Transventricular Chondroplastic Laryngotomy—A New Surgical Technique for the Endolarynx

Augmentation of the Porcine Vocal Fold Using Autologous Composite Cervical Fascia and Fat Graft. Comparison Between the Transmuscular and Submuscular Approaches

“…The absence of significant inflammation and infections in the study group proved that this approach, when performed in proper aseptic conditions, avoids contamination of the graft from contact with oropharyngeal contents. 9 There are only few studies reporting the use of fascia for vocal fold augmentation and the results of these studies are conflicting, especially regarding reabsorption. [5][6][7]15 Based on the promising results of a previous study, 15 the present experimental study was designed to assess the biocompatibility of the composite fascia/fat graft and its potential use in phonosurgery but would not be the primary method by which most surgeons would place this kind of graft.…”

“…6 A number of studies have been conducted using fat or fascia grafts for vocal fold augmentation, but there seems to be no consensus regarding the stability and reliability of these grafts. [7][8][9][10] The association of both fascia and fat could promote added qualities to this graft and its physical properties. The surgical approach as well as a careful local preparation should add to the final outcome by decreasing postoperative inflammation and graft rejection.…”