VOICE RESTORATION FOLLOWING LASER RESECTION OF HYPOPHARYNGEAL MALIGNANCY
66 year old male who underwent LASER resection of right sided pyriform fossa carcinoma( T3N0M0) followed by chemoradiation 1 year back presented with hoarseness and impaired voice quality.
Patient was planned for injection laryngoplasty (posterior commissure augmentation) with autologous fat.
Abdominal fat was harvested (image)
Fat was stripped with scissors and loaded in Arnold Breuning syringe (image)
Under DL visualization using Weerda’s expanding scope and jet ventilation , posterior commissure was augmented (video)
Postoperative voice was satisfactory.
Fat has to be stripped and NOT crushed to avoid breakage of adipocytes and absorption.