Treatment of velopharyngeal insufficiency by autologous fat injection.

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Serval ID
serval:BIB_B3E8C269F227
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Treatment of velopharyngeal insufficiency by autologous fat injection.
Journal
European Archives of Oto-rhino-laryngology
Author(s)
Leuchter I., Schweizer V., Hohlfeld J., Pasche P.
ISSN
1434-4726[electronic], 0937-4477[linking]
Publication state
Published
Issued date
2010
Volume
267
Number
6
Pages
977-983
Language
english
Notes
Publication types: Journal Article
Abstract
Velopharyngeal insufficiency (VPI) is a structural or functional trouble, which causes hypernasal speech. Velopharyngeal flaps, speech therapy and augmentation pharyngoplasty, using different implants, have all been used to address this trouble. We hereby present our results following rhinopharyngeal autologous fat injection in 18 patients with mild velopharyngeal insufficiency (12 soft palate clefts, 4 functional VPI, 2 myopathy). 28 injections were carried out between 2004 and 2007. The degree of hypernasal speech was evaluated pre- and postoperatively by a speech therapist and an ENT specialist and quantified by an acoustic nasometry (Kay Elemetrics). All patients were exhaustively treated with preoperative speech therapy (average, 8 years). The mean value of the nasalance score was 37% preoperatively and 23% postoperatively (p = 0.015). The hypernasality was reduced postoperatively in all patients (1-3 degrees of the Borel-Maisonny score). There were no major complications, two minor complications (one hematoma, one cervical pain). The autologous fat injection is a simple, safe, minimally invasive procedure. It proves to be efficient in cases of mild velopharyngeal insufficiency or after a suboptimal velopharyngoplasty.
Keywords
Adipose Tissue/transplantation, Adolescent, Adult, Child, Cleft Palate/surgery, DiGeorge Syndrome/surgery, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phonation/physiology, Postoperative Complications/etiology, Sound Spectrography, Speech Intelligibility, Velopharyngeal Insufficiency/etiology, Velopharyngeal Insufficiency/surgery, Voice Disorders/etiology, Voice Disorders/surgery, Voice Quality/physiology, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
01/10/2010 17:50
Last modification date
01/10/2019 6:19
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