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

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

Injection Laryngoplasty for The Treatment of Vocal Fold Scar, and Sulcus

성대구증 및 성대 반흔 환자에서 주사후두성형술의 효과

  • Woo, Joo Hyun (Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center) ;
  • Baek, Min Kwan (Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center) ;
  • Kim, Dong Young (Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center) ;
  • Park, Hyoung-Min (Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center) ;
  • An, Sanghee (Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center) ;
  • Moon, Kwang Ha (Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center) ;
  • Cha, Heung Eog (Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center)
  • 우주현 (가천대학교 의과대학 길병원 이비인후-두경부외과학교실) ;
  • 백민관 (가천대학교 의과대학 길병원 이비인후-두경부외과학교실) ;
  • 김동영 (가천대학교 의과대학 길병원 이비인후-두경부외과학교실) ;
  • 박형민 (가천대학교 의과대학 길병원 이비인후-두경부외과학교실) ;
  • 안상희 (가천대학교 의과대학 길병원 이비인후-두경부외과학교실) ;
  • 문광하 (가천대학교 의과대학 길병원 이비인후-두경부외과학교실) ;
  • 차흥억 (가천대학교 의과대학 길병원 이비인후-두경부외과학교실)
  • Received : 2015.11.26
  • Accepted : 2015.12.31
  • Published : 2016.06.30
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Abstract

Background and Objectives : The clinical reports for the treatment of vocal fold scar and sulcus vocalis are limited, also there is no best one for the treatment of them. This study is to evaluate the effect of Injection laryngoplasty (IL) for the treatment of vocal fold scar and sulcus vocalis. Materials and Methods : from January 2013 to May 2015, the Nineteen patients who were diagnosed as vocal fold scar, sulcus and atrophy, and underwent IL, were engaged in this study. Clinical information and voice parameters were analyzed by retrospective chart review. Pre and post voice parameters were compared. Results : Subgroups of diagnosis were classified into sulcus vocalis for 12 patients, vocal fold scar for 5, and atrophy for 2. IL was performed under local anesthesia through cricothyroid membrane except one patient. Atesense$^{(R)}$, Radiessess$^{(R)}$, and Rofilan$^{(R)}$ were used as injected materials in 9, 9, and 1 patients respectively. Maximal phonation time (p=0.0124), dynamic range (p=0.0028), pitch range (p=0.0141), voice handicap index (p=0.028), glottal closure (p=0.0229), and mucosal wave (p=0.0132) had significant improvement for post-IL voice assessment than Pre-IL. While GRBAS, Mean flow rate, Jitter, Shimmer, Harmony to Noise ratio didn't have improvement. Conclusion : IL is a feasible option for the treatment of glottis incompetence with normally mobile vocal folds such as sulcus vocalis and vocal fold scar.

Keywords

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