Injection laryngoplasty with autologous fat in patients after laser cordectomy (preliminary report)
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2015, Vol 4, Issue 2
Abstract
Transoral endoscopic laser surgery has been widely used in the treatment of the early stage of glottic cancer. Phonatory dysfunction is the main problem after cordectomy. The quality of voice depends on the extent of surgery, especially when resection involves the anterior commissure, vocal process, arytenoid or contralateral vocal folds. Many of surgery (phonosurgery) procedure is performed to improve the activity of the larynx phonatory function. One of them is the autologous fat injection. The aime of this study is evaluation of possibilities of injecting laryngoplasty with autogenous fat in patients after laser cordectomy to improve phonatory function of the larynx (preliminary report). Two patients, underwent CO2 laser cordectomy type III because of T1aN0M0 glottic carcinoma.After surgery, respectively in the 7th and 8th month, patients were injected on autologous fat into the rest of the vocal fold. Before and after laryngoplasty phoniatric and subjective and objective evaluation of the voice were performed. As a result of the injecting laryngoplasty we observed improvement of the glottic closure, phonatory quality voice and voice perceptual improvement. Injecting laryngoplasty with autologous fat in patients after laser cordectomy is highly recommended, especially after type III laser cordectomy.<br/><br/>
Authors and Affiliations
Antoni Bruzgielewicz, Ewelina Sielska-Badurek, Kazimierz Niemczyk, Ewa Osuch-Wójcikiewicz
Keywords
Related Articles
- EP ID EP51319
- DOI 10.5604/20845308.1154499
- Views 186
- Downloads 0
Przerzut raka jasnokomórkowego nerki do języka – opis przypadku
Renal clear cell carcinoma is a malignant tumor and the most common histology type of renal cell carcinoma. In the head and neck occurs relatively rarely distant metastasis of malignant tumors located in the chest or abd...
Kliniczne testy oceny stabilności równowagi i chodu – testy przyłóżkowe
Ocena równowagi i chodu jest ważnym elementem badania otoneurologicznego. W artykule przedstawiono najważniejsze kliniczne „testy przyłóżkowe” stosowane u pacjentów w diagnostyce zaburzeń układu równowagi. Problemy ze...
Pyoderma gangrenosum in a patient with aggravation of Crohn's disease
Pyoderma gangrenosum (PG) is a rare ulcerative dermatosis. Aetiology of PG remains unknown. In 50–70% cases PG occurs in association with a systemic disease, most commonly inflammatory bowel disease (Crohn's disease, ulc...
Choroba Meniera cz. 1. Kryteria diagnostyczne i obraz kliniczny Choroby Ménière’a (ChM) – komentarz do aktualnych zaleceń i doświadczenia własne
Autorzy przedstawiają przegląd aktualnych zaleceń diagnostycznych i terapeutycznych choroby Ménière’a. W ostatnich 5 latach ukazały się 4 opracowania na ten temat. W 2015 r. 5 towarzystw naukowych: Classification Committ...
The importance of the acoustic rhinometry and rhinomanometry in the diagnosis of pre- and postoperative patients with rynological problems
Rhinomanometr y (RMM ) is a technique known since a long time in the offi ce of ENT and allergy. It is used to test the resista nce of air fl owing throu gh the nasal cavity . This is a fast, cheap and non-invasive metho...