Vocal nodules management

Birchall, Martin A.; Carding, Paul

doi:10.1111/coa.13324

Cited by 17 publications

(8 citation statements)

References 36 publications

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“…Vocal nodules were the most frequent laryngeal lesions (n = 78), corroborating the findings of other authors [8,[17][18][19]. In our study, surgical indications for vocal nodules were restricted to 12 cases (15.38%).…”

Section: Discussionsupporting

confidence: 92%

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Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children

Martins

Siqueira

Dias

et al. 2019

Folia Phoniatr Logop

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Introduction: Vocal nodules and cysts are frequent causes of infantile dysphonia. Vocal therapy is the first treatment. Microsurgery has restricted indications, especially for nodules. Objective: To describe our experience with microsurgery for nodules and cysts in children. Methods: Dysphonic children (aged 4–18 years) with the diagnosis of nodules and vocal cysts were initially selected. Of these children, only those were included who had undergone microsurgery. For nodules and cysts, the microsurgery was indicated in cases of failure of vocal therapy and in cases of voice worsening or doubts about the diagnosis. All children were submitted to auditory perceptual vocal analysis and videolaryngostroboscopy (before and after surgery, after 6 months). Surgical outcomes were: total improvement (disappearance of vocal symptoms and of the laryngeal lesions); partial improvement (partial improvement of symptoms and/or maintenance of lesions); no improvement (maintenance or worsening of the symptoms and/or persistence of the lesions). Results: There were 78 children with vocal nodules and 27 children with vocal cysts. Surgery was indicated for 12 children with vocal nodules (15.4%) and 12 children with cysts (44.4%). Total improvement registered for nodules and cysts was 75 and 83.4%, respectively. Partial improvement for both lesions was 25 and 16.6%, respectively. Conclusion: The best outcome for laryngeal microsurgery in dysphonic children was for vocal cysts. So, we encourage laryngologists for this conduct in vocal cysts. The success of microsurgery for vocal nodules was lower, and in these cases voice therapy seems to be the best treatment.

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Section: Discussionsupporting

confidence: 92%

“…According to Birchall and Carding [19] there is no level of evidence I for vocal nodule treatment. The authors emphasize that the most recent systematic reviews include only nonrandomized interventional studies.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children

Martins

Siqueira

Dias

et al. 2019

Folia Phoniatr Logop

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“…In this study, the sample shows female dominance, constituting 95.2% of the participants. The literature is unanimous in mentioning a higher incidence of vocal disorders in women [25]. Smith et al (1996) at the University of Iowa and Utah showed a 2/1 woman-to-man ratio in vocal disorder treatments [26].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Vocal Nodules Multidimensional Assessment: Pre- and Post- Speech Language Pathology Intervention

Alegria,

Vaz-Freitas,

Maia

et al. 2023

OHBM

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(1) Background: Vocal fold nodules are bilateral lesions that can have an important negative impact on a person’s job performance, social interaction, and quality of life. This study aims to analyze multidimensional voice evaluation outcomes in a group of patients with bilateral vocal fold nodules who underwent voice therapy. (2) Methods: A retrospective analysis was performed in 42 patients on the following voice evaluations, before and after voice therapy: visual-perceptual (video-laryngostroboscopic evaluation), auditory-perceptual voice analysis based on the GRBAS scale, and aerodynamic voice analysis. Data were collected from January 2001 to December 2019. Data analyses were performed with non-parametric tests (Wilcoxon test) using α = 0.05. (3) Results: The patient average age was 33.6.1 ± 10 years (range 19–60), and 95.2% were female. Voice therapy was delivered by an experienced speech-language pathologist once a week, with an average of 9.8 ± 3 appointments (range 8–17). Vocal fold lesions disappeared in 40.4% of the patients after voice therapy, especially in participants receiving early voice therapy (p = 0.035). When comparing pre- and post-therapy audio-perceptual results, all parameters were improved with statistical significance (p < 0.05) except for the asthenic voice scale. Aerodynamic parameters were all improved but without statistical significance (p > 0.05); (4) Conclusions: Early timing to initiate voice therapy after the onset of symptoms or diagnosis seems to be an important factor for the success of voice therapy (absence of vocal fold nodules).

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“…There is no Level 1 evidence as to which method is effective for treating patients with VFN ( 4 ). A Cochrane review reported evidence from non‐randomized interventional studies (Levels 2‐4) only ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

“…A Cochrane review reported evidence from non‐randomized interventional studies (Levels 2‐4) only ( 5 ). In daily clinical practice, most clinicians prefer voice therapy (VT) as the primary method ( 2 , 4 ). The evidence base for the effectiveness of VT is constantly evolving ( 4 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of the DoctorVox Voice Therapy Technique for the Management of Vocal Fold Nodules

Denizoğlu,

Şahin,

Orhon

2023

TAO

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Objective: Vocal fold nodules (VFNs) are among the most common causes of dysphonia. Phono-laryngeal microsurgery, pharmacological treatments, and voice therapy (VT) have been used for treating VFNs. VT has been advocated as the primary treatment of choice. This study investigated the efficacy of the DoctorVox Voice therapy technique (DVT) for treating VFNs. Methods: A total of 38 patients with VFNs and 40 individuals without any voice problem (control group) were included. All patients received the DVT program. Otorhinolaryngology examination, videolaryngostroboscopy (VLS), and acoustic analysis (SPL, mean F0, jitter %, shimmer %, NHR) were performed at pretreatment, one and six months after the end of treatment. The voice handicap index-10 (VHI-10) and the GRB scales were used for perceptual voice evaluation. GRB and VLS scorings were done blindly. Results: Compared with the pretreatment values, the first- and the sixth-month values after treatment demonstrated a significant decrease in VHI-10 (19.5 vs. 5.1), GRB (2.3 vs 0.68 for G value) and VLS scores, SPL (54.4 vs 66.1 dB), F0 (201 vs. 227 Hz), jitter % (1.46 vs 0.85), shimmer % (3.27 vs 2.51), NHR (1.15 vs. 0.46) values among patients. Most of the voice parameters in the sixth month after the DVT program did not differ significantly from those of the control group. Conclusion: The DVT was found to be an effective method in VFN treatment.

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Vocal nodules management

Cited by 17 publications

References 36 publications

Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children

Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children

Bilateral Vocal Nodules Multidimensional Assessment: Pre- and Post- Speech Language Pathology Intervention

Efficacy of the DoctorVox Voice Therapy Technique for the Management of Vocal Fold Nodules

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