Pólipos de pregas vocais: aspectos clínicos e cirúrgicos

Cecatto, Suzana B.; Costa, Kátia da S.; Garcia, Roberta Ismael Dias; Haddad, Leonardo; Júnior, Fernando Veiga Angélico; Rapoport, Priscila Bogar

doi:10.1590/s0034-72992002000400013

Cited by 10 publications

(13 citation statements)

References 11 publications

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“…Vocal fold polyps are usually located in the anterior two-thirds of the vocal fold 4 , and they can eventually be found in other places (anterior and posterior commissures); they are usually bilateral, they can be pedicled or sessile, usually seen in men 1,3,5,6 . Speech trauma is very common in our country, however individuals respond differently to such trauma.…”

Section: Introductionmentioning

confidence: 99%

“…There are those who develop polyps, others develop nodules and others do not develop injuries on the vocal folds after a speech trauma. Things like glottic configuration and exposure to chemical products and allergens have been used to explain the different types of speechtrauma lesions [1][2][3][4][5][6] . More recent studies discuss the different amounts of fibronectin and hyaluronic acid on the vocal folds of men and women, and that also explains why nodules prevail in women and polyps in men 6 .…”

Section: Introductionmentioning

confidence: 99%

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Incidência de alterações estruturais das pregas vocais associadas ao pólipo de prega vocal

Eckley

Swensson

Duprat

et al. 2008

Rev. Bras. Otorrinolaringol.

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Phonot rauma is considered the main cause of vocal fold polyps (VFP). However, the authors believe that an underlying anatomical deviation could render the vocal folds more susceptible to such trauma. Aim: To prove this hypothesis a retrospective chart review was carried out to correlate the surgical findings of patients with VFP. Material and Methods: The charts of thirty-three patients who underwent surgery for excision of VFP were reviewed: 21 had right VFP, 10 had left VFP and 2 had bilateral lesions. Results: Associated lesions were reported in 27 patients (14 lesions on the opposite VF and 13 on the ipsilateral VF): 10 opposite nodules, 12 sulcus vocalis, 3 cysts, and 2 capillary engorgement. Discussion and Conclusions: The high incidence of associated anatomical lesions to the VF (63%) suggests that patients with these minor underlying anatomical deviations are more vulnerable to vocal abuse, probably because they present abnormal glottic closure and an irregular vibratory margin.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidência de alterações estruturais das pregas vocais associadas ao pólipo de prega vocal

Eckley

Swensson

Duprat

et al. 2008

Rev. Bras. Otorrinolaringol.

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“…Benign lesions of the vocal folds represent a significant problem for otolaryngologists because they are very common and require a multidisciplinary treatment approach. When such lesions do not respond to drug therapy and/or speech therapy, surgery is required with the aim of increasing phonatory function or establishing a histological diagnosis by biopsy 8 9 .…”

Section: Discussionmentioning

confidence: 99%

“…After surgery, all of the patients underwent speech therapy with optimal developments in most cases (88.89 and 93.33% for those with angiomatous and gelatinous polyps, respectively). There is a consensus regarding the use of postoperative speech therapy and appropriate follow-up and successful outcome 9 . We plan to undertake further analysis of the therapy outcomes in subsequent research projects.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of polypoid lesions in patients undergoing microsurgery of the larynx

Filho

Carvalho

Mizoguchi

et al. 2014

Int. Arch. Otorhinolaryngol.

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Summary Introduction: Dysphonia is the main symptom of lesions that affect the vocal tract. Many of those lesions may require surgical treatment. Polyps are one of the most common forms of vocal cord lesions and the most prevalent indication for laryngeal microsurgery. There are different types of polyps, and their different characteristics can indicate different prognosis and treatments. Aim: To conduct a comparative study of polypoid lesions (angiomatous and gelatinous) in patients undergoing laryngeal microsurgery via an electronic protocol. Method: We prospectively evaluated 93 patients diagnosed with vocal fold polyps; the polyps were classified as angiomatous or gelatinous. Results: In total, 93 patients undergoing laryngeal microsurgery were diagnosed with vocal fold polyps. Of these, 63 (64.74%) had angiomatous and 30 (32.26%) gelatinous polyps. Most patients with angiomatous polyps were men; their polyps were frequently of medium size, positioned in the middle third of the vocal fold, and accompanied by minimal structural alterations (MSA). In contrast, the majority of patients with gelatinous polyps were women; their polyps were smaller, positioned in the middle and posterior third of the vocal fold, and were not accompanied by MSA. Both types of polyps were more frequently located on the right vocal fold. Conclusion: Angiomatous polyps were more frequently encountered than gelatinous polyps. In addition, correlations between polyp type and sex, polyp size, position, location, and the presence of MSA were observed. Different surgical techniques were used, but the postoperative results were similar and satisfactory after speech therapy.

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“…The first suggested speech therapy as initial treatment for nodules and polyps 9 and the second identifies the discrepancy of its primary indication by otorhinolaryngologists (91% for nodules and 30% for polyps) 12 . Furthermore, there is the observation of spontaneous resolution of some polyps, during the preparation period for surgery 13 . As a result, the studies analyzed in this review had the direct or indirect objective of verifying the effectiveness of speech therapy in the treatment of benign vocal fold lesions, specifically the vocal polyp.…”

Section: Literature Reviewmentioning

confidence: 99%

Efetividade da fonoterapia no tratamento do pólipo em pregas vocais

2015

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RESUMO: O objetivo dessa revisão de literatura foi verificar a efetividade da fonoterapia no tratamento do pólipo em pregas vocais, a partir de levantamento bibliográfico. Foi realizada pesquisa bibliográfica na plataforma PublicMedline e nas bases de dados Scopus, Science Direct, Cumulative Index to Nursing and Allied Health Literature e Web of Science, seguindo etapas de seleção e análise crítica dos artigos. Foram incluídos artigos originais que utilizaram a fonoterapia como tratamento para o pólipo vocal, sem restrições de data de publicação ou língua. Foram excluídos artigos que abordassem exclusivamente outros tratamentos para pólipo vocal e os que utilizaram a fonoterapia somente após a cirurgia laríngea. Foram encontrados inicialmente 905 artigos. Após as etapas de seleção, restaram nove artigos na composição final da amostra. Foram então analisados na íntegra, cadastrados por meio de protocolo previamente elaborado que contemplou autor, ano, local, tipo de estudo, amostra, classificação do pólipo, tipo de intervenção e principais resultados. Os artigos analisados apresentaram fragilidade metodológica e ausência de padronização quanto aos protocolos e procedimentos fonoaudiológicos utilizados. Foram constituídos em sua maioria por série de casos retrospectiva. A amostra dos estudos variou em relação à quantidade de participantes, tipo de lesão e tipo de pólipo. A fonoterapia para o tratamento do pólipo em pregas vocais demonstrou efetividade entre 38% e 100% nos estudos analisados, com melhores resultados em lesões pequenas e recentes.

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Pólipos de pregas vocais: aspectos clínicos e cirúrgicos

Cited by 10 publications

References 11 publications

Incidência de alterações estruturais das pregas vocais associadas ao pólipo de prega vocal

Incidência de alterações estruturais das pregas vocais associadas ao pólipo de prega vocal

Characteristics of polypoid lesions in patients undergoing microsurgery of the larynx

Efetividade da fonoterapia no tratamento do pólipo em pregas vocais

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