Surgical Management of Voice Disorders

Choi, Sukgi S.; Cotton, Robin T.

doi:10.1016/s0031-3955(16)36805-5

Cited by 9 publications

(3 citation statements)

References 45 publications

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“…Ongkasuwan et al ( 17 ) observed that the coordination of children’s treatment was poor and, in combination with a tendency for self-healing during adolescence, observation and follow-up were suggested. Furthermore, Choi and Cotton ( 18 ) and Mori ( 19 ) believed that non-surgical treatments could delay the course of the disease for months to years, resulting in a severe psychological and economic burden on the children and their parents. Surgical treatment can lead to a short-term improvement in symptoms.…”

Section: Discussionmentioning

confidence: 99%

Vocal nodules in children: Laryngoscopic morphological classification aids prognostic judgment

et al. 2022

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ObjectiveVocal fold nodules (VFNs) are benign lesions, occurring at the junction of the anterior and middle thirds of bilateral vocal cords, for which pediatric prognosis and treatment remains controversial. There is a requirement for a correlation indicator to assess the prognosis by pediatric otolaryngologists.Materials and methodsPatients with VFNs, who were admitted to the department of otolaryngology, were enrolled. The patient’s gender, age, duration of dysphonia, laryngoscopy results and related diseases [allergic rhinitis, sinusitis, laryngopharyngeal reflux (LPR)] were collected and recovery from dysphonia followed up. Correlations between clinical factors and type of laryngoscopic morphology of VFNs were analyzed.ResultsA total of 432 patients with dysphonia were identified, 208 agreed to undergo laryngoscopy and 194 were diagnosed with VFNs as a result. The modal age of patients with dysphonia was between 3 and 7 years with a male: female ratio of 2.1:1 (294:138) and 116 (26.85%; 116/432) had symptoms of allergic rhinitis. The boy to girl ratio among the 194 children with VFNs was about 2.6:1 (140:54) and modal age was consistent with dysphonia. Vocal nodules were the cause of most phonation disorders (93.27%; 194/208) and those with long duration of dysphonia presented more mature (p = 0.026) and discrete types (p = 0.022). Boys were more likely to have mature (p = 0.050) and discrete nodules (p = 0.008). Dysphonia recovery time was closely related to age (p = 0.000), duration of dysphonia (p = 0.000) and morphology of vocal nodules under laryngoscopy (p = 0.000).ConclusionVocal nodules are the most frequent cause of phonation disorders in children. The morphological classification by endoscopy may help with clinical diagnosis and therapy choice. In the case of the older child with longer duration of dysphonia and the appearance of mature, large, discrete nodules by laryngoscopy, active treatment is recommended, such as drug therapy, voice therapy or surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Vocal nodules in children: Laryngoscopic morphological classification aids prognostic judgment

et al. 2022

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“…Vokal nodüller okul ça çocuklar nda ve eri kin kad nlarda daha s k görülürler (11)(12)(13). Bizim çal mam zda da benzer ekilde vokal cord nodülü eri kin kad n ve çocuklarda istatiksel olarak anlaml olarak daha yüksek oranda görülmü tür (p<0.001).…”

Section: Tarti Maunclassified

Disfoni Hastalarında Laringostroboskopik Değerlendirme

Demirci¹,

Tüzüner²,

Ünlü³

et al. 2014

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Objective: The aim of this study was to evaluate the organic voice disorders diagnosed by laryngostroboscopic examination and the distribution of the lesion types occording to age gender and the year in our otolaryngology department .Material and methods: Laryngostroboscopic records between October 2011-July 2014 were retrospectively analysed. The patients with organic voice desorders aged between 7-86 were included the study. The age, gender, the type of the lesion and the year of the examination were recorded. The types of the lesions were recorded, and the distribution of lesions according to gerder, age and the year were compared.Results: Total of 584 patients with organic pathology 41.8% were female, 52.2% were males. The distrubition of the lesions were 25.7% polyps, %17 reinke's edema and15.9 % nodules. The vocal cord nodules were seen in adult females and children. The male patiens had vocal polyps more frequent than females and the difference was statistically significant (%38.9, %18 respectively; p<0.05). The cysts were seen more in adult women than men and the difference was statistically significant (% 7.9, %3.3 respectively; p<0.05) The presbilarynx was found statistically significantly less frequently in adult women than men (%1, %5.3 respectively) (p<0.05). The incidence of laryngeal papillomatosis in adult men (2.5%) were statistically significantly more than women (p <0.05). The vocal cord nodules were found statistically significantly more frequently in patiens under 18 than adults (82.9%, %13.4; p<0.05).Conclusion: The laryngostroboscopic examination is important in decision of the treatment and the classifying of the cord vocal lesions. There are differences between the distribution of benign vocal cord lesions according to age, gender and the year of the examination.Key Words: Laryngostroboscopy, dysphonia, vocal cord Amaç: Kulak burun bo az poliklini imizde laringostroboskobik de erlendirme sonucunda tan konulan organik ses bozuklu una yol açan patolojilerin ya a, cinsiyete, y llara ve görülme s kl na göre da l mlar n n kar la t r lmas amaçlanm t r.Materyal metod: 2011 Haziran-2014 Temmuz tarihleri aras nda yap lan 1790 adet stroboskobi kayd retrospektif olarak incelenmi tir. Ya lar 7 ile 86 aras nda de i en organik ses bozuklu u tespit edilen 584 vaka çal maya dahil edilmi tir. Vakalar n ya , cinsiyetleri lezyonun tipi, görüldü ü y l kaydedilmi tir. Hastalar n lezyon tipi ve lezyonlar n cinsiyete ve y llara göre da l m kar la t r lm t r. Sonuçlar: Organik patolojisi bulunan 584 hastan n %52.2 si kad n %41.8 i erkekti. Lezyon da l m %25.7 polip, %17 reinke %15.9 nodül olarak tespit edilmi tir. Kord vokal nodülü yaln zca kad nlarda ve çocuklarda görülmü tür. Polip ise erkeklerde kad nlara göre istatiksel olarak anlaml oranda daha fazla görülmü tür (S ras yla %38.9, %18; p<0.05). Kist yeti kin kad nlarda erkeklere göre daha fazla oranda saptanm t r bu oran istatiksel olarak anlaml bulunmu tur (S ras yla % 7.9, %3.3; p<0.05). Presbilarinks yeti kin kad nlarda erkeklere göre istatiksel anlaml o...

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“…7 Nodules can coexist with other voice or vocalfoldpathologicconditions(eg,varicosities and contact granulomas) or with velopharyngeal insufficiency. 8,9 DIAGNOSIS Vocal fold nodules are the most common cause of prolonged hoarseness in children, 2,3 occuring in 6% to 23% of pediatric patients. There are other relatively common causes, some involving the entire endolarynx or subglottis.…”

Section: Pathologymentioning

confidence: 99%

Nonsurgical Management of Pediatric Vocal Fold Nodules

Wohl¹

2005

Arch Otolaryngol Head Neck Surg

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Surgical Management of Voice Disorders

Cited by 9 publications

References 45 publications

Vocal nodules in children: Laryngoscopic morphological classification aids prognostic judgment

Vocal nodules in children: Laryngoscopic morphological classification aids prognostic judgment

Disfoni Hastalarında Laringostroboskopik Değerlendirme

Nonsurgical Management of Pediatric Vocal Fold Nodules

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