- Original article
- Open access
- Published:
Voice outcome after cold phonomicrosurgery for minimal-associated pathological lesions of the vocal folds
The Egyptian Journal of Otolaryngology volume 35, pages 110–114 (2019)
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
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.
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.
Elsherief S, Elsheikh N. Endoscopic radiosurgical posterior transverse cordotomy for bilateral median vocal ford immobility. J Laryngol Otol 2004; 118:202–206.
Sataloff T, Spiegel R, Hever J. Laryngeal mini-microflap: a new technique and reassessment of the microflap saga. J Voice 1995; 9:198–204.
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.
Kotby N. Voice disorders: recent diagnostic advances. Egypt J Otolaryngol 1986; 3:69–98.
Zeitles M, Hilman E, Bunting W, Vaughn T. Reinke’s oedema: phonatory mechanism and management strategies. Ann Otol Rhinol Laryngol 1997; 106:533–543.
Newman R, Butler J, Hammond H, Gray SD. Preliminary report on hormone receptors in the human vocal fold. J Voice 2000; 14:72–81.
Koufman A, Belafsky C. Unilateral or localized Reinke’s edema as a manifestation of vocal fold paresis. Laryngoscope 2001; 111:576–580.
Sato K, Hirano M, Nakashima T. Electron microscopic and immunohistochemical investigation of Reinke’s oedema. Ann Otol Rhinol Laryngol 1999; 108:1068–1072.
Kumar P, Murthy S, Ravikanth S. Phonomicrosurgery for benign vocal fold lesions – our experience. Indian J Otolaryngol Head Neck Surg 2003; 55:184–186.
Kotby MN. The accent method of voice therapy. San Diego, California: Singular Publishing Group Inc; 1995.
Bouchayer M, Cornut G. Microsurgical treatments of benign vocal fold lesions: indication, technique, results. Folia Phoniatr 1992; 44: 155–184.
Davies G, Jahn AF. Care of professional voice. A management guide for singers, actors and professional voice users. Oxford: Butterworth Hienmann; 1998.
Kotby N. The accent method of voice therapy. J Voice 1995; 7:319.
Author information
Authors and Affiliations
Corresponding author
Additional information
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.4103/ejo.ejo_17_18