The Clinicopathological Study of Benign Lesions of Vocal Cords

Malik, Priya; Yadav, S. P. S.; Sen, Rajeev; Gupta, Pankaj; Singh, Jai; Singla, Aditi; Vashisht, Swati

doi:10.1007/s12070-017-1240-0

Cited by 14 publications

(11 citation statements)

References 19 publications

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“…Likewise, studies by Mobarsa V et al ,[ 2 ] Malik P et al . [ 4 ] and Sareen S et al . [ 25 ] reported vocal 55 polyps and nodules as the commonest benign vocal lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Non-malignant growths of an aberrant tissue on the vocal cords are known as benign lesions of the vocal cords. [ 4 ] Lesions such as vocal polyps, cysts, nodules, keratosis, granuloma, and Reinke’s edema are among them. [ 4 5 ] Vocal abuse (“phonotrauma”), overuse or misuse of the voice, chronic infections of the upper airway, allergy, smoking, and gastroesophageal reflux are all possible causes of benign vocal cord lesions.…”

Section: Introductionmentioning

confidence: 99%

“…[ 13 14 15 ] Several scales, such as the Voice/Vocal Handicap Index (VHI), Voice Related Quality of Life (V-RQOL), Voice Activity and Participation Profile (VAPP) and The Voice Outcome Survey (VOS) have been developed to assess voice handicap. [ 4 ] Of all these the Voice Handicap Index (VHI), developed by Jacobson et al ,[ 16 ] is one of the most widely used dysphonia-specific quality of life questionnaire. VHI-10 is a powerful representation of the VHI that takes less time to complete while retaining its validity.…”

Section: Introductionmentioning

confidence: 99%

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A follow-up study of surgically managed benign vocal cord lesions using vocal handicap index – 10 score

Baruah

Singh

Basu

et al. 2022

Journal of Family Medicine and Primary Care

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Background and Objectives: Benign lesions of the vocal cords not only impair the patient’s ability to communicate due to poor pronunciation and voice capabilities, but they also cause a variety of psychological and social problems, worsening their quality of life. To assess voice handicap, Voice Handicap Index (VHI)-10 is an easy-to-administer, valid and reliable tool. The present study was conducted to compare the pre-operative and post-operative well-being of patients with benign vocal cord lesions using VHI-10 among patients attending our Outpatient department. Materials and Methods: The study was a hospital based observational study with prospective study design, conducted over a period of 17 months (August 2019 to December 2020) on 53 patients who were clinically diagnosed to have benign vocal cord lesion and underwent micro laryngeal surgery followed by histopathological confirmation. Follow-up of the participants was done on 4 th and 8 th week post-operatively. Visualization of the condition of the laryngeal structures using laryngoscope assessment of VHI-10 score was done at each follow-up visit. Results: In our study, out of 53 study participants, approximately one-third of the cases were seen in the 5 th decade, that is, 40-49 years. The mean (±SD) age of the study participants was 43.2 (±12.1) years. There was male predominance (73.6%) with male to female ratio of 2.78:1. Majority of the patients had voice-demanding profession with history of vocal abuse. In cases of non-professional voice users, the highest incidence was noted in homemakers (11.4%). Smoking was noted in nine male patients while all the female patients were non-smokers. Habit of alcohol consumption was seen in 15.1% patients and 7.5% patients had habit of other substance abuse such as tobacco chewing, betel nut chewing, etc. Vocal polyps were the most common benign lesions found in 43.3% of the patients. Preoperatively mean (± SD) VHI-10 score was 20.7 (±3.5) which significantly decreased to 12.6 (±2.5) at 4 th week post-operatively and 8.5 (±2.3) at 8 th week post-operatively. Mean differences between pre-operative and post-operative scores were statistically significant ( P < 0.01), depicting that there was improvement in the voice of the patients post-operatively. Conclusion: The VHI-10 scale is shown to be a good and convenient tool for assessing patient voice handicap and determining improvement post-operatively. Wider studies with larger sample size in different parts of the country may be recommended to validate the findings of the study. In addition to surgical excision of lesion, speech therapy, and patient counselling are indubitably essential measures that should be undertaken for each patient so as to alleviate the handicapping effect of voice disorder and impro...

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“…Likewise, studies by Mobarsa V et al ,[ 2 ] Malik P et al . [ 4 ] and Sareen S et al . [ 25 ] reported vocal 55 polyps and nodules as the commonest benign vocal lesions.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A follow-up study of surgically managed benign vocal cord lesions using vocal handicap index – 10 score

Baruah

Singh

Basu

et al. 2022

Journal of Family Medicine and Primary Care

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“…Zhukhovitskaya et al and Malik et al found that vocal cord polyps and leukoplakia occurred predominantly in men. 9,11 Tsui et al reported that patients with glottic neoplasms were predominantly male, but patients with phonotraumatic lesions (including vocal nodules, polyps, and cysts) were predominantly female. 8 The latter is different from other reports and our study.…”

