دورية أكاديمية

Persistent Dysphonia after Laryngomicrosurgery for Benign Vocal Fold Disease

التفاصيل البيبلوغرافية
العنوان: Persistent Dysphonia after Laryngomicrosurgery for Benign Vocal Fold Disease
المؤلفون: Yoo Seob Shin, Jae Won Chang, Suk Min Yang, Hee Won Wu, Min Hyuk Cho, Chul-Ho Kim
المصدر: Clinical and Experimental Otorhinolaryngology, Vol 6, Iss 3, Pp 166-170 (2013)
بيانات النشر: Korean Society of Otorhinolaryngology-Head and Neck Surgery, 2013.
سنة النشر: 2013
المجموعة: LCC:Medicine
LCC:Otorhinolaryngology
مصطلحات موضوعية: Persistent dysphonia, Laryngomicrosurgery, Benign vocal fold disease, Medicine, Otorhinolaryngology, RF1-547
الوصف: ObjectivesLaryngomicrosurgery (LMS) is used to manage most vocal fold lesions. However, the functional voice outcome of the LMS might be diverse due to the influence of various factors. We intend to evaluate the incidence and etiologic factors of persistent dysphonia after LMS for benign vocal fold disease (BVFD).MethodsWe performed a retrospective review of 755 patients who underwent LMS for BVFD. We analyzed the clinical characteristics, preoperative and postoperative two onths voice studies. Postsurgical dysphonia was defined as grade 1 or above in GRBAS (grade, roughness, breathiness, asthenia, and strain) scale. Thirty nine patients (5.2%; 25 males and 14 females; average, 42.9 years; range, 21 to 70 years) were diagnosed with postsurgical dysphonia.ResultsThere was no correlation between the diagnosis, coexistence with laryngopharyngeal reflux disease, habit of smoking, or occupational voice abuse and voice outcome. The patients with a worse preoperative acoustic parameter had aworse voice outcome. Stroboscopic findings showed excessive scarring or bowing in 21 cases, presence of lesion remnant in eight cases, prolonged laryngeal edema in five and no abnormal findings in three.ConclusionGreat care should be taken in patients with worse preoperative jitter. With a few exceptions, postoperative dysphonia can be avoided by the use of an ppropriate surgical technique.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1976-8710
2005-0720
Relation: http://www.e-ceo.org/upload/pdf/ceo-6-166.pdf; https://doaj.org/toc/1976-8710; https://doaj.org/toc/2005-0720
DOI: 10.3342/ceo.2013.6.3.166
URL الوصول: https://doaj.org/article/ad5ab6f7c7e84da2acfdf1d5da4f589c
رقم الأكسشن: edsdoj.5ab6f7c7e84da2acfdf1d5da4f589c
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19768710
20050720
DOI:10.3342/ceo.2013.6.3.166