J Korean Soc Laryngol Phoniatr Logoped.  2018 Jun;29(1):37-40. 10.0000/jkslpl.2018.29.1.37.

Prognosis of Patients with Benign Vocal Fold Lesions after Laryngeal Microsurgery

• Choi BG
• Kim BJ
• Choi HG
• Park BJ

• KMID: 2416739
• DOI: http://doi.org/10.0000/jkslpl.2018.29.1.37

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.

Keyword

Benign vocal fold lesions; Laryngeal microsurgery; Voice Handicap Index; Multi-dimensional voice program

MeSH Terms

Edema
Humans
Medical Records
Microsurgery*
Noise
Papilloma
Polyps
Prognosis*
Retrospective Studies
Vocal Cords*
Voice