Vocal fold fat grafting
Vocal fold fat grafting aims to restore gentle augmentation of the vocal cords while preserving natural voice quality. In cases related to vocal cord nodules, fat grafting can be used to balance tissue volume and improve glottic closure when scarring or atrophy limits flexibility. The technique focuses on careful placement to avoid overcorrection.
Fat is harvested from areas such as the abdomen or thighs using liposuction, then processed into small, usable grafts. The surgeon injects tiny aliquots into the vocal folds under careful control to avoid lumps or stiffness. Outcomes depend on tissue integration and the body’s resorption rate, which varies by patient.
Safety in fat grafting
Safety in fat grafting is a priority in voice focused procedures. Possible risks include temporary hoarseness, lumpiness, or uneven contour if grafts are too large or misplaced. Skilled technique and precise dosing minimize these issues and support steady recovery.
Selecting patients with realistic goals is essential, as is choosing an experienced surgeon who understands laryngeal anatomy. The approach favors conservative injections, staged if needed, to monitor response and avoid compromising voice quality. Rigorous sterility and aftercare further reduce complication rates.
Timing for fat grafts
Timing for fat grafts depends on the broader treatment plan for vocal cord nodules. Some patients benefit after nodule removal to restore tissue balance, while others consider augmentation for long standing atrophy or scarring. The scheduling aligns with voice therapy and surgical milestones to protect the voice.
Primary augmentation is different from revision work and requires careful planning. Surgeons weigh vocal demands, healing potential, and prior scarring when deciding on graft size and placement. Clear expectations help patients anticipate changes in timbre and control.
Recovery and care
Recovery and care after vocal fold fat grafting emphasize voice rest and gentle vocal exercises. Humidified air, avoidance of irritants, and structured rehabilitation support a smooth return to normal use. Most patients notice gradual improvement over several weeks as swelling subsides.
Follow-up visits track graft take and voice function, with adjustments if necessary. Long term results rely on healthy weight stability and ongoing voice care, including coaching and regular checkups. Understanding the limits and possibilities helps patients move forward with confidence.