{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:09:48Z","timestamp":1747148988092,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T00:00:00Z","timestamp":1544486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In this study, we present the first application of functional fat injection performed under local anesthesia in the treatment of severe dysphagia secondary to head and neck cancer surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Functional fat injection was performed using a transcervical approach. Control of injection depth and site was performed through a transnasal flexible endoscope. The effect of surgery was evaluated through videofluoroscopy (VFS), Fiberendoscopic Evaluation of Swallowing (FEES), Functional Oral Intake Scale (FOIS), and Eating Assessment Tool\u201010 (EAT\u201010).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Before the functional fat injection, the patient was dependent on permanent tube feeding; the VFS and FEES revealed a severe impairment of swallowing abilities. The EAT\u201010 scored 26. Twelve months after surgery, the patient was on oral diet, the VFS demonstrated mild to moderate dysphagia, the FEES demonstrated aspiration only with liquids and the EAT\u201010 improved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Functional fat injection under local anesthesia could be useful in the treatment of chronic dysphagia in selected patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25465","type":"journal-article","created":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T13:46:16Z","timestamp":1544535976000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Functional fat injection under local anesthesia to treat severe postsurgical dysphagia, case report"],"prefix":"10.1002","volume":"41","author":[{"given":"Francesco","family":"Ottaviani","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences and Community Health, Division of Otorhinolaryngology, San Giuseppe Hospital IRCCS Multimedica, University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Schindler","sequence":"additional","affiliation":[{"name":"Department of Biochemical and Clinical science \u201cLuigi Sacco\u201d University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Klinger","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery IRCCS Multimedica  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Letizia","family":"Scarponi","sequence":"additional","affiliation":[{"name":"Department of Biochemical and Clinical science \u201cLuigi Sacco\u201d University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Succo","sequence":"additional","affiliation":[{"name":"Department of Oncology, Candiolo Cancer Institute FPO\u2010IRCCS University of Turin  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2591-4063","authenticated-orcid":false,"given":"Francesco","family":"Mozzanica","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, Division of Otorhinolaryngology, San Giuseppe Hospital IRCCS Multimedica, University of Milan  Milan Italy"},{"name":"Department of Biochemical and Clinical science \u201cLuigi Sacco\u201d University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,11]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2008.03.013"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21064"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26003"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-010-9293-1"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3024-4"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"volume-title":"Endoscopic Evaluation and Treatment of Swallowing Disorders","year":"2001","author":"Langmore S","key":"e_1_2_4_8_1"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009595"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30283"},{"key":"e_1_2_4_12_1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/S0094-1298(20)31069-5","article-title":"Facial recountouring with lipostructure","volume":"24","author":"Coleman SR","year":"1997","journal-title":"Clin Plast Surg"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500909"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941312201109"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.3727\/096368912X657855"},{"key":"e_1_2_4_16_1","first-page":"59","article-title":"Autologous fat injection to face and neck: from soft tissue augmentation to regenerative medicine","volume":"31","author":"Mazzola RF","year":"2011","journal-title":"Acta Otorhinolaryngol Ital"}],"container-title":["Head &amp; 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