Comparison of the efficacy of vocal training and vocal microsurgery in patients with early vocal fold polyp

Wang, Hanqing; Zhuge, Pan; You, Huihua; Zhang, Yulan; Zhang, Zhifeng

doi:10.1016/j.bjorl.2018.03.014

Cited by 7 publications

(2 citation statements)

References 23 publications

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“…In our study, the overall satisfaction rate with surgery is high (88.3%) regardless of voice rest type. This is in agreement with other studies performed on vocal fold polyp surgery regardless type of voice rest 17–19 . The findings that higher age and lower preoperative VHI‐scores were significant risk factors for worse voice outcome can be explained by the fact that the indication for surgery in those cases is mainly diagnostic rather than voice problem.…”

Section: Discussionsupporting

confidence: 92%

“…This is in agreement with other studies performed on vocal fold polyp surgery regardless type of voice rest. [17][18][19] The findings that higher age and lower preoperative VHIscores were significant risk factors for worse voice outcome can be explained by the fact that the indication for surgery in those cases is mainly diagnostic rather than voice problem. Those patients are included in the register since the final diagnosis turned out to be vocal fold polyps.…”

Section: Discussionmentioning

confidence: 99%

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Voice rest after vocal fold polyp surgery: A Swedish register study of 588 patients

Björck

Hertegård

Ekelund

et al. 2022

Laryngoscope Investig Oto

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Objective To evaluate the impact of voice rest on patient‐reported voice outcome 4 months after vocal fold polyp surgery. Methods Preoperative information was collected about age, sex, and smoking habits and the voice handicap index‐10 (VHI‐10). Four months postoperatively, voice rest (total voice rest, spoke single words, and spoke normally), and pre and postoperative voice therapy were reported. This was correlated to voice satisfaction from a two‐category subjective evaluation “satisfied/ not satisfied” and to VHI‐10. Logistic regression models with relative risk for NOT being satisfied with voice after surgery were performed. Results Data from 588 patients were available. The group “spoke normally” showed the highest degree of patient satisfaction (92%). Younger patients (<59 years) were more satisfied than older (90% vs. 81.5%). High age and low VHI‐10 scores before surgery were statistically significant for negative voice outcome. Gender or voice rest type did not significantly affect outcome. The largest improvement in VHI‐scores was in the group who spoke normally and least in the group who spoke single words. Conclusion We found no significant difference in the two‐category subjective voice outcome depending on voice rest. VHI‐10 showed a statistically significant positive effect on self‐evaluated voice outcome, with the largest improvement in the group with no voice rest. However, the clinical relevance of the VHI changes is unclear. The present study does not show any advantage of total voice rest as compared to relative voice rest or speaking freely. High age and low preoperative VHI scores were significant risk factors for worse voice outcome. Level of evidence: 4

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%