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Effect of voice therapy after phonomicrosurgery for vocal polyps: a prospective, historically controlled, clinical study

Published online by Cambridge University Press:  04 November 2013

Y H Ju ,
K-Y Jung ,
S-Y Kwon ,
J-S Woo ,
J-G Cho ,
M W Park ,
E-H Park  and
S-K Baek
Y H Ju
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
K-Y Jung
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
S-Y Kwon
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
J-S Woo
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
J-G Cho
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
M W Park
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
E-H Park
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
S-K Baek*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
*
Address for correspondence: Dr Seung-Kuk Baek, Anam-dong 5-ga 126-1, Seongbuk-gu, Seoul, 136-705, South Korea Fax: +82 2 925 5233 E-mail: [email protected]
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Abstract

Objective:

This study aimed to evaluate the efficacy of post-operative voice therapy after phonomicrosurgery for vocal polyp removal.

Methods:

The study retrospectively enrolled 55 consecutive patients who had undergone voice therapy after phonomicrosurgery for vocal polyp removal occurring between June 2010 and June 2011. A historical group of 63 similar patients not receiving voice therapy was used as an external control. We compared voice analysis parameters and Voice Handicap Index scores for the two groups.

Results:

Most objective and subjective voice outcome parameters were significantly improved after surgical treatment. Although the study and control groups showed no significant difference regarding objective parameters (using acoustic and aerodynamic analysis) or the subjective parameters assessed using the grade-roughness-breathiness-asthenia-strain scale, the study group had significantly better final Voice Handicap Index scores.

Conclusion:

Following surgery for vocal polyps, post-operative voice therapy can improve patients' vocal discomfort, emotional responses and everyday self-perception.

Keywords

Speech TherapyVoiceOutcomes AssessmentSurgical Procedures, OperativeVocal CordsPolyps
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 11 , November 2013 , pp. 1134 - 1138
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Roy, N, Merrill, RM, Gray, SD, Smith, EM. Voice disorders in the general population: prevalence, risk factors, and occupational impact. Laryngoscope 2005;115:1988–95CrossRefGoogle ScholarPubMed
2Zeitels, SM, Hillman, RE, Desloge, R, Mauri, M, Doyle, PB. Phonomicrosurgery in singers and performing artists: treatment outcomes, management theories, and future directions. Ann Otol Rhinol Laryngol Suppl 2002;190:21–40CrossRefGoogle ScholarPubMed
3Sulica, L, Behrman, A. Management of benign vocal fold lesions: a survey of current opinion and practice. Ann Otol Rhinol Laryngol 2003;112:827–33CrossRefGoogle ScholarPubMed
4Lancer, JM, Syder, D, Johns, AS, Le Boutillier, A. The outcome of different management patterns for vocal cord nodules. J Laryngol Otol 1988;102:423–7CrossRefGoogle ScholarPubMed
5De Bodt, MS, Wuyts, FL, Van de Heyning, PH, Croux, C. Test-retest study of the GRBAS scale: influence of experience and professional background on perceptual rating of voice quality. J Voice 1997;11:74–80CrossRefGoogle ScholarPubMed
6Titze, IR. Mechanical stress in phonation. J Voice 1994;8:99–105CrossRefGoogle ScholarPubMed
7Marcotullio, D, Magliulo, G, Pietrunti, S, Suriano, M. Exudative laryngeal diseases of Reinke's space: a clinicohistopathological framing. J Otolaryngol 2002;31:376–80CrossRefGoogle ScholarPubMed
8Gray, SD, Chan, KJ, Turner, B. Dissection plane of the human vocal fold lamina propria and elastin fibre concentration. Acta Otolaryngol 2000;120:87–91Google ScholarPubMed
9Hochman, II, Zeitels, SM. Phonomicrosurgical management of vocal fold polyps: the subepithelial microflap resection technique. J Voice 2000;14:112–18CrossRefGoogle ScholarPubMed
10Benninger, MS. Microdissection or microspot CO2 laser for limited vocal fold benign lesions: a prospective randomized trial. Laryngoscope 2000;110(suppl 92):1–17CrossRefGoogle ScholarPubMed
11Jacobson, BH, Johnson, A, Grywalski, C, Sibergleit, A, Jacobson, G, Benninger, MS et al. The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 1997;6:66–70CrossRefGoogle Scholar
12Rosen, CA, Lee, AS, Osborne, J, Zullo, T, Murry, T. Development and validation of voice handicap index-10. Laryngoscope 2004;114:1549–56CrossRefGoogle ScholarPubMed