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Prognosis of Patients with Benign Vocal Fold Lesions after Laryngeal Microsurgery  

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)
Publication Information
Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics / v.29, no.1, 2018 , pp. 37-40 More about this Journal
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
Benign vocal fold lesions; Laryngeal microsurgery; Voice Handicap Index; Multi-dimensional voice program;
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1 Reemtsma K, Morgan M. Outcomes assessment: A primer. Bull Am Coll of Surg 1997;82:34-9.
2 Cohen SM, Jacobson BH, Garrett CG, Noordzij JP, Stewart MG, Ossoff RH, et al. Creation and validation of the Singing Voice Handicap Index. Ann Otol Rhinol Laryngol 2007;116:402-6.   DOI
3 Portone CR, Hapner ER, McGregor L, Otto K, Johns MM. Correlation of the voice handicap index and the voice-related quality of life measure. J Voice 2007;21:723-7.   DOI
4 Lee SW. Treatment outcomes and prognosis of benign vocal fold lesions. Korean Society of Laryngology, Phoniatrics and Logopedics 2015;26:101-3.   DOI
5 Ahn CM, Shin IS, Shin JE. The study of satisfaction of voice therapy in patients with voice disorders. Korean Society of Laryngology, Phoniatrics and Logopedics 2016;27:35-9.   DOI
6 Rosen CA, Murry T. Voice handicap index in singers. J Voice 2000; 14:370-7.   DOI
7 Murry T, Rosen CA. Outcome measurements and quality of life in voice disorders. Otolaryngol Clin North Am 2000;33:905-16.   DOI
8 Rosen CA, Murry T, Zinn A, Zullo T, Sonbolian M. Voice handicap index change following treatment of voice disorders. J Voice 2000;14:619-23.   DOI
9 Park SS, Kwon TK, Choi SH, Lee WY, Hong YH, Jeong NG, et al. Reliability and validity of the korean version of pediatric voice handicap index: In school age children. Int J Pediatr Otolaryngol 2013;77(1):107-12.   DOI
10 Jacobson BH, Johnson A, Grywalski C, Sibergleit A, Jacobson G, Benninger MS, et al. The voice handicap index: Development and validation. Am J Speech Lang Pathol 1997;6:66-77.
11 Green G. Psycho-behavioral characteristics of children with vocal nodules: WPBIC ratings. J Speech Hear Res 1989;54:306-12.   DOI
12 Johns MM, Garrett CG, Hwang J, Ossoff RH, Courey MS. Qualityof-life outcomes following laryngeal endoscopic surgery for nonneoplastic vocal fold lesions. Ann Otol Rhinol Laryngol 2004;113:597-601.   DOI
13 Gliklich RE, Glovsky RM, Montgomery WW. Validation of a voice outcome survey for unilateral vocal cord paralysis. Otolaryngologyhead and neck surgery. Am J Otolaryngol Head Neck Surg 1999;120:153-8.   DOI
14 Kim JH, Choi HG, Park BJ. Change of voice handicap index after laryngeal microsurgery for benign vocal fold lesions. Korean Society of Laryngology, Phoniatrics and Logopedics 2015;26:34-9.   DOI
15 Wolfe V, Fitch J, Cornell R. Acoustic prediction of severity in commonly occurring voice problems. J Speech Hear Res 1995;38:273-9.   DOI
16 Fex B, Shiromoto O, Hirano M. Acoustic analysis of functional dysphonia: Before and after voice therapy. J Voice 1994;8:163-7.   DOI
17 Bennett S, Bishop SG, Lumpin SMM. Phonatory characteristics following surgical treatment of severe polypoid degeneration. Laryngoscope 1989;99:525-32.