[Analysis of therapeutic effect of fibrocystic degeneration of vocal folds].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(10): 935-939;946, 2024 Oct.
Article
em Zh
| MEDLINE
| ID: mdl-39390933
ABSTRACT
Objective:
To explore the differences in clinical presentation and therapeutic outcomes between vocal fold fibrocystic degeneration and other common benign lesions, such as vocal fold polyp and cyst.Methods:
Vocal function was assessed before and after surgery in 10 cases of vocal fold fibrocystoids, 30 cases of vocal fold polyps and 10 cases of vocal fold cysts at Department of Voice Medicine, Xiamen University Zhongshan Hospital. The voice Assessments included GRBASï¼G-scaleï¼, VHI-10 scale, Reflux Symptom Indexï¼RSIï¼ scale, stroboscope, acoustic objective analysis, and aerodynamics measurements. The acoustice analysis parameters included fundamental frequencyï¼F0ï¼, fundamental frequency perturbationï¼Jitterï¼, amplitude perturbationï¼Shimmerï¼ and voice disturbance severity indexï¼DSIï¼, while the maximum phonation timeï¼MPTï¼ was assessed for aerodynamics. Stroboscopic parameters included vocal fold straightness, vocal fold color, glottic closure and mucosal wave. All three groups underwent phonomicrosurgery and a follow-up review was conducted one month later. Pre-and post-operative function assessment parameters were compared across the three groups.Results:
Significant differences were founded in the G grade, Jitter, Shimmer, DSI, glottic closure and mucosal wave between the vocal fold fibrocystic degeneration group and the vocal fold polyp and vocal fold cyst groupï¼P<0.05ï¼. Most voice function parameters in all three groups showed significant improvement after surgeryï¼P<0.05ï¼. The improvement of VHIï¼10ï¼, RSI and mucosal wave scores in the vocal fold fibrocystic lesion group was significantly different from that of the vocal fold polyp groupï¼P<0.05ï¼.Conclusion:
Vocal fold fibrocystic degeneration is a more severe than that of vocal fold polyps and cysts, which are two common benign vocal fold lesions. Phonomicrosurgery is an effective treatment for vocal fold fibrocystic degeneration, but its curative effect are less favorable compared to those for vocal fold polyps and vocal fold cysts. Therefore, a detailed preoperative evaluation is essential for predicting surgical outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prega Vocal
/
Qualidade da Voz
/
Doenças da Laringe
/
Cistos
Limite:
Adult
/
Female
/
Humans
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Male
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Middle aged
Idioma:
Zh
Revista:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
/
Lin chuang er bi yan hou tou jing wai ke za zhi
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
China