Voice acoustics after autologous fascia injection for vocal fold paralysis

Laryngoscope. 1999 Nov;109(11):1854-8. doi: 10.1097/00005537-199911000-00026.

Abstract

Objectives: The present study was carried out to assess the impact of fascial injection on voice acoustics Preliminary results had suggested that voice, as rated by a panel of listeners, was significantly improved after autologous fascia augmentation of a paralyzed vocal fold.

Study design: A prospective study among patients with unilateral vocal fold paralysis was carried out. Eighteen subjects were analyzed 9 months (mean) after the procedure.

Methods: The preoperative and postoperative samples of vowel /a/ were analyzed by Key Elemetrics (Lincoln Park, NJ). Computerized Speech Lab.

Results: There was a significant improvement (P<.05) in all parameters measured, including jitter, shimmer, noise-to-harmonic ratio, and maximum phonation time. No laryngeal complications were seen.

Conclusions: According to these preliminary results, vocal fold augmentation by an injection of autologous fascia seems a simple, inexpensive, reliable and safe method to restore voice quality after unilateral vocal fold paralysis.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Fascia / transplantation*
  • Female
  • Humans
  • Injections
  • Male
  • Middle Aged
  • Phonation
  • Prospective Studies
  • Speech Acoustics*
  • Tissue Transplantation / methods*
  • Transplantation, Autologous
  • Treatment Outcome
  • Vocal Cord Paralysis / physiopathology
  • Vocal Cord Paralysis / therapy*