title: Temporalis fascia transplant for vocal fold scar and sulcus vocalis.
abstract: OBJECTIVE
  To evaluate vocal outcomes in 10 patients 1 year after autologous transplantation of temporalis fascia into Reinke's space (ATFV) for vocal fold scar and sulcus vocalis.
  
  
  METHODS
  Retrospective, clinical case series.
  
  
  METHODS
  Subjective and objective evaluation was performed 12 months after surgery using laryngovideostroboscopy (LVS) in all patients, the Voice Handicap Index-10 (VHI-10) in seven patients, GRBAS (grade, roughness, breathiness, asthenia, strain) scale in nine patients, and noise-to-harmonics ratio (NHR), phonatory range (PR) and maximum phonation time (MPT) in six patients.
  
  
  RESULTS
  LVS improved in all but one patient. A significant decrease was noted in the GRBAS subscales grade, roughness, asthenia, and strain (P<.05). Breathiness was almost significant, with a P value of .052. There was an average decrease in the VHI-10 of 8.14 (P=.032). NHR, MPT, and PR did not statistically improve.
  
  
  CONCLUSIONS
  ATFV for vocal fold scar and sulcus vocalis results in significant subjective vocal improvement that persists at least 1 year after surgery.
  
  
  METHODS
  4.
authors.affiliation: Division of Laryngology, The Voice and Swallowing Institute, New York Eye and Ear Infirmary, New York, New York.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Pitman
authors.forename: Shaina M
authors.initials: SM
authors.lastname: Rubino
authors.forename: Amy L
authors.initials: AL
authors.lastname: Cooper
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007821:Laryngeal Muscles / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D010699:Phonation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014827:Vocal Cords / Q000503:physiopathology / Q000601:surgery*; D014832:Voice Disorders / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014833:Voice Quality
keywords: Dysphonia; autologous transplantation of temporalis fascia into the vocal fold; sulcus vocalis; vocal fold scar