Temporal muscle and fascia transplantation for unilateral vocal fold paralysis: short- and medium-term results in a case series

Key Points: 1. Autologous temporal muscle-fascia transplantation effectively addresses glottic insufficiency in UVFP, improving vocal fold structure and closure. 2. Autologous temporalis fascia offers low antigenicity, resistance to absorption, and optimal pliability. 3. Incision design 3-4 mm from vocal fold edges prevented scarring-related vibration issues, while muscle-fascia mixture enabled precise. 4. Phonation improved one month post-surgery, with a significant enhancement observed by three months and stabilization noted at six months across all 23 patients. 5. Pre/postoperative evaluations via dynamic laryngoscopy, vocal acoustics, and aerodynamics demonstrated significant objective and subjective improvements.