Autologous grafts for treatment of vocal sulcus and atrophy.
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.
Pinto
José Antônio
JA
Nucleus of Otorhinolaryngology and Head and Neck Surgery of São Paulo, São Paulo, Brazil. japorl@uol.com.br
da Silva Freitas
Mario Luiz Augustus
ML
Carpes
Arturo Frick
AF
Zimath
Paula
P
Marquis
Valeria
V
Godoy
Luciana
L
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