Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지

The Effect of Triamcinolone Injection on the Vocal cord during Laryngeal Microsurgery in the Patient of the Vocal Polyp

성대용종환자에서 후두미세수술시에 수술부위에 Triamcinolone 국소주입이 음성에 미치는 영향에 대한 연구

  • Yoo, Jun (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan Hospital) ;
  • Oh, Kyung Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan Hospital) ;
  • Yoon, Hee Chul (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan Hospital) ;
  • Lee, Doh Young (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Anam Hospital) ;
  • Woo, Jeung soo (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Guro Hospital) ;
  • Baek, Seung Kuk (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Anam Hospital) ;
  • Jung, Kwang Yoon (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Anam Hospital) ;
  • Kwon, Soon Young (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan Hospital)
  • 유준 (고려대학교 의과대학 안산병원 이비인후과학교실) ;
  • 오경호 (고려대학교 의과대학 안산병원 이비인후과학교실) ;
  • 윤희철 (고려대학교 의과대학 안산병원 이비인후과학교실) ;
  • 이도영 (고려대학교 의과대학 안암병원 이비인후과학교실) ;
  • 우정수 (고려대학교 의과대학 구로병원 이비인후과학교실) ;
  • 백승국 (고려대학교 의과대학 안암병원 이비인후과학교실) ;
  • 정광윤 (고려대학교 의과대학 안암병원 이비인후과학교실) ;
  • 권순영 (고려대학교 의과대학 안산병원 이비인후과학교실)
  • Received : 2015.11.25
  • Accepted : 2015.11.27
  • Published : 2015.12.31
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Abstract

Background and Objective : Laryngeal microscopic surgery (LMS) is popular method to treat for vocal polyp. There is not always the improvement of the voice after operation. Many methods have been developed for better outcome of the surgery. The purpose of this study is to investigate the effect of the triamcinolone injection at vocal cord during LMS. Materials and Methods : The medical records of 28 patients, received LMS under diagnosis of vocal polyp, were retrospectively reviewed. The patients were divided into two groups depending on whether triamcinolone injected or not (case group : Triamcinolone-injected group, control group : Triamcinolone-not injected group). The quality of voice was evaluated by GRBAS scale, fundamental frequency (Fo), jitter, shimmer and NHR (Noise to harmonic ratio) at previous operation, 4 weeks after operation, 8 weeks after operation. Each voice analysis factor was compared between case group and control group by Independent t-test. Results : The mean differences of each voice analysis factor. The mean difference of Jitter, Shimmer, NHR in case group were lower than in control group, and mean difference of GRBAS scale in case group were higher than in control group. These differences were not significant (p>0.05). Conclusion : Though there was a tendency of better voice outcome in patients of triamcinolone-injection, it may not be concluded that the triamcinolone injection is helpful for better voice outcome in surgery of vocal polyp due to statistical insignificance.

Keywords

References

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