Vocal fold paresis accompanying vocal fold polyps

Akbulut, Sevtap; İnan, Rahşan; Altintaş, Hande; Gül, İbrahim; Berk, Derya; Paksoy, Mustafa

doi:10.1007/s00405-014-3227-8

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…Finally, vocal fold polyps have been noted to accompany other structural abnormalities, and it remains unclear whether these correlates are drivers or bystanders in polyp development. [36][37][38][39]…”

Section: Discussionmentioning

confidence: 99%

Patterns of Recurrence of Phonotraumatic Vocal Fold Lesions Suggest Distinct Mechanisms of Injury

2021

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Objectives/Hypothesis: To examine patterns of recurrence of benign phonotraumatic vocal fold lesions over time for insights into pathophysiology.Study Design: Case series with mathematical modeling. Methods: Medical records and stroboscopic exams of adults who underwent microlaryngoscopic resection of phonotraumatic vocal fold lesions over a 13-year period were reviewed for time to recurrence after surgery. Uniform and lognormal probability distributions were fitted to the time to recurrence curves for vocal fold polyps, midfold masses, and pseudocysts. Model fits were compared using the Akaike information criterion corrected, a standard measure of the goodness of fit. Stochastic simulations were used to verify that the mechanistic hypotheses were concordant with the selected probability distributions and empiric data.Results: Of 567 patients who underwent microlaryngoscopic resection, 65 had a recurrence (16 polyps, 14 midfold masses, and 35 pseudocysts). Midfold mass and pseudocyst recurrences were predominantly seen in younger women. Polyps were best fit by a uniform distribution rather than log-normal, whereas midfold masses and pseudocysts were better fit by log-normal rather than uniform. Stochastic simulations suggest that polyps recur sporadically according to a paroxysmaldevelopmental model, whereas midfold mass and pseudocyst recurrences follow a force-multiplication, damage-accumulation process.Conclusions: Vocal fold polyps are acute lesions evenly distributed by age and gender that recur uniformly over time, suggesting they arise from sudden tissue reactions to phonotraumatic stress. Pseudocysts and midfold fibrous masses are chronic lesions predominantly found in young women that recur with log-normal distribution over time, suggesting gradual damage accumulation in larynges predisposed to enhanced phonotrauma.

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Section: Discussionmentioning

confidence: 99%

Patterns of Recurrence of Phonotraumatic Vocal Fold Lesions Suggest Distinct Mechanisms of Injury

2021

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“…Unilateral or bilateral vocal fold paresis has been described as the etiological factor of vocal polyps. Akbulut et al 27 identified paresis in 48.6% of the patients with polyps, using laryngeal electromyography. The neuropathy described was observed in the upper laryngeal nerves and/or in the recurrent laryngeal nerve.…”

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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“…Koufman and Belafsky18 reported that the finding of Reinke’s edema should alert a clinician to the likelihood of VCP. Akbulut et al19 reported that VCP was present in almost half of patients with vocal cord polyps. There were no reports of other abnormal findings related to VCP.…”

Section: Discussionmentioning

confidence: 99%