For Unilateral Vocal Fold Paralysis

Celia F. Stewart, Elizabeth Allen

Introduction 87

Assessment 87

PerceptualAssessment 87

Self-Ratings 87

ObjectiveMeasurements 88

Compensations 89

GuidelinesforPlanningVoiceTherapy . . . 89

PatternsofVocalSymptoms 90

Rehabilitation Hypotheses 90

Therapy Procedures 90

Indirect Rehabilitation 90

Direct Rehabilitation 91

Transfer ofSkills 92

Vocal Practice 92

Communicating in Noisy Environments 92

Results 93

Conclusion 93

Chapter8

Injection Augmentation

Karen A. Cooper, Charles N. Ford

Introduction 97

Indications 97

Historical Note 97

Timingoflntervention 98

Technique 99

Office-Based Procedure 99

Results 102

Complications 102

CurrentStatusandFutureGoals 102

Chapter8.1

Autologous Fatfor Vocal Fold Injection

Clark A. Rosen

Introduction 105

RationaleforVocalFoldLipoinjection ... 105

Patient Selection 105

Technical Aspects ofVocal Fold Lipoinjection 106

FatHarvest 106

Lipoinjection 108

Post-operative Care Following

Lipoinjection 108

DurationofBenefit 109

Complications of Lipoinjection oftheVocal Folds 109

Airway 109

Suboptimal Voice Improvement 109

Overinjection 110

Chapter8.2

Collagen in Vocal Fold Injection

Mark S. Courey

PhysiologicConsiderations Ill

HistoricalConsiderations Ill

TechnicalConsiderations 112

Clinical Applications 114 Complications.

Conclusion 114 Technique . . .

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