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oai:docta.ucm.es:20.500.14352/1315812026-02-06T01:12:40Zcom_20.500.14352_14col_20.500.14352_15

Injection Laryngoplasty Using Autologous Fat Enriched with Adipose-Derived Regenerative Stem Cells: A Safe Therapeutic Option for the Functional Reconstruction of the Glottal Gap after Unilateral Vocal Fold Paralysis Lasso Vázquez, José María Poletti, Daniel Scola, Batolomé Gómez Vilda, Pedro García Martín, Ana Isabel Fernández Santos, María Eugenia 617 Cirugía 32 Ciencias Médicas Fondos FEDER Plan Nacional de I+D+i Background:Paralysis of one vocal fold leads to glottal gap and vocal fold insufficiency that has significant impact upon a patient's quality of life. Fillers have been tested to perform intracordal injections, but they do not provide perdurable results. Early data suggest that enriching fat grafts with adipose-derived regenerative cells (ADRCs) promote angiogenesis and modulate the immune response, improving graft survival. The aim of this study is to propose ADRC-enriched adipose tissue grafts as effective filler for the paralyzed vocal fold to use it for functional reconstruction of the glottal gap. Method:This is the first phase I-IIA clinical trial (phase I/IIA clinical trial, unicentric, randomized, controlled, and two parallel groups), to evaluate the safety of a new therapy with ADRC-enriched fat grafting (ADRC: group I) for laryngoplasty after unilateral vocal fold paralysis. Control group patients received centrifuged autologous fat (CAF: group II) grafts. Overall mean age is 52.49 ± 16.60 years. Group I (ADRC): 7 patients (3 males and 4 females), 52.28 ± 20.95 year. Group II (CAF): 7 patients (3 males and 4 females), 52.71 ± 12.59 year. Results:VHI-10 test showed that preoperative mean score was 24.21 ± 8.28. Postoperative mean score was 6.71 ± 6.75. Preoperative result in group I was 21.14 ± 3.58 and postoperative result was 3.14 ± 3.53. Preoperative result for group II was 27.29 ± 10.66. Postoperative score in group II was 10.29 ± 7.52. Wilcoxon and the Student t-tests showed that the patient's self-perception of posttreatment improvement is larger when ADRCs are used. Comparing pre- and posttreatment voice quality analysis, group I showed a p = 0.053. Group II showed a p = 0.007. There would be no significant differentiation between pre- and posttreatment results. This is true for group II and limited for group I. Conclusions:This prospective trial demonstrates the safety and efficacy of the treatment of glottal gap defects utilizing ADRC-enriched fat grafts. This trial is registered with NCT02904824. Ministerio de Economía y Competitividad (España) Unión Europea Depto. de Cirugía Fac. de Medicina TRUE pub 2026-02-05T12:35:06Z 2026-02-05T12:35:06Z 2018-04-15 journal article VoR https://hdl.handle.net/20.500.14352/131581 1687-966X 10.1155/2018/8917913 1687-9678 eng TEC2012-38630-C04-04 TEC2012-38630-C04-01 TRA-043 Lasso, José M., Poletti, Daniel, Scola, Batolomé, Gómez-Vilda, Pedro, García-Martín, Ana I., Fernández-Santos, María Eugenia, Injection Laryngoplasty Using Autologous Fat Enriched with Adipose-Derived Regenerative Stem Cells: A Safe Therapeutic Option for the Functional Reconstruction of the Glottal Gap after Unilateral Vocal Fold Paralysis, Stem Cells International, 2018, 8917913, 15 pages, 2018. https://doi.org/10.1155/2018/8917913 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ open access application/pdf Wiley