Persistent Dysphonia after Laryngomicrosurgery for Benign Vocal Fold Disease.
- Author:
Yoo Seob SHIN
1
;
Jae Won CHANG
;
Suk Min YANG
;
Hee Won WU
;
Min Hyuk CHO
;
Chul Ho KIM
Author Information
1. Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea. ostium@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Persistent dysphonia;
Laryngomicrosurgery;
Benign vocal fold disease
- MeSH:
Acoustics;
Asthenia;
Cicatrix;
Dysphonia;
Humans;
Incidence;
Laryngeal Edema;
Laryngopharyngeal Reflux;
Male;
Retrospective Studies;
Smoke;
Smoking;
Vocal Cords;
Voice
- From:Clinical and Experimental Otorhinolaryngology
2013;6(3):166-170
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Laryngomicrosurgery (LMS) is used to manage most vocal fold lesions. However, the functional voice outcome of the LMS might be diverse due to the influence of various factors. We intend to evaluate the incidence and etiologic factors of persistent dysphonia after LMS for benign vocal fold disease (BVFD). METHODS: We performed a retrospective review of 755 patients who underwent LMS for BVFD. We analyzed the clinical characteristics, preoperative and postoperative two onths voice studies. Postsurgical dysphonia was defined as grade 1 or above in GRBAS (grade, roughness, breathiness, asthenia, and strain) scale. Thirty nine patients (5.2%; 25 males and 14 females; average, 42.9 years; range, 21 to 70 years) were diagnosed with postsurgical dysphonia. RESULTS: There was no correlation between the diagnosis, coexistence with laryngopharyngeal reflux disease, habit of smoking, or occupational voice abuse and voice outcome. The patients with a worse preoperative acoustic parameter had aworse voice outcome. Stroboscopic findings showed excessive scarring or bowing in 21 cases, presence of lesion remnant in eight cases, prolonged laryngeal edema in five and no abnormal findings in three. CONCLUSION: Great care should be taken in patients with worse preoperative jitter. With a few exceptions, postoperative dysphonia can be avoided by the use of an ppropriate surgical technique.
