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Regeneration of aged vocal fold: first human case treated with fibroblast growth factor.

机译:老年声带的再生:用成纤维细胞生长因子治疗的首例人类病例。

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摘要

BACKGROUND/OBJECTIVES: Aged vocal folds are characterized by atrophy of the mucosa, which causes dysphonia and is difficult to treat. We have revealed a therapeutic potential of basic fibroblast growth factor (bFGF) for tissue regeneration of the aged vocal fold. We report here the first human case that has been treated with bFGF. STUDY DESIGN: Institutional review board approved clinical human trial. METHODS: A 63-year-old man with atrophied vocal folds was treated by local injection of 10 muicrog of bFGF into the left vocal fold under topical anesthesia. The effects of the injection were examined after 1 to 3 months by videostroboscopy, acoustic and aerodynamic measurements. RESULTS: The atrophy of the vocal fold was improved at 1 week after the injection and glottic gap disappeared. Aerodynamic and acoustic parameters also showed remarkable improvement. These positive effects were maintained up to 3 months. CONCLUSION: The first case with aged vocal folds treated with bFGF administration is presented. The results are encouraging, suggesting therapeutic effects of bFGF for atrophied vocal folds in human.
机译:背景/目的:老年声带的特征是粘膜萎缩,引起声呐,难以治疗。我们已经揭示了碱性成纤维细胞生长因子(bFGF)对老年声带组织再生的治疗潜力。我们在这里报告了第一例用bFGF治疗的人类病例。研究设计:机构审查委员会批准了临床人体试验。方法:在局部麻醉下,向左声带局部注射10 bMUC黏液,治疗一名63岁的人患有萎缩性声带。 1至3个月后,通过视频频闪,声学和空气动力学测量检查注射剂的效果。结果:注射后1周声带萎缩得到改善,声门间隙消失。空气动力学和声学参数也显示出显着改善。这些积极的影响可以维持长达3个月。结论:提出了第一例bFGF给予老年声带的病例。结果令人鼓舞,表明bFGF对人类萎缩性声带的治疗作用。

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