NYMC Faculty Publications
Temporalis Fascia Transplant for Vocal Fold Scar and Sulcus Vocalis
Author Type(s)
Faculty
DOI
10.1002/lary.24536
Journal Title
The Laryngoscope
First Page
1653
Last Page
1658
Document Type
Article
Publication Date
7-1-2014
Department
Otolaryngology
Keywords
Adult, Cicatrix, Fascia, Female, Follow-Up Studies, Humans, Laryngeal Muscles, Male, Middle Aged, Phonation, Plastic Surgery Procedures, Retrospective Studies, Transplantation, Autologous, Treatment Outcome, Vocal Cords, Voice Disorders, Voice Quality
Disciplines
Medicine and Health Sciences
Abstract
OBJECTIVES/HYPOTHESIS: To evaluate vocal outcomes in 10 patients 1 year after autologous transplantation of temporalis fascia into Reinke's space (ATFV) for vocal fold scar and sulcus vocalis.
STUDY DESIGN: Retrospective, clinical case series.
METHODS: Subjective and objective evaluation was performed 12 months after surgery using laryngovideostroboscopy (LVS) in all patients, the Voice Handicap Index-10 (VHI-10) in seven patients, GRBAS (grade, roughness, breathiness, asthenia, strain) scale in nine patients, and noise-to-harmonics ratio (NHR), phonatory range (PR) and maximum phonation time (MPT) in six patients.
RESULTS: LVS improved in all but one patient. A significant decrease was noted in the GRBAS subscales grade, roughness, asthenia, and strain (P< .05). Breathiness was almost significant, with a P value of .052. There was an average decrease in the VHI-10 of 8.14 (P=.032). NHR, MPT, and PR did not statistically improve.
CONCLUSIONS: ATFV for vocal fold scar and sulcus vocalis results in significant subjective vocal improvement that persists at least 1 year after surgery.
LEVEL OF EVIDENCE: 4.
Recommended Citation
Pitman, M. J., Rubino, S. M., & Cooper, A. L. (2014). Temporalis Fascia Transplant for Vocal Fold Scar and Sulcus Vocalis. The Laryngoscope, 124 (7), 1653-1658. https://doi.org/10.1002/lary.24536
