Clinical Significance of Contralateral Reactive Lesion in Vocal Fold Polyp and Cyst

Cho, Jung-Hae; Choi, Yeon-Jik; Joo, Young‐Hoon; Park, Young-Hak; Sun, Dong‐Il

doi:10.1016/j.jvoice.2017.02.011

Cited by 13 publications

(13 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The authors also demonstrated that the presence of contralateral lesions is related to worsening of vocal quality and should be approached surgically, especially if speech therapy and vocal rest are not feasible in the postoperative period. 3 Zhukhovitskaya et al also argue that some benign lesions of the vocal folds are associated with age and gender. Nodules and pseudocysts are more common in young women, and Reinke edema in older women.…”

Section: Discussionmentioning

confidence: 99%

“…2 Microsurgery or fibrosurgery remains the viable and often initial treatment for patients requiring rapid and definitive results. 3 To monitor the success of the surgical treatment of these lesions, it is necessary to know the target population, which lesions are most frequently submitted to fibrosurgery, the percentage of recurrences of these lesions and recurrent surgeries.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of Surgical Recurrence after Larynx Microsurgery for Benign Lesions

Patrial

Hamerschmidt

Matias

et al. 2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction The study of larynx lesions is of great importance. More than 50% of people with vocal complaints have benign vocal fold alterations and some require surgery. Objective To determine which factors are related to surgical recurrence of benign laryngeal lesions and to determine which videolaryngoscopic diagnoses are related to the risk or protection of surgical relapses over time. Methods Observational, analytical, cross-sectional study with retrospective data collection of 1,383 surgeries in 1,301 patients. Results The mean age at the first surgery was 39.2 years old. The predominant gender was female (65.6%).There were 396 cases of polyps (25.34%), 349 cases of cysts (22.33%), 261 cases of Reinke edema (16.7%), 175 cases of nodules (11.2%), 153 cases of minor structural alterations (MSAs) (9.79%), 94 cases of leukoplakia (6.01%), 77 cases of granulomas (4.93%) and 58 cases of pseudocysts (3.71%). The age presented statistical significance with the risk of surgical relapses (p = 0.016). Male gender was associated with the greatest chance of relapse.Diagnosis of granuloma (p < 0.001) and of leukoplakia (p < 0.001) were associated with a higher risk of surgical recurrence. Cyst diagnosis was associated with protection (p = 0.015) in relation to the chance of further surgeries. Patients with associated lesions, bilaterals or voice professionals did not present a statistically significant association with surgical recurrence. Conclusion Age and gender are statistically related to the increase of surgical relapses. Leukoplakia and granuloma are associated with increased surgical relapses. Patients submitted to cyst microsurgery appear to be protected against surgical recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analysis of Surgical Recurrence after Larynx Microsurgery for Benign Lesions

Patrial

Hamerschmidt

Matias

et al. 2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…4 Contralateral reactive lesions (CRLs) with hemorrhagic polyps are common. 5,6 Pressure from a vocal polyp induces epithelial injury of the contralateral vocal fold creating a CRL. Grossly, a CRL initially appears as an indentation at the point of maximum contact with a primary polyp.…”

mentioning

confidence: 99%

“…Simultaneous surgical excision of a vocal polyp and CRL results in improved voice quality in some patients postoperatively. 5 However, some CRLs regress or resolve without surgery after the primary polyp has been resected, decreasing the risk of bilateral, opposing vocal fold scar.…”

mentioning

confidence: 99%

Secondary Features of Hemorrhagic True Vocal Fold Polyps

et al. 2019

View full text Add to dashboard Cite

“…Cielo et al (2010) avaliaram a F0 nos nódulos e os valores encontrados foram dentro da normalidade proposta por Behlau (2001), o mesmo ocorreu no grupo de laringe normal. Cho et al (2017) também encontraram nos grupos de cisto e pólipos isolados e no grupo de cisto e pólipo com reação contralateral a F0 dentro da normalidade, próximo a 200Hz em ambos os grupos. Siqueira et al (2016) aplicou as medidas de F0 em sujeitos com nódulos vocais submetidos a terapia de TENS, como resultado encontrou valores dentro dos padrões de normalidade e com pouca modificação pós terapia.…”

Section: Métodos De Avaliação Vocalunclassified

Análise acústica não linear pela reconstrução do espaço de fase em sinais de voz com lesões benignas da laringe

Gonçalves¹

View full text Add to dashboard Cite

Introduction: Nonlinear Analysis (ANL) with Phase Space Reconstruction (PSR) has been an important analysis tool in the laryngeal lesions and types of voice signals, as it considers the chaotic elements of the human voice. Objective: To investigate and compare the characteristics of PSR in laryngeal nodule, cyst and sulcus lesions, in signal types I, II and III and in subharmonic stretches and long-term amplitude instability. Material and Method: A total of 106 sustained vowel /a/ signs were selected, 93 women and 13 men, aged between 18 and 50 years from the FOB-USP Speech-Language Clinic database, divided into three groups: nodules with 43 voices (41 women and 2 men, ages 18-50 years); cyst with 40 voices (39 women and 1 man, ages 18-47 years); sulcus vocalis with 23 voices (13 women and 10 men, ages 22-48 years). These voices were subdivided into the voice signal types according to the auditory-perceptual and spectrogram analyzes with Type I 53 voices (51 women and 2 men, ages 18-48 years); Type II with 45 voices (35 women and 10 men, ages 19-50 years); Type III with 8 voices (7 women and 1 man, ages 31-49 years). For the analysis of the PSR graph, the voices were analyzed using the Voice Analysis program by evaluating the C-IS scale (curvesirregularity and spacing). The C-IS scale data were described in all sections, compared between the pathologies and between the types of voice signals from the standard stretch with the Mann-Withney and Wilcoxon tests. Results: In laryngeal lesion's nodule, cyst and sulcus, the PSR nodule, cyst and sulcus vocalis, a PSR by the C-IS scale in the standard section, most of the voices presented 4 curves and grade 1 irregularity and in the spacing there was predominance of grade 1 for the nodule and cyst and grade 3 for the sulcus vocalis. In the types of signals most Types I and II had 4 curves, while the Type III ranged from "not evaluable" to 4 curves; predominant irregularity in grade 1 in Types I and II in grade 3 for Type III and spacing predominant in grade 1 in Types I and II in grade 2 in Type III. In the comparison of the standard stretch with the pathologies there was no significant difference (p> 0.05), however, in the types of voice signals there was a significant difference (p <0.05) in all parameters except the curves in Types I and II. In subharmonic stretches and long-term amplitude instability in dysphonias there was a predominance of 4 curves, grade 2 irregularity and grade 3 spacing. In subharmonic and amplitude instability stretches the higher the aperiodicity the higher the degrees of irregularity and spacing. Conclusion: It was concluded with this study that the nodule, cyst and groove groups presented similar characteristics of PSR by the C-IE scale. In the types of voice signals there was difference in the curves between Types I and III and II and III, in the irregularity between Types I and II and I and III and in the spacing between all Types. In the stretches and subharmonics and long-term amplitude instability there was a reduction in the number of c...

show abstract

Clinical Significance of Contralateral Reactive Lesion in Vocal Fold Polyp and Cyst

Cited by 13 publications

References 18 publications

Analysis of Surgical Recurrence after Larynx Microsurgery for Benign Lesions

Analysis of Surgical Recurrence after Larynx Microsurgery for Benign Lesions

Secondary Features of Hemorrhagic True Vocal Fold Polyps

Análise acústica não linear pela reconstrução do espaço de fase em sinais de voz com lesões benignas da laringe

Contact Info

Product

Resources

About