Comparing Pre-Post Outcomes of Laryngeal Microsurgery With Voice Therapy for Patients With Vocal Fold Polyps
10.22469/jkslp.2024.35.2.50
- Author:
Geun-Hyo KIM
1
;
Dong-Won LIM
;
Yong-Il CHEON
;
Sung-Chan SHIN
;
Byung-Joo LEE
;
Yeon-Woo LEE
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
- Publication Type:Original Article
- From:Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
2024;35(2):50-57
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Background and Objectives:The aim of this study is to compare the acoustic and auditory-perceptual assessment of patients with vocal fold polyps (VP) before and after laryngeal microsurgery (LMS) and voice therapy (VT).Materials and Method A retrospective cohort design was employed. Sustained vowels and continuous speech samples produced by 36 patients diagnosed with VP were analyzed. Treatment outcome measures included, cepstral peak prominence (CPP), smoothed cepstral peak prominence (CPPS), acoustic voice quality index (AVQI), acoustic breathiness index (ABI), auditory-perceptual (A-P) ratings (G of GRBAS scale and overall severity [OS] of consensus auditory-perceptual evaluation of voice), and voice handicap index-10 (VHI-10).
Results:Following LMS and VT, significant improvements in CPP, CPPS, AVQI, ABI (p<0.001) were observed. Additionally, A-P ratings (G and OS) and VHI-10 (p<0.001) significantly improved following LMS and VT. Acoustic analyses, A-P ratings and VHI-10 indicated that the voice quality has improved following LMS and VT.
Conclusion:Our study demonstrates that the concurrent application of LMS and VT in patients with VP leads to improvements in both voice quality and patient satisfaction. These findings underscore the importance of a multidisciplinary approach in the management of VP, integrating both surgical and therapeutic interventions for optimal outcomes.
