{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:05:55Z","timestamp":1771527955087,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Compare long\u2010term voice outcomes in patients treated with FIM or BML for nonparalytic dysphonia. There is controversy whether fat injection medialization (FIM) is a durable alternative to bilateral medialization laryngoplasty (BML) for nonparalytic dysphonia (atrophy, sulcus, scar, paresis). Both interventions yield improved voice quality, yet comparison of patients' long\u2010term perceptions of their voice after these procedures has not been performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of patients who underwent FIM or BML for nonparalytic dysphonia was performed from 2008\u20102018. Charts were reviewed for demographic information, preoperative diagnosis, intervention, Voice Handicap Index\u201010 (VHI\u201010), and follow\u2010up time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010nine patients met our criteria. Fifty procedures were performed (25 FIM, 25 BML). One patient underwent BML with subsequent FIM. There was no significant difference in pre\u2010treatment or post\u2010treatment VHI\u201010 scores between both groups (Pre\u2010FIM 21 Post\u2010FIM 10.28; Pre\u2010BML 22.48, Post\u2010BML 10.88). Total median follow\u2010up time was 11.3\u2009months (FIM 14.8\u2009months, BML 9.5\u2009months). Using VHI\u201010 scores recorded at each patient's latest follow\u2010up visit, both groups demonstrated significant decrease (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05) compared to preoperative scores: VHI\u201010 decreased by a mean delta of 10.72 in the FIM group and 11.6 in the BML group. There was no significant difference in pre, post and change in VHI between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients with nonparalytic dysphonia, FIM is a durable alternative to BML. Patients treated in both groups gained substantial improvement in vocal function. For both treatment groups, we should anticipate less than complete satisfaction with surgery and revision procedures in a minority of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.573","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T11:11:04Z","timestamp":1622113864000},"page":"453-457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Voice assessment of fat injection vs medialization laryngoplasty in nonparalytic dysphonia"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2697-8480","authenticated-orcid":false,"given":"Sarah K.","family":"Rapoport","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Mount Sinai Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Murry","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Loma Linda Health University  Loma Linda California USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Drexel University College of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0144-5178","authenticated-orcid":false,"given":"Peak","family":"Woo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Mount Sinai Medical Center  New York New York 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