Primary injection laryngoplasty after chordectomy for small glottic carcinomas.

Abstract

OBJECTIVES:

The purpose of this study was to analyze the short- and middle-term effects of primary injection laryngoplasty in patients having tumor resection within the same surgery concerning the vocal outcome. Injection laryngoplasty was performed after harvesting autologous adipose tissue via lipoaspiration.

METHODS:

A prospective study was performed with 16 patients (2 female; 14 male) who received tumor resection and an injection laryngoplasty using autologous adipose tissue during a single stage procedure. Multidimensional voice evaluation including videostroboscopy, patient self-assessment, voice perception, aerodynamics, and acoustic parameters was performed preoperatively, as well as 1.5, 3 and 6 months postoperatively.

RESULTS:

Results show an improvement in the roughness-breathiness-hoarseness (RBH) scale, voice dynamics and subjective voice perception 6 months postoperatively. Maintenance of Voice Handycap Index, jitter and shimmer could be observed 6 months postoperatively. There was no deterioration in RBH and subjective voice perception 2 and 6 weeks postoperatively. No complications occurred in the fat harvesting site.

CONCLUSIONS:

Using the lipoaspiration and centrifugation approach, primary fat injection laryngoplasty shows short-term maintenance und middle-term improvement in voice quality in patients with vocal fold defect immediately after chordectomy 6 months postoperatively. Cancer recurrence rate is comparable to the reported cancer recurrence rate for laryngeal carcinoma and thus not elevated through primary augmentation.

• Authors: Axelle Felicio-Briegel, Kariem Sharaf, Frank Haubner, Matthias Echternach
• Journal: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery (Eur Arch Otorhinolaryngol) Vol. 280 Issue 3 Pg. 1291-1299 (Mar 2023) ISSN: 1434-4726 [Electronic] Germany
• PMID: 36197582 (Publication Type: Journal Article)
• Copyright: © 2022. The Author(s).

Topics

• Humans
• Male
• Female
• Laryngoplasty (methods)
• Vocal Cord Paralysis (surgery)
• Prospective Studies
• Treatment Outcome
• Neoplasm Recurrence, Local (surgery)
• Laryngeal Neoplasms (surgery, complications)
• Hoarseness (etiology)
• Carcinoma (surgery, complications)