Section: Discussionmentioning

confidence: 99%

Laryngopharyngeal Reflux in Hypertrophic Laryngeal Diseases

2020

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Objectives: To evaluate the characteristics of laryngopharyngeal reflux (LPR) in patients with different hypertrophic laryngeal diseases and to explore the relationship between LPR and these diseases. Methods: A retrospective analysis was performed. The clinical data of 154 patients were collected. According to their diagnoses, patients were divided into 3 groups. Group 1 included 49 patients with vocal cord polyps. Group 2 contained 52 patients with vocal cord leukoplakia. Group 3 included 53 patients with laryngeal carcinoma. The reflux symptom indexes (RSIs), reflux finding scores (RFSs), and Ryan scores of all patients were evaluated and compared. Results: Patients with vocal cord polyps were the youngest of the 3 groups, and those with laryngeal carcinoma were the oldest. A male preponderance emerged in each group. In total, 128 patients (83.12%) had positive RSI/RFS values and 60 (60/146, 41.1%) patients had positive Ryan scores. The positive RSI/RFS rates of both groups 1 and 2 (89.80% and 92.16%, respectively) were significantly higher than that of group 3 (69.81%). Moreover, the positive Ryan score rates in both groups 1 and 2 (39.58% and 53.85%, respectively) were significantly higher than that of group 3 (28.26%). Conclusions: Laryngopharyngeal reflux occurs in many patients with vocal cord polyps, vocal cord leukoplakia, and vocal cord carcinoma, indicating that LPR may be important in the pathogenesis of these diseases. Laryngopharyngeal reflux occurs more common in patients with vocal cord polyps and leukoplakia and less common in those with laryngeal carcinoma, suggesting the role of LPR on these diseases may be different.

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“…Bu katmanda ortaya çıkan benign vokal kord lezyonları esnekliği bozarak addükte vokal kordlarda fonasyon sırasında ortaya çıkan pasif glottal mukozal dalgayı baskılar ya da ortadan kaldırır. Bu nedenle lamina proprianın yüzeyel ve orta katmanında benign vokal kord lezyonları bulunan hastalarda ses kısıklığı, artmış vokal efor, yorgunluk, gerginlik ve eğer lezyonlar yeterince büyükse dispne şikayetleri görülür [3]. ST hem organik hem de fonksiyonel ses hastalıklarında uygulanabilirken FC sıklıkla sadece organik ses hastalıklarında kullanılmaktadır [4].…”

Section: Introductionunclassified

Benign Vokal Kord Hastalıklarında Tedavi Etkinliğinin Ses Analizi ile Değerlendirilmesi

Ülkümen

Eskıızmır

Çelik

et al. 2020

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Benign vokal kord patolojilerinde ses terapisi ve fonocerrahinin etkinliğini belirlemek. Gereç ve Yöntemler: Manisa Celal Bayar Üniversitesi KBB polikliniğine Eylül 2015-Mayıs 2019 tarihleri arasında ses kısıklığı ile başvuran ve akustik ses analizi yapılan 79 (35 K, 44 E) hasta çalışmaya dahil edilmiştir. Ses analizinde hastanın başvuru sırasında ve tedavi sonrası 3. ayda auidio-technica AT2005USB marka mikrofon ile alınan kayıtları karşılaştırılmıştır. Akustik analiz çok boyutlu ses analiz programı (Multi-Dimensional Voice Program-MDVP) kullanılarak yapılmıştır. F0, vF0, Jitter, Shimmer, APQ, NHR ve VTI parametreleri analiz edilmiştir. Ses kayıtları alınmıştır. Ses analizi değerleri gurup bazında tedavi öncesi ve sonrası "eşli örneklem t testi" kullanılarak karşılaştırılmıştır. Veriler ortalama ± standart sapma (SD) olarak sunulmuştur. Güven aralığı 95% ve p<0,05 olarak istatiksel anlamlı kabul edildi (IBM SPSS Statistics for Windows, Version 21.0.; Armonk, NY, IBM Corp.). Bulgular: Çalışmamıza dahil olan hastalar dikkate alındığında ses cerrahi öncesi ve sonrası VTI (p=0.46) hariç tüm parametrelerde (F0, vF0, Jitter, Shimmer, APQ ve NHR) (p<0.05) istatiksel olarak önemli derecede düzelme tespit edilmiştir. Fonksiyonel disfonilerde ise ses terapisi öncesi ve sonrası karşılaştırıldığında vF0, Jitter, Shimmer ve NHR parametrelerinde istatiksel olarak anlamlı düzelme (p<0.05) tespit edilirken F0 (p=0.09), APQ (p=0.06) ve VTI (p=0.13) parametrelerinde istatiksel olarak anlamlı fark bulunmamıştır. Sonuç: Çalışmamız verileri dikkate alındığında ses terapisinin temel parametrelerde fonocerrahiye yakın etkinlik sağladığı ancak bazı minör parametrelerde yetersiz kaldığı tespit edilmiştir.

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The Clinicopathological Study of Benign Lesions of Vocal Cords

Cited by 14 publications

References 19 publications

A follow-up study of surgically managed benign vocal cord lesions using vocal handicap index – 10 score

A follow-up study of surgically managed benign vocal cord lesions using vocal handicap index – 10 score

Laryngopharyngeal Reflux in Hypertrophic Laryngeal Diseases

Benign Vokal Kord Hastalıklarında Tedavi Etkinliğinin Ses Analizi ile Değerlendirilmesi

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