Direct autogenous fat implantation for augmentation of the vocal folds

This report examines the results of autogenous fat implantation into paralyzed or flaccid vocal folds in 23 patients. No complications were encountered in any of these patients and very satisfactory voice improvement was achieved in every case. The voice improvement achieved initially has been sustained for one to four years in all patients but one, whose underlying disease process progressed and worsened the voice.