Rehabilitation of a voice function in patients with benign laryngeal lesions after surgical treatment
https://doi.org/10.21518/2079-701X-2019-8-122-126
Abstract
Usually benign laryngeal lesions like cysts, polyps and fibrous masses occurs in result of phonotrauma as reactive changes of the mucous of vocal cords. Presence of organic pathology of larynx is a reason of functional voice disorders. 45 patients in age of 18-70 y.o. with benign laryngeal lesions were investigated. All patients underwent microlaryngoscopy with excision of the lesion in inpatient mode. This article describes complex of pre- and postoperative procedures performed to assess the vocal function in patients. For the surgical excision of lesions «cold-steel» instruments, radiofrequently ablation and laser surgery were used. Authors analysed the correlation between complaints, acoustic voice parameters and the process of mucous recovery. Laser technique is recommended for surgical treatment of benign lesions of larynx. Fibrolaryngoscopy, laryngostroboscopy and computer acoustic assessment of vocal parameters are required before voice normalization. Phonotherapy is indicated n case of persistence of dysphonia.
About the Authors
S. V. StarostinaRussian Federation
Dr. of Sci. (Med.), Professor of the Ear, Nose & Throat Department, Federal State Autonomous Educational Institution of Higher Education «Sechenov First Moscow State Medical University» of the Ministry of Heath of the Russian Federation (Sechenov University)
V. M. Svistushkin
Russian Federation
Dr. of Sci. (Med), Professor, Head of the Department of Ear, Throat and Nose Diseases, Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov», Ministry of Health of the Russian Federation (Sechenov University)
E. B. Rakunova
Russian Federation
Assistant Professor of the Chair for Ear, Nose & Throat Diseases, Federal State Autonomous Educational Institution of Higher Education «Sechenov First Moscow State Medical University» of the Ministry of Heath of the Russian Federation (Sechenov University)
References
1. Andrade D.F., Heuer R., Hockstein N.E., Castro E., Spiegel J.R., Sataloff R.T. The frequency of hard glottal attacks in patients with muscle tension dysphonia, unilateral benign masses and bilateral benign masses. J Voice. 1999;14:240–6.
2. Arnold G.E. Vocal nodules and polyps: laryngeal tissue reaction to habitual hyperkinetic dysphonia. J Speech Hear Disord. 1962;27:205–17.
3. Andrade D.F., Heuer R., Hockstein N.E., Castro E., Spiegel J.R., Sataloff R.T. The frequency of hard glottal attacks in patients with muscle tension dysphonia, unilateral benign masses and bilateral benign masses. J Voice. 1999;14:240–6.
4. Hsiung M.W., Hsiao Y.C. The charasteristics features of muscle tension dysphonia before and after surgery in benign lesions of the vocal fold. ORL J Otorhinolaryngol Relat Spec. 2004;66:246–54.
5. Ogawa M., Inohara H. Is voice therapy effective for the treatment of dysphonic patients with benign vocal fold lesions? Auris Nasus Larynx. 2018;45(4):661–666. doi:10.1016/j.anl.2017.08.003.
6. Ongkasuwan J., Devore D., Hollas S. et al. Laryngeal ultrasound and pediatric vocal fold nodules. Laryngoscope. 2017;127:676–678.
7. Dejonckere P.H., Bradley P., Clemente P., Cornut G., Crevier-Buchman L., Friedrich G. et al. V Committee on Phoniatrics of the European Laryngological Society (ELS) A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS). Eur Arch Otorhinolaryngol. 2001;258(2):77–82.
8. Nawka T., Verdonck – de Leeuw I.M., De Bodt M., Guimaraes I., Holmberg E.B., Rosen C.A. et al. Item reduction of the voice handicap index based on the original version and on European translations. Folia Phoniatr Logop. 2009;61(1):37–48. doi: 10.1159/000200767.
9. Wendler J., Seidner W., Eysholdt U. Lehrbuch der Phoniatrie und Pädaