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Articles by T. J Fang
Total Records ( 1 ) for T. J Fang
  T. J Fang , H. Y Li , R. E Gliklich , Y. H Chen , P. C Wang and H. F. Chuang

Objective  To analyze outcomes following fat injection laryngoplasty in patients with unilateral vocal cord paralysis.

Design  Longitudinal outcomes evaluation study.

Setting  Tertiary referral voice center.

Patients  Thirty-three consecutive patients with unilateral vocal cord paralysis undergoing autologous fat injection laryngoplasty with preoperative and serial postoperative follow-up at Chang Gung Memorial Hospital, Taipei, Taiwan.

Intervention  Autologous fat injection laryngoplasty.

Main Outcome Measures  Voice laboratory measurements, Voice Outcome Survey, and 36-item Short Form Health Survey.

Results  Except for the physical functioning dimension of global health, voice-related subjective outcomes and acoustic variables of the patients significantly improved after surgery (P < .05). Compared with population norms, the mean (SD) scores of patients were inferior on the 36-item Short Form Health Survey dimensions of physical functioning (80.7 [22.3] vs 90.2 [17.4]) and role functioning–physical problems (65.0 [36.2] vs 80.2 [36.2]). Overall, 88.9% (24 of 27) of the patients were satisfied with their surgery.

Conclusions  Fat injection laryngoplasty seems to be effective in enhancing acoustic and quality of life outcomes in patients with unilateral vocal cord paralysis. The effect is sustainable over 12 months.

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