The Efficacy of Voice Therapy for the Treatment of Vocal Fold Bowing

궁형 성대를 보이는 환자들에 있어 음성치료의 효과

  • 신혜정 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 김진경 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 김은아 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 고영민 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 박애경 (이화여자대학교 의과대학 음성언어 치료실) ;
  • 정성민 (이화여자대학교 의과대학 이비인후과학교실)
  • Published : 2003.11.01


Background and Objectives : Bowing of the vocal fold, a bowed edge of the vocal fold results from various disorder causes glottic incompetence resulting in voice disorders. The results of treatment were not satisfactory even though a variety of methods of treatment were applied. The goal of this study is to evaluate of efficacy of the non-surgical, voice therapy in patients with vocal fold bowing. Materials and Method : Twenty two patients of vocal fold bowing not resulting from vocal fold palsy and sulcus vocalis were analyzed. After voice therapy and medical treatment, parameters of perceptual, acoustic, aerodynamic analysis and stroboscopic findings were compared those of pretreatment results. Results and Conclusion : Jitter, shimmer and maximal phonation time were significantly improved and subjective satisfaction was improved in 73% of patients. In the videostroboscopic examination, vocal fold gap was decreased in 27% of patents. The result of this study indicates that voice therapy alone has effect in treatment of vocal fold bowing. Voice therapy is one of the mainstay of treatment of vocal fold bowing.