1998
DOI: 10.1017/s0022215100142227
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Computerized tomography of the glottis after intracordal autoiogous fat injection

Abstract: According to the committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology – Head and Neck Surgery, various surgical methods such as laryngeal framework surgery, laryngeal re-innervation, and injection laryngoplasty might be used to palliate inferior laryngeal nerve paralysis. In the present case report we document the survival and exact location of the boluses of autoiogous fat in one patient in whom this material was used for injection laryngoplasty.

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Cited by 21 publications
(11 citation statements)
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“…The main drawback of autologous fat injection is the relative unpredictability of the degree of its resorption. In previous reports, 15,[20][21][22] the results of injection of fat lasted for from 2 months to 4 years. However, most studies evaluated the voice outcome but not the swallowing function.…”
Section: Discussionmentioning
confidence: 99%
“…The main drawback of autologous fat injection is the relative unpredictability of the degree of its resorption. In previous reports, 15,[20][21][22] the results of injection of fat lasted for from 2 months to 4 years. However, most studies evaluated the voice outcome but not the swallowing function.…”
Section: Discussionmentioning
confidence: 99%
“…However, the amount of volume reduction seems consistent and predictable with AP as opposed to other materials such as fat, Radiesse Voice, and Cymetra, whose resorption has been reported to be more variable. 4,5,8,19,20 The process of making the AP implant allowed for creation of pastes made of different particle sizes. Once it was determined that particles milled for 2000 or more cycles were small enough to easily pass through a 25 gauge needle, the effect of different particle size on residence time was tested.…”
Section: Discussionmentioning
confidence: 99%
“…CT also can be used to examine the vocal cords and the surrounding soft tissues to estimate the amount of material needed for injection laryngoplasty in the management of vocal cord paralysis [9]. Injection laryngoplasty is a continuously evolving procedure whereby a plastic material, such as polytetrafluoroethylene (Teflon, DuPont) or acellular dermis (AlloDerm, LifeCell) is injected into the vocal cords under indirect mirror laryngoscopic or flexible videolaryngoscopic guidance for visualization of the vocal cords.…”
Section: Discussionmentioning
confidence: 99%
“…During injection of the plastic material, the target can vary depending on the symptoms and the condition of the diseased vocal cord. In these cases, preoperative phonation CT of the larynx and coronal reconstruction can be valuable in understanding the 3D shape of the diseased vocal cords and determining the amount of material to inject [5,7,9]. Further study of the role of preoperative phonation CT of the larynx before injection laryngoplasty is necessary.…”
Section: Discussionmentioning
confidence: 99%