دورية أكاديمية
Persistent Dysphonia after Laryngomicrosurgery for Benign Vocal Fold Disease
العنوان: | Persistent Dysphonia after Laryngomicrosurgery for Benign Vocal Fold Disease |
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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 |
تدمد: | 19768710 20050720 |
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DOI: | 10.3342/ceo.2013.6.3.166 |