Intracordal autologous fat injection for aspiration after recurrent laryngeal nerve paralysis

被引：36

作者：

Laccourreye, O ^{[1
]}

Paczona, R ^{[1
]}

Ageel, M ^{[1
]}

Hans, S ^{[1
]}

Brasnu, D ^{[1
]}

Crevier-Buchman, L ^{[1
]}

机构：

[1] Univ Paris 05, Assistance Publ Hop Paris, Laennec Hosp, Dept Otorhinolaryngol Head & Neck Surg, F-75007 Paris, France

来源：

EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY | 1999年 / 256卷 / 09期

关键词：

recurrent laryngeal nerve paralysis; aspiration; intracordal fat injection;

D O I：

10.1007/s004050050189

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The present prospective study was designed to analyze the results achieved with intracordal autologous fat injection for aspiration in a series of 20 patients with recurrent laryngeal nerve paralysis. Swallowing was documented by having each patient swallow pureed food colored with methylene blue during nasofibroscopy. No laryngeal adverse effects were associated with the intracordal injection of fat. One patient developed an abdominal hematoma at the donor site. The intracordal injection of autologous fat after 1 year resulted in an 85% successful rehabilitation of swallowing. One of the three patients who failed the initial rehabilitation of swallowing was managed successfully with reinjection of autologous fat, resulting in a 90% definitive successful rehabilitation of swallowing. In all patients, speech and voice were immediately improved after the intracordal injection of autologous fat. Objective acoustic recordings documented the improvement in selected speech and voice parameters when compared with pretreatment data. Our presented experience shows that the intracordal autologous fat injection is a safe and valuable treatment option in patients with aspiration after recurrent laryngeal nerve paralysis.

引用

页码：458 / 461

页数：4

共 17 条

[1]

ARNOLD GE, 1962, ARCHIV OTOLARYNGOL, V76, P358

[2] LONG-TERM RESULT OF VOCAL CORD AUGMENTATION WITH AUTOGENOUS FAT [J].