두 가지 Calcium Hydroxylapatite(Radiesse versus Facetem)를 이용한 Injection Laryngoplasty의 단기 음성 결과의 비교연구
The Evaluation of the Short-Term Voice Outcome of Injection Laryngoplasty Using Two Types of Calcium Hydroxylapatite (Radiesse versus Facetem).
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Background and Objectives Radiesse® is a widely used calcium hydroxyapatite (CaHA)injection material used for vocal fold injection. Recently, a new CaHA injection material (Facetem®) which complements the structural disadvantages of Radiesse has been developed andreleased in the market. The aim of this study is to compare the efficacy and short-term voiceoutcome of these two CaHA materials. Subjects and Method A retrospective analysis was performed for 70 patients with unilateralvocal fold paralysis who underwent vocal fold injection using CaHA materials. Acousticvoice analysis, maximal phonation time (MPT), voice handicap index (VHI), and Grade,Roughness, Breathiness, Asthenia, Strain (GRBAS) scale were evaluated between Radiesseand Facetem injection group. Results Both groups showed a signifcant improvement of MPT, VHI, and G, B, A scale afterinjection. The Facetem group showed similar voice improvement as the Radiesse group,where pre- and postoperatively objective and subjective voice evaluation results were compared. Conclusion Our study reveals that there is no significant difference in efficacy and nor anyshort-term vocal improvement between Radiesse and Facetem. Therefore, the use of Facetem asCaHA injection material could be considered as an alternative material for patients with unilateralvocal cord paralysis.
Abstract
Background and Objectives Radiesse® is a widely used calcium hydroxyapatite (CaHA)injection material used for vocal fold injection. Recently, a new CaHA injection material (Facetem®) which complements the structural disadvantages of Radiesse has been developed andreleased in the market. The aim of this study is to compare the efficacy and short-term voiceoutcome of these two CaHA materials. Subjects and Method A retrospective analysis was performed for 70 patients with unilateralvocal fold paralysis who underwent vocal fold injection using CaHA materials. Acousticvoice analysis, maximal phonation time (MPT), voice handicap index (VHI), and Grade,Roughness, Breathiness, Asthenia, Strain (GRBAS) scale were evaluated between Radiesseand Facetem injection group. Results Both groups showed a signifcant improvement of MPT, VHI, and G, B, A scale afterinjection. The Facetem group showed similar voice improvement as the Radiesse group,where pre- and postoperatively objective and subjective voice evaluation results were compared. Conclusion Our study reveals that there is no significant difference in efficacy and nor anyshort-term vocal improvement between Radiesse and Facetem. Therefore, the use of Facetem asCaHA injection material could be considered as an alternative material for patients with unilateralvocal cord paralysis.
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