Implantation of esterified hyaluronic acid in microdissected Reinke's space after vocal fold microsurgery

laryngeal and vocal results obtained after microflap excision of benign vocal fold lesions and immediate implantation of esterified hyaluronic acid(EHA) in the surgical wound are described in this study. Prospective and comparative study on 83 patients ( 33 implanted with EHA and 50 not implanted). Longest follow up is 4 years. The objectives are to confirm the innocuity of the technique, to demonstrate the laryngeal and vocal evolution at short and long term, and to evaluate the eventual positive impact of EHA implantation on the pliability of the superficial layer of the lamina propria (SLLP) and on voice. The use of EHA implant in microdissected SLLP is safe and leads to good laryngeal and vocal outcomes in the treated patients.