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

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Prognosis of Patients with Benign Vocal Fold Lesions after Laryngeal Microsurgery

후두 미세 수술 후 양성 성대 병변 환자의 예후

  • Choi, Byung-Gil (Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Byeong-Joon (Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Hyo-Geun (Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Bum-Jung (Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
  • 최병길 (한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실) ;
  • 김병준 (한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실) ;
  • 최효근 (한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실) ;
  • 박범정 (한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실)
  • Received : 2018.03.13
  • Accepted : 2018.06.11
  • Published : 2018.06.30
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Abstract

Background and Objectives : This study aimed to evaluate patients' subjective and objective outcomes after laryngeal microsurgery for benign vocal fold (VF) lesions, and to identify usefulness of surgical treatment. Materials and Methods : The authors reviewed the 102 patients medical records, retrospectively who received laryngeal microsurgery for benign VF lesions from January 2013 to August 2017. Subjective voice were measured using the Voice Handicap Index (VHI). Objective voice were recorded with Multi-Dimensional Voice Program (MDVP) just before surgery, and after at least 3 months of surgery. Results : Benign VF lesions were categorized as VF nodule (n=34, 33%), VF Polyp (n=47, 26%), Intracordal cyst (n=15, 15%), Reinke's edema (n=6, 6%), and VF Papilloma (n=2, 2%). Post-operative voice assessment at VHI scores showed statistically significant reductions in all of functional, physical and emotional parts (p<0.001). MDVP were showed significant improvement of Jitter (P=0.001), Shimmer (p<0.001) and Noise to Harmonic Ratio (NHR) (p=0.001). Conclusion : Laryngeal microsurgery for benign vocal fold lesions is effective treatment with statistically significant improvement at subjective and objective vocal quality assessment.

Keywords

References

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