Lipoaugmentation of the Vocal Folds: A Survey on Alternative Donor Sites for Graft Harvesting

Prodinger, Peter Michael; Windisch, G.; Hammer, Georg; Anderhuber, Friedrich; Friedrich, Gerhard

doi:10.1016/j.jvoice.2008.01.015

Journal of Voice

2009

DOI: 10.1016/j.jvoice.2008.01.015

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Lipoaugmentation of the Vocal Folds: A Survey on Alternative Donor Sites for Graft Harvesting

Peter Michael Prodinger

G. Windisch

Georg Hammer

et al.

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Cited by 5 publications

(1 citation statement)

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“…Each type of implant has advantages and disadvantages. Resorption of fat, gelfoam and collagen mean that improvements tend to be short lived, however there is minimal tissue reaction in most cases [1][2][3][4][5] . Resorption may be an advantage if temporary medialization is required however often over-injection of these substances is necessary to ensure reasonable length of efficacy and can temporarily compromise the airway.…”

mentioning

confidence: 99%

Vocal Fold Injection Augmentation with Novielle Voice Gel

et al. 2009

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mentioning

confidence: 99%

Vocal Fold Injection Augmentation with Novielle Voice Gel

et al. 2009

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Vocal fold scars: current concepts and future directions. Consensus report of the phonosurgery committee of the European laryngological society

Friedrich

Dikkers

Arens

et al. 2013

Eur Arch Otorhinolaryngol

113

112

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Scarring of the vocal folds leads to a deterioration of the highly complex micro-structure with consecutively impaired vibratory pattern and glottic insufficiency. The resulting dysphonia is predominantly characterized by a reduced vocal capacity. Despite the considerable progress in understanding of the underlying pathophysiology, the treatment of scarred vocal folds is still an unresolved chapter in laryngology and phonosurgery. Essential for a successful treatment is an individual, multi-dimensional concept that comprises the whole armamentarium of surgical and non-surgical (i.p. voice therapy) modalities. An ideal approach would be to soften the scar, because the reduced pliability and consequently the increased vibratory rigidity impede the easiness of vibration. The chosen phonosurgical method is determined by the main clinical feature: Medialization techniques for the treatment of glottic gap, or epithelium freeing techniques for improvement of vibration characteristics often combined with injection augmentation or implantation. In severe cases, buccal mucosa grafting can be an option. New developments, include treatment with anxiolytic lasers, laser technology with ultrafine excision/ablation properties avoiding coagulation (Picosecond infrared laser, PIRL), or techniques of tissue engineering. However, despite the promising results by in vitro experiments, animal studies and first clinical trials, the step into clinical routine application has yet to be taken.

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Buccal Fat Pad Graft in Maxillofacial Surgery

Rahpeyma

Khajehahmadi

2021

Indian J Surg Oncol

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Lipoaugmentation of the Vocal Folds: A Survey on Alternative Donor Sites for Graft Harvesting

Cited by 5 publications

References 27 publications

Vocal Fold Injection Augmentation with Novielle Voice Gel

Vocal Fold Injection Augmentation with Novielle Voice Gel

Vocal fold scars: current concepts and future directions. Consensus report of the phonosurgery committee of the European laryngological society

Buccal Fat Pad Graft in Maxillofacial Surgery

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