Comparison of the efficacy of vocal training and vocal microsurgery in patients with early vocal fold polyp

Wang, Hanqing; Zhuge, Pan; You, Huihua; Zhang, Yulan; Zhang, Zhifeng

doi:10.1016/j.bjorl.2018.03.014

Cited by 7 publications

(5 citation statements)

References 23 publications

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“…In our study, the overall satisfaction rate with surgery is high (88.3%) regardless of voice rest type. This is in agreement with other studies performed on vocal fold polyp surgery regardless type of voice rest 17–19 . The findings that higher age and lower preoperative VHI‐scores were significant risk factors for worse voice outcome can be explained by the fact that the indication for surgery in those cases is mainly diagnostic rather than voice problem.…”

Section: Discussionsupporting

confidence: 92%

“…This is in agreement with other studies performed on vocal fold polyp surgery regardless type of voice rest. [17][18][19] The findings that higher age and lower preoperative VHIscores were significant risk factors for worse voice outcome can be explained by the fact that the indication for surgery in those cases is mainly diagnostic rather than voice problem. Those patients are included in the register since the final diagnosis turned out to be vocal fold polyps.…”

Section: Discussionmentioning

confidence: 99%

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Voice rest after vocal fold polyp surgery: A Swedish register study of 588 patients

Björck

Hertegård

Ekelund

et al. 2022

Laryngoscope Investig Oto

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Objective To evaluate the impact of voice rest on patient‐reported voice outcome 4 months after vocal fold polyp surgery. Methods Preoperative information was collected about age, sex, and smoking habits and the voice handicap index‐10 (VHI‐10). Four months postoperatively, voice rest (total voice rest, spoke single words, and spoke normally), and pre and postoperative voice therapy were reported. This was correlated to voice satisfaction from a two‐category subjective evaluation “satisfied/ not satisfied” and to VHI‐10. Logistic regression models with relative risk for NOT being satisfied with voice after surgery were performed. Results Data from 588 patients were available. The group “spoke normally” showed the highest degree of patient satisfaction (92%). Younger patients (<59 years) were more satisfied than older (90% vs. 81.5%). High age and low VHI‐10 scores before surgery were statistically significant for negative voice outcome. Gender or voice rest type did not significantly affect outcome. The largest improvement in VHI‐scores was in the group who spoke normally and least in the group who spoke single words. Conclusion We found no significant difference in the two‐category subjective voice outcome depending on voice rest. VHI‐10 showed a statistically significant positive effect on self‐evaluated voice outcome, with the largest improvement in the group with no voice rest. However, the clinical relevance of the VHI changes is unclear. The present study does not show any advantage of total voice rest as compared to relative voice rest or speaking freely. High age and low preoperative VHI scores were significant risk factors for worse voice outcome. Level of evidence: 4

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Voice rest after vocal fold polyp surgery: A Swedish register study of 588 patients

Björck

Hertegård

Ekelund

et al. 2022

Laryngoscope Investig Oto

View full text Add to dashboard Cite

show abstract

“…For the randomized trials, the risk of bias was low for one study [42] and some concerns existed for two studies [35,39]. For the observational studies, the overall risk of bias was low for one study [40], moderate for nine studies [28,29,33,37,41,43,[50][51][52], and serious for eighteen studies [22][23][24][25][26][27][28][30][31][32]34,36,[44][45][46][47][48][49]. The results of the meta-analysis with heterogeneity statistics and publication bias analyses are shown in Table S3, Supplementary Materials.…”

Section: Resultsmentioning

confidence: 99%

“…However, as shown in Table S10, Supplementary Materials, MPT improved on average by the same amount with both methods, namely, by 2.90 s each, with comparable SD. Thus, although the sample was large, with n [25,[30][31][32]34,35,[39][40][41][42][43]46,47,[50][51][52].…”

Section: Discussionmentioning

confidence: 99%

“…Further research is needed to clarify the effectiveness of the named VT methods, depending on VFP characteristics. Moreover, vocal hygiene, including environment change (e.g., humidifier in dry air, mask in dusty air, amplification in a noisy environment), behavior change (e.g., avoiding lifting/pushing heavy things, loud coughing, throat clearing, excessive alcohol and caffeine consumption, smoking, late meals, fatty and spicy foods), and vocal habits change (e.g., avoiding shouting, speaking with anger, loud whispering), is imperative after VFP phonosurgery [26,[30][31][32]35,[41][42][43][45][46][47].…”

Section: Discussionmentioning

confidence: 99%

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The Efficacy of Different Voice Treatments for Vocal Fold Polyps: A Systematic Review and Meta-Analysis

Latoszek

Hetjens

Neumann

2023

JCM

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Background: Vocal fold polyps (VFP) are a common cause of voice disorders and laryngeal discomfort. They are usually treated by behavioral voice therapy (VT) or phonosurgery, or a combination (CT) of both. However, the superiority of either of these treatments has not been clearly established. Methods: Three databases were searched from inception to October 2022 and a manual search was performed. All clinical trials of VFP treatment were included that reported at least auditory–perceptual judgment, aerodynamics, acoustics, and the patient-perceived handicap. Results: We identified 31 eligible studies (VT: n = 47–194; phonosurgery: n = 404–1039; CT: n = 237–350). All treatment approaches were highly effective, with large effect sizes (d > 0.8) and significant improvements in almost all voice parameters (p-values < 0.05). Phonosurgery reduced roughness and NHR, and the emotional and functional subscales of the VHI-30 were the most compared to behavioral voice therapy and combined treatment (p-values < 0.001). Combined treatment improved hoarseness, jitter, shimmer, MPT, and the physical subscale of the VHI-30 more than phonosurgery and behavioral voice therapy (p-values < 0.001). Conclusions: All three treatment approaches were effective in eliminating vocal fold polyps or their negative sequelae, with phonosurgery and combined treatment providing the greatest improvement. These results may inform future treatment decisions for patients with vocal fold polyps.

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Perioperative Voice Therapy

Mechler-Hickson

Thibeault

2021

Vocal Fold Injection

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Comparison of the efficacy of vocal training and vocal microsurgery in patients with early vocal fold polyp

Abstract: Both, vocal training and vocal microsurgery could improve the voice quality of patients with early vocal fold polyp, and these methods present different advantages.

Cited by 7 publications

References 23 publications

Voice rest after vocal fold polyp surgery: A Swedish register study of 588 patients

Voice rest after vocal fold polyp surgery: A Swedish register study of 588 patients

The Efficacy of Different Voice Treatments for Vocal Fold Polyps: A Systematic Review and Meta-Analysis

Perioperative Voice Therapy

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