A longitudinal study of voice before and after phonosurgery for removal of a polyp

Štajner-Katušić, Smiljana; Horga, Damir; Zrinski, Karolina Vrban

doi:10.1080/02699200802130813

Cited by 17 publications

(13 citation statements)

References 10 publications

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“…However, they showed a worsening trend in subsequent years, likely due to a resumption of abusive vocal behaviors. 53 In these cases, behavioral treatment could have represented an important difference. Speech therapy after vocal polyp surgery to restore vocal behavior is also considered essential by Gökcan et al, 48 as well as absolute vocal rest for 7 days and relative rest for 3 to 6 weeks.…”

Section: Literature Reviewmentioning

confidence: 99%

Vocal Fold Polyps: Literature Review

Vasconcelos

Gomes

Araújo

2019

Int Arch Otorhinolaryngol

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Introduction Vocal fold polyps are one of the most frequent benign laryngeal lesions, impacting the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions. As such, otolaryngologists and speech therapists need updated bibliographic knowledge on the issue. Objective To describe the literature findings on vocal fold polyps that discuss prevalence, etiology, histology, physiopathology, vocal characteristics or treatment. Data Synthesis The present study is a review article based on a bibliographic search using platforms, databases and search engines, with no restrictions on means of publication, methodological quality or language. All the articles on vocal fold polyps pertaining to the object of study published in the past 15 years were included. Among the characteristics investigated, the most discussed were prevalence of men, smoking as an etiological cofactor, the possibility of histological differentiation from vocal nodules, the relationship with cover minor structural alterations, and the indication and effectiveness of different treatment options. Conclusion Despite the discrepancies found in the present literature review on vocal fold polyps, there has been a notable scientific progress in the otolaryngologic techniques and in the effectiveness of speech therapy as initial treatment, with direct and indirect techniques, corroborating the need for scientific investigation of the issue.

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Section: Literature Reviewmentioning

confidence: 99%

Vocal Fold Polyps: Literature Review

Vasconcelos

Gomes

Araújo

2019

Int Arch Otorhinolaryngol

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“…Some studies have demonstrated no significant differences in f0 when comparing pre- and post-treatment recordings, 23,24,33–38 nor between normal subjects and those with phonotraumatic lesions. 35,36 Conversely, others have reported either increased 25,39,40 or decreased 24,41 f0 values for patients with nodules or polyps relative to normal subjects and/or following surgery.…”

Section: Introductionmentioning

confidence: 99%

“…32 In a similar vein, empirical studies regarding the association of average f0 with phonotraumatic lesions have provided inconsistent results using in-clinic, short-duration measurements. Some studies have demonstrated no significant differences in f0 when comparing pre-and posttreatment recordings 23,24,[33][34][35][36][37][38] or between normal subjects and those with phonotraumatic lesions. 35,36 Conversely, others have reported either increased 25,39,40 or decreased 24,41 f0 values for patients with nodules or polyps relative to normal subjects and/or following surgery.…”

Section: Introductionmentioning

confidence: 99%

Average Ambulatory Measures of Sound Pressure Level, Fundamental Frequency, and Vocal Dose Do Not Differ Between Adult Females With Phonotraumatic Lesions and Matched Control Subjects

Stan

Mehta

Zeitels

et al. 2015

Ann Otol Rhinol Laryngol

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Objectives Clinical management of phonotraumatic vocal fold lesions (nodules, polyps) is based largely on assumptions that abnormalities in habitual levels of sound pressure level (SPL), fundamental frequency (f0), and/or amount of voice use play a major role in lesion development and chronic persistence. This study used ambulatory voice monitoring to evaluate if significant differences in voice use exist between patients with phonotraumatic lesions and normal matched controls. Methods Subjects were 70 adult females: 35 with vocal fold nodules or polyps and 35 age-, sex-, and occupation-matched normal individuals. Weeklong summary statistics of voice use were computed from anterior neck surface acceleration recorded using a smartphone-based ambulatory voice monitor. Results Paired t-tests and Kolmogorov-Smirnov tests resulted in no statistically significant differences between patients and matched controls regarding average measures of SPL, f0, vocal dose measures, and voicing/voice rest periods. Paired t-tests comparing f0 variability between the groups resulted in statistically significant differences with moderate effect sizes. Conclusions Individuals with phonotraumatic lesions did not exhibit differences in average ambulatory measures of vocal behavior when compared with matched controls. More refined characterizations of underlying phonatory mechanisms and other potentially contributing causes are warranted to better understand risk factors associated with phonotraumatic lesions.

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“…12 Stajner-Katusic et al showed significant improvement in the variables investigated and improved patient's satisfaction with their vocal health after the surgery. 16 Srirompotong et al reported small vocal polyp that completely resolved using conservative treatment. 17 Not every case of polyp requires surgical removal.…”

Section: Lateralitymentioning

confidence: 99%

Hoarseness of voice-prospective study: etiology, evaluation and treatment

Upadhya

Patel

Rao

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Despite advances in medical technologies and improvement in diagnostic armamentarium in laryngology about 20% of cases remain undiagnosed until suspension laryngoscopy. The study was undertaken to identify etiological factors, type of lesions, age and sex distribution, sites of involvement, efficacy of different diagnostic and treatment modalities.Methods: A prospective study of 45 cases of benign vocal cords lesions was carried out. Patients with hoarseness of voice for >3 weeks were investigated and treated with conservative management and surgery. Results: Hoarseness of voice presented within 6 months after onset of symptom. The common age of presentation was between 21 to 40 years, with male:female ratio of 1.25:1. Vocal abuse, laryngopharyngeal reflux disease (LPRD) and smoking, were the most common etiological factors. Housewives were most common group. Wide angled 700 telelaryngoscopy showed 80% accuracy rate. Suspension laryngoscopy showed 100% accuracy rate. Involvements of both the vocal cords were more common, vocal cord nodule being the commonest. 70% responded very well to conservative management.Conclusions: Dysphonia is the most common presenting symptom having vocal cord lesion, non-professional voice user young females are most common sufferers with delay of 6 months in presenting to a laryngologist. Vocal abuse and LPRD are most common aetiologies. Telelaryngoscopy can diagnose up to 80% of them which is cost effective Outpatient Department procedure. 70% of them respond well to medical therapy and voice training. Identification of causative factor and management of them is mandatory for treatment and prevention of recurrence.

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A longitudinal study of voice before and after phonosurgery for removal of a polyp

Cited by 17 publications

References 10 publications

Vocal Fold Polyps: Literature Review

Vocal Fold Polyps: Literature Review

Average Ambulatory Measures of Sound Pressure Level, Fundamental Frequency, and Vocal Dose Do Not Differ Between Adult Females With Phonotraumatic Lesions and Matched Control Subjects

Hoarseness of voice-prospective study: etiology, evaluation and treatment

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