Treatment of presbyphonia with lipoinjection of vocal cords – a case report

Czech version

Authors: Simona Polášková ¹; Karol Zeleník ^1,2; Radana Walderová ¹; Peter Kántor ^1,2; Pavel Komínek ^1,2
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Ostrava ¹; Katedra kraniofaciálních oborů, LF Ostravské univerzity ²
Published in: Otorinolaryngol Foniatr, 73, 2024, No. 2, pp. 95-97.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl202495

Overview

Lipoinjection of vocal cords is a minimally invasive phonosurgical treatment, which is used to increase the volume of vocal cords if the glottal gap is less than 3 mm. Glottic gap is usually caused by paresis of the recurrent laryngeal nerve or as a result of vocal cord muscle atrophy in the elderly (presbyphonia). In this article, a case report of a patient with presbyphonia who underwent lipoinjection of the vocal cords is presented. The aim of this case report is to highlight the use of lipoinjetion of vocal cords in elderly patients with presbyphonia in case of unsuccessful conservative treatment.

Keywords:

presbyphonia – glottal gap – augmentation of vocal cords

Sources

1. Kučová H, Tománková M, Komínek P et al. Augmentace hlasivek autologním tukem. Otorinolaryngol Foniatr 2015; 64 (2): 79–86.

2. Rosow DE, Pan DR. Presbyphonia and Minimal Glottic Insufficiency. Otolaryngol Clin North Am 2019; 52 (4): 617–625. Doi: 10.1016/j.otc.2019.03.005.

3. Santos M, Freitas SV, Almeida ESC et al. Presbylarynx: validation of a classification based on morphological characteristics. Eur Arch Otorhinolaryngol 2023; 280 (2): 781–788. Doi: 10.1007/s00405-022-07618-x.

4. Moon S, Park J, Yang S. The Effects of Therapeutic Singing on Vocal Functions of the Elderly: A Study on Korean Elderly. J Voice 2022; 36 (3): 437.e431–437.e439. Doi: 10.1016/j.jvoice.2020.06.007.

5. Rosen CA, Simpson BC. Operative techniques in laryngology. Berlin: Springer-Verlag 2008.

6. Dršata J, Hudíková M, Kučera M et al. Fonochirurgická léčba glotické insuficience. Otorinolaryngol Foniatr 2008; 57 (4): 210–212.

7. Kresa Z, Rems J, Wichterle O. Hydron gel implants in vocal cords. Otolaryngol Head Neck Surg 1988; 98 (3): 242–246. Doi: 10.1177/0194 59988809800312.

8. Fang TJ, Li HY, Gliklich RE et al. Outcomes of fat injection laryngoplasty in unilateral vocal cord paralysis. Arch Otolaryngol Head Neck Surg 2010; 136 (5): 457–462. Doi: 10.1001/archoto.2010.42.

ORCID autorů

K. Zeleník 0000-0003-1349-9958,

R. Walderová 0000-0002-1136-530X,

P. Kántor 0000-0003-0057-754X,

P. Komínek 0000-0001-6238-0756.

Přijato k recenzi: 6. 4. 2023

Přijato k tisku: 14. 7. 2023

MUDr. Simona Polášková

Klinika otorinolaryngologie a chirurgie hlavy a krku

FN Ostrava

17. listopadu 1790

708 52 Ostrava