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Eur Arch Otorhinolaryngol. 2017 Dec;274(12):4161-4167. doi: 10.1007/s00405-017-4758-6. Epub 2017 Oct 6.

Transcervical fat injection laryngoplasty for unilateral vocal fold paralysis: an easy way to do the job.

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Head and Neck Surgery, Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt.
Facial Plastic and Reconstructive Surgery, Department Of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt.
Department Of Otorhinolaryngology, Unit of Phoniatrics, Alexandria Faculty of Medicine, Alexandria, Egypt.


Unilateral vocal fold paralysis resulting in glottic incompetence can cause impairment of laryngeal functions, including airway protection and phonation. The objective of this study is to present an easy new technique for harvesting and injection of abdominal fat into the vocal fold for patients with unilateral vocal fold paralysis. This is a retrospective study of patients carried out on 16 patients suffering from unilateral vocal fold paralysis resulting from different etiologies. All patients were subjected to the protocol of voice assessment pre- and postoperatively. All patients were subjected to fat injection of the paralyzed vocal fold. There was a statistically significant difference between the pre- and postoperative grade of voice parameters. Vocal fold injection using fat medializes a paralyzed vocal fold by increasing vocal fold volume. Fat injections are safe and easily mastered; and in the absence of the standard settings for fat harvesting and injection, it could be performed with minimal equipment that are readily available in any operating room.


Fat harvesting; Fat injection; Transcervical; Vocal fold augmentation

[Indexed for MEDLINE]

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