: OBJECTIVE
  To obtain complete glottal closure, and evaluate improvement of vocal fold vibration amplitude and vocal quality in patients with sulcus vocalis.
  
  
  METHODS
  Autogenous fat and/or fascia augmentation was used in 34 patients with sulcus vocalis. Mean follow-up time was 1 year. The perceptual acoustic and phonatory functions and videolaryngostroboscopic data were evaluated before and after the procedure.
  
  
  RESULTS
  Most of the individuals reported an improvement of vocal quality, a complete glottal closure, an enhancement of mucosal wave excursion, and significant results of acoustic perceptual and phonatory functions after the surgery.
  
  
  CONCLUSIONS
  Fat and fascia injections are effective autogenous implants and should be considered options in the treatment of patients with sulcus vocalis and vocal fold atrophy.
authors.affiliation: Nucleus of Otorhinolaryngology and Head and Neck Surgery of São Paulo, São Paulo, Brazil. japorl@uol.com.br
authors.forename: José Antônio
authors.initials: JA
authors.lastname: Pinto
authors.forename: Mario Luiz Augustus
authors.initials: ML
authors.lastname: da Silva Freitas
authors.forename: Arturo Frick
authors.initials: AF
authors.lastname: Carpes
authors.forename: Paula
authors.initials: P
authors.lastname: Zimath
authors.forename: Valeria
authors.initials: V
authors.lastname: Marquis
authors.forename: Luciana
authors.initials: L
authors.lastname: Godoy
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D000328:Adult; D001284:Atrophy; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D049489:Stroboscopy; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014741:Video Recording; D014827:Vocal Cords / Q000473:pathology* / Q000601:surgery*; D014833:Voice Quality