Phonomicrosurgical treatment of intracordal vocal‐fold cysts in singers

Burns, James A.; Hillman, Robert E.; Stadelman-Cohen, Tara; Zeitels, Steven M.

doi:10.1002/lary.20001

Cited by 20 publications

(16 citation statements)

References 9 publications

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“…This study demonstrated a high degree of treatment success in a cohort of patients with strictly defined BMVFLs using validated and objective outcome measures. Previous studies have been limited by either lack of clearly defined BMVFL delineations and/or lack of validated or objective outcomes . For all BMVFL diagnostic groups other than FM‐lig, treatment resulted in mean final VHI‐10 scores within the normal range (<11).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have been limited by either lack of clearly defined BMVFL delineations and/or lack of validated or objective outcomes. [14][15][16] For all BMVFL diagnostic groups other than FM-lig, treatment resulted in mean final VHI-10 scores within the normal range (<11). The lesions treated without surgery (nodules/ NSVFLs) had less of a reduction in VHI-10 following treatment; however, patients in these groups had lower VHI-10 scores at baseline compared to the surgically treated BMVFLs (Table II).…”

Section: Discussionmentioning

confidence: 99%

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Voice outcomes following treatment of benign midmembranous vocal fold lesions using a nomenclature paradigm

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Voice outcomes following treatment of benign midmembranous vocal fold lesions using a nomenclature paradigm

et al. 2015

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“…Vocal fold cysts are challenging cases in phonosurgery, especially in professional voice users [2,5,14]. Some experts prefer cold techniques and others use the CO 2 laser.…”

Section: Discussionmentioning

confidence: 99%

“…In Burns et al [2], the authors describe phonomicrosurgery performed on ten singers with cold instruments under high magniWcation for vocal fold cysts. The use of the laser is not clearly advocated in this setting, since it is assumed to be a reasonable choice, only in experienced hands, for benign laryngeal lesions [3].…”

Section: Introductionmentioning

confidence: 98%

CO2 laser-assisted microsurgery for intracordal cysts: technique and results of 49 patients

Matar¹,

Amoussa²,

Verduyckt³

et al. 2010

Eur Arch Otorhinolaryngol

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Microsurgery for intracordal cysts is a challenging procedure, because cysts are close to the vocal ligament and the risk of inducing a scar is high. In this retrospective study, our experience with the CO(2)-laser scanning system (Acublade(®)) is reported on 49 patients. There were 41% epidermoid cysts and 59% mucous retention cysts. A quarter of the patients presented with bilateral cystic lesions and 59% had a contralateral lesion other than a cyst. The cyst was removed after a minimicroflap. It was dissected away from the lamina propria and the epithelium. Collagen was injected intraoperatively if the glottal gap was considered important. The epithelium was redraped using Tissucol (Baxter, Vienna, Austria). The mean follow-up time was 160 days. We noted a statistically significant improvement in the grade of the dysphonia according to Hirano's perceptual scale (G pre = 2, G post = 1, p = 0.002); the Vocal Handicap Index (VHI pre = 51, VHI post = 28, p = 0.001) and the maximal phonation time in milliseconds (MPT pre = 11, 1 MPT post = 12.7, p = 0.033) in all the patients. In the professional voice subgroup (20/49 patients), there was a significant improvement in the frequency range (FR pre = 310 Hz, FR post = 434 Hz, p = 0.001). The CO(2)-laser scanning system is reliable in the treatment of intracordal cysts.

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“…This inhibits normal vibration of the vocal fold, and can cause significant dysphonia and possible glottic incompetence. However with the discovery by Hirano of the layered structure of the vocal fold and its implications on healing, treatment is now focused on preserving as much of the normal vocal fold structures as possible (Hochman and Zeitels 2000;Fleming, McGuff et al 2001;Thekdi and Rosen 2002;Burns, Hillman et al 2009). Avoiding injury to the deeper structures is important during voice microsurgery to minimize vocal fold scarring and persistent post-operative hoarseness.…”

Section: Wound Creationmentioning

confidence: 99%