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Voice outcome after cold phonomicrosurgery for minimal-associated pathological lesions of the vocal folds

Abstract

Objective

The aim was to assess the voice outcomes of cold phonomicrosurgery for minimal-associated pathological lesions of the vocal folds.

Materials and methods

A total of 26 patients with either unilateral or bilateral minimal-associated pathological lesions of the vocal folds from the Otorhinolaryngology Department in Zagazig University Hospitals between 2013 and 2014 were enrolled in the case group. Cold phonomicrosurgeries were performed. The control group comprised of 20 matched normal individuals. Matching was based on sex, age, and socioeconomic rank.

Results

All patients had videoendoscopic laryngeal evaluations in the preoperative and postoperative periods (3 months after surgery), and the results showed the absence of the lesion in comparison with the preoperative findings in 22 (84.62%) patients. All patients had perceptual voice analysis in the preoperative and postoperative periods (3 months after surgery), with all P values below 0.05, indicating statistically significant difference among the cases after the operation.

Conclusion

Although voice therapy is the cornerstone in treating benign vocal fold lesions, phonosurgery has an important role in some lesions.

References

  1. 1

    Schindler A, Mozzanica F, Ginocchio D. Vocal improvement after voice therapy in the treatment of benign vocal fold lesions. ACTA Otorhinolaryngologica Italica 2012; 32:304–308.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. 2

    Thomas G, Mathews S, Chrysolyte S. Outcome analysis of benign vocal cord lesions by videostroboscopy acoustic analysis and voice handicap index. Indian J Otolaryngol Head Neck Surg 2007; 59:336–340.

    Article  Google Scholar 

  3. 3

    Elsherief S, Elsheikh N. Endoscopic radiosurgical posterior transverse cordotomy for bilateral median vocal ford immobility. J Laryngol Otol 2004; 118:202–206.

    Article  Google Scholar 

  4. 4

    Sataloff T, Spiegel R, Hever J. Laryngeal mini-microflap: a new technique and reassessment of the microflap saga. J Voice 1995; 9:198–204.

    CAS  Article  Google Scholar 

  5. 5

    Uloza V, Saferis V, Uloziene I. Perceptual and acoustic assessment of voice pathology and the efficacy of endolaryngeal phonomicrosurgery. J Voice 2004; 19:138–145.

    Article  Google Scholar 

  6. 6

    Kotby N. Voice disorders: recent diagnostic advances. Egypt J Otolaryngol 1986; 3:69–98.

    Google Scholar 

  7. 7

    Zeitles M, Hilman E, Bunting W, Vaughn T. Reinke’s oedema: phonatory mechanism and management strategies. Ann Otol Rhinol Laryngol 1997; 106:533–543.

    Article  Google Scholar 

  8. 8

    Newman R, Butler J, Hammond H, Gray SD. Preliminary report on hormone receptors in the human vocal fold. J Voice 2000; 14:72–81.

    CAS  Article  Google Scholar 

  9. 9

    Koufman A, Belafsky C. Unilateral or localized Reinke’s edema as a manifestation of vocal fold paresis. Laryngoscope 2001; 111:576–580.

    CAS  Article  Google Scholar 

  10. 10

    Sato K, Hirano M, Nakashima T. Electron microscopic and immunohistochemical investigation of Reinke’s oedema. Ann Otol Rhinol Laryngol 1999; 108:1068–1072.

    CAS  Article  Google Scholar 

  11. 11

    Kumar P, Murthy S, Ravikanth S. Phonomicrosurgery for benign vocal fold lesions – our experience. Indian J Otolaryngol Head Neck Surg 2003; 55:184–186.

    PubMed  PubMed Central  Google Scholar 

  12. 12

    Kotby MN. The accent method of voice therapy. San Diego, California: Singular Publishing Group Inc; 1995.

    Google Scholar 

  13. 13

    Bouchayer M, Cornut G. Microsurgical treatments of benign vocal fold lesions: indication, technique, results. Folia Phoniatr 1992; 44: 155–184.

    CAS  Article  Google Scholar 

  14. 14

    Davies G, Jahn AF. Care of professional voice. A management guide for singers, actors and professional voice users. Oxford: Butterworth Hienmann; 1998.

    Google Scholar 

  15. 15

    Kotby N. The accent method of voice therapy. J Voice 1995; 7:319.

    Article  Google Scholar 

Download references

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Correspondence to Amal S. Quriba MD.

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Merwad, E.A., Mohamed, A.E.R.S., Quriba, A.S. et al. Voice outcome after cold phonomicrosurgery for minimal-associated pathological lesions of the vocal folds. Egypt J Otolaryngol 35, 110–114 (2019). https://doi.org/10.4103/ejo.ejo_17_18

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Keywords

  • cold phonomicrosurgery
  • minimal associated pathological lesions
  • voice