Office-Based Steroid Injection in Benign Vocal Fold Lesions

Baraka, Mohamed; Behairy, Essam A.; Desouky, Hossam El; Mostafa, Shaimaa; Ezzat, Eman

doi:10.21608/ejentas.2021.86930.1396

Cited by 2 publications

(5 citation statements)

References 22 publications

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“…The opposite of our study, Baraka et al (8) stated that shimmer %, Jitter %, NHR as well as MPT demonstrated significant improvement after injecting a steroid.…”

Section: Discussioncontrasting

confidence: 99%

“…Post-treatment assessment revealed significant improvement, as 89.6% of the cases had a mild or no glottal gap post-ILSI, and this confirms our opinion that we must use videostroboscopy in the evaluation of cases (8) .…”

Section: Discussionsupporting

confidence: 77%

“…Contrary to this result also Baraka et al (8) explained that all acoustic parameters (jitter, shimmer, NHR), modified GRBAS scale and MPT showed highly significant changes after steroid injection. Some individuals developed a white plaque on the injected vocal fold, as was seen.…”

Section: Discussionmentioning

confidence: 62%

“…Contrary to this result, Baraka et al (8) enrolled 29 cases, 17 males (58.6%) and 12 females (41.4%). Eight patients (27.6%) underwent a single injection and 21 patients (72.4%) all patients underwent steroid injections, in case of polyps, nodules, cysts, and Reinke's edema and granuloma.…”

Section: Discussionmentioning

confidence: 86%

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Comparison between Laryngeal Microsurgery versus Laryngeal Microsurgery with Corticosteroid Injection in the Management of Patients with Minimal Associated Pathological Lesions

Ellessy¹,

Sheikh²,

Darwish³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Minimal Associated Pathological Lesions (MAPLs) are non-neoplastic, non-inflammatory, traumatic lesions of the vocal fold that occupy a position somewhere between the organic benign and non-organic groups and might have been predisposed by long-standing non-organic vocal dysfunction. Methods: This Prospective randomized study was carried out on 30 consecutive candidates with MAPLs. They were categorized into two main groups according to their management, Group A, managed by laryngeal microsurgery (LMS), and Group B, managed by LMS and corticosteroid injection. Under each main group, there were three subgroups according to their primary lesions a subgroup of vocal fold polyps, a subgroup of vocal fold nodules, and another subgroup of vocal fold cysts. All patients were exposed to subjective evaluation by a scale of modified GRBAS (grade, roughness, breathiness, asthenia, strain) and objective evaluation by acoustic parameter and aerodynamically by maximum phonation time (MPT). Results: The acoustic, and aerodynamic parameters, as well as the modified GRBAS scale, showed a significant difference between pre-and post-operative in both groups in the three types of vocal folds (polyp, cyst, and nodules) indicating the effectiveness of both lines of management. The obtained results of the modified GRBAS scale and acoustic and aerodynamic parameters in vocal fold nodules showed a significant variation in the result of both groups pre-operative and post-operative. Conclusions: Steroid injection with laryngeal microsurgery used for the treatment of MAPLs may not cause significant improvement regarding the modified GRBAS scale, acoustic analysis, and aerodynamic measures in short-term assessment over laryngeal microsurgery.

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“…The opposite of our study, Baraka et al (8) stated that shimmer %, Jitter %, NHR as well as MPT demonstrated significant improvement after injecting a steroid.…”

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 86%

See 2 more Smart Citations

Comparison between Laryngeal Microsurgery versus Laryngeal Microsurgery with Corticosteroid Injection in the Management of Patients with Minimal Associated Pathological Lesions

Ellessy¹,

Sheikh²,

Darwish³

et al. 2022

The Egyptian Journal of Hospital Medicine

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show abstract

“…Corticosteroids can also be administered with a flexible needle through the working channel of a flexible fiberendoscope (32).…”

Section: Intralesional Corticosteroid Injectionmentioning

confidence: 99%

Current surgical treatment modalities for vocal fold polyps: A mini-review

Čukić,

Jovanović,

Arsović

2023

Medicinski podmladak

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Vocal fold polyps represent one of the most common benign organic disorders affecting the larynx in the general population, and a relatively frequent cause of long-standing hoarseness. The exact etiology is unclear, but poor vocal behavior has been suggested as the principal etiologic factor. Histopathologically they are characterized by various structural alterations in the vocal fold superficial lamina propria, and typical clinical finding is of a solitary, unilateral and well-defined vocal fold lesion. Vocal fold polyps usually require surgical removal using microlaryngoscopy with cold steel excision in general anesthesia, which has been the practice standard for the last 60 years. Microlaryngoscopy offers the surgeon an unparalleled magnified view of the vocal folds and very precise work on a still operative field without a specific time limit. The introduction and technological development of ambulatory endoscopy and various laser systems provided the surgeon with ample therapeutic opportunities, including operating some of the patients in the office setting in local anesthesia. These outpatient procedures are technically simple and cost-effective, require fewer medical personnel, exclude general anesthesia-related risks, and are less time-consuming both for the patient and the physician. Nevertheless, the contemporary laryngologist should be able to perform both conventional microlaryngoscopy and office-based surgery for vocal fold polyps, depending on the clinical situation.

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Office-Based Steroid Injection in Benign Vocal Fold Lesions

Cited by 2 publications

References 22 publications

Comparison between Laryngeal Microsurgery versus Laryngeal Microsurgery with Corticosteroid Injection in the Management of Patients with Minimal Associated Pathological Lesions

Comparison between Laryngeal Microsurgery versus Laryngeal Microsurgery with Corticosteroid Injection in the Management of Patients with Minimal Associated Pathological Lesions

Current surgical treatment modalities for vocal fold polyps: A mini-review

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