Laryngorhinootologie 2018; 97(03): 163-165
DOI: 10.1055/s-0044-101380
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© Georg Thieme Verlag KG Stuttgart · New York

Neues Verfahren zur Liposuktion und Fettaugmentation nach Chordektomie

A new atraumatic device for liposuction and injection represents a technical advance for primary fat injection after cordectomy
Frank Haubner
,
Anne Lorenz
,
Peter Kummer
,
J. Carmelo Pérez Álvarez
Further Information

Publication History

Publication Date:
01 March 2018 (online)

Zusammenfassung

Fettaugmentationen der Stimmlippen sind ein etabliertes Verfahren in der Hals-Nasen-Ohrenheilkunde. Aktuell wird dieses Verfahren auch bei Patienten mit endolaryngealen Defekten nach Laser-Chordektomie diskutiert. Der Artikel beschreibt diesbezüglich ein minimal-invasives Verfahren zur primären Liposuktion und Fettaugmentation bei Patienten nach der Resektion eines pT1a Stimmlippenkarzinoms. Dieses neue Verfahren erwies sich als sichere und technisch einfache Methode zur Rekonstruktion von Stimmlippendefekten. Relevante Komplikationen wurden nicht beobachtet.

Abstract

Lipoinjections into the vocal folds are well established in otorhinolaryngology. Currently, lipofilling in patients with surgical defects after laser cordectomy is discussed. We describe a new device for liposuction and lipofilling for primary vocal fold reconstruction after laser cordectomy. A patient with a surgical defect after pT1a glottic cancer is presented. Primary lipoinjection after laser cordectomy was documented as a safe and easy method to reconstruct the surgical defect. No relevant complications have been observed.

 
  • Literatur

  • 1 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 (05) 457-462
  • 2 McCulloch TM, Andrews BT, Hoffman HT. et al. Long-term follow-up of fat injection laryngoplasty for unilateral vocal cord paralysis. Laryngoscope 2002; 112 (7 Pt 1) 1235-8
  • 3 Barret JP, Sarobe N, Grande N. et al. Maximizing results for lipofilling in facial reconstruction. Clin Plast Surg 2009; 36 (03) 487-492
  • 4 Wetterau M, Szpalski C, Hazen A. et al. Autologous fat grafting and facial reconstruction. J Craniofac Surg 2012; 23 (01) 315-318
  • 5 Zhu Y, Liu T, Song K. et al. Ex vivo expansion of adipose tissue-derived stem cells in spinner flasks. Biotechnology journal 2009; 4 (08) 1198-1209
  • 6 Rodriguez AM, Elabd C, Amri EZ. et al. The human adipose tissue is a source of multipotent stem cells. Biochimie 2005; 87 (01) 125-128
  • 7 Cherubino M, Rubin JP, Miljkovic N. et al. Adipose-derived stem cells for wound healing applications. Ann Plast Surg 2011; 66 (02) 210-215
  • 8 Schreml S, Babilas P, Fruth S. et al. Harvesting human adipose tissue-derived adult stem cells: resection versus liposuction. Cytotherapy 2009; 11 (07) 947-957
  • 9 Altman AM, Prantl L, Muehlberg FL. et al. Wound microenvironment sequesters adipose-derived stem cells in a murine model of reconstructive surgery in the setting of concurrent distant malignancy. Plast Reconstr Surg 2011; 127 (04) 1467-1477
  • 10 Schreml S, Szeimies RM, Prantl L. et al. Wound healing in the 21st century. J Am Acad Dermatol 2010; 63 (05) 866-881
  • 11 Zellner J, Mueller M, Berner A. et al. Role of mesenchymal stem cells in tissue engineering of meniscus. J Biomed Mater Res A 2010; 94 (04) 1150-1161
  • 12 Phulpin B, Gangloff P, Tran N. et al. Rehabilitation of irradiated head and neck tissues by autologous fat transplantation. Plast Reconstr Surg 2009; 123 (04) 1187-1197
  • 13 Hiwatashi N, Hirano S, Mizuta M. et al. Adipose-derived stem cells versus bone marrow-derived stem cells for vocal fold regeneration. The Laryngoscope 2014; 124 (12) E461-E469
  • 14 Hiwatashi N, Hirano S, Suzuki R. et al. Comparison of ASCs and BMSCs combined with atelocollagen for vocal fold scar regeneration. The Laryngoscope 2016; 126 (05) 1143-1150
  • 15 Navach V, Calabrese LS, Zurlo V. et al. Functional base of tongue fat injection in a patient with severe postradiation Dysphagia. Dysphagia 2011; 26 (02) 196-9
  • 16 Sataloff RT, Spiegel JR, Hawkshaw M. et al. Autologous fat implantation for vocal fold scar: a preliminary report. J Voice 1997; 11 (02) 238-246
  • 17 Zeitels SM, Jarboe J, Franco RA. Phonosurgical reconstruction of early glottic cancer. The Laryngoscope 2001; 111 (10) 1862-1865
  • 18 Bolzoni Villaret A, Piazza C, Redaelli De Zinis LO. et al. Phonosurgery after endoscopic cordectomies. I. Primary intracordal autologous fat injection after transmuscular resection: preliminary results. Eur Arch Otorhinolaryngol 2007; 264 (10) 1179-1184
  • 19 Coleman WPt, Hendry 2nd SL. Principles of liposuction. Semin Cutan Med Surg 2006; 25 (03) 138-144
  • 20 Fishman JM, Long J, Gugatschka M. et al. Stem cell approaches for vocal fold regeneration. The Laryngoscope 2016; 126 (08) 1865-1870
  • 21 Canis M, Ihler F, Martin A. et al. Transoral laser microsurgery for T1a glottic cancer: review of 404 cases. Head Neck 2015; 37 (06) 889-895
  • 22 Rennekampff HO, Reimers K, Gabka CJ. et al. Current perspective and limitations of autologous fat transplantation--”consensus meeting” of the German Society of Plastic, Reconstructive and Aesthetic Surgeons at Hannover; September 2009. Handchir Mikr 2010; 42 (02) 137-142
  • 23 Shaw GY, Szewczyk MA, Searle J. et al. Autologous fat injection into the vocal folds: technical considerations and long-term follow-up. The Laryngoscope 1997; 107 (02) 177-186
  • 24 DeFatta RA, DeFatta RJ, Sataloff RT. Laryngeal lipotransfer: review of a 14-year experience. J Voice 2013; 27 (04) 512-515
  • 25 Sanderson JD, Simpson CB. Laryngeal complications after lipoinjection for vocal fold augmentation. The Laryngoscope 2009; 119 (08) 1652-1657
  • 26 Rigotti G, Marchi A, Galie M. et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg 2007; 119 (05) 1409-22 discussion 23-24
  • 27 Gutowski KA. Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force. Plast Reconstr Surg 2009; 124 (01) 272-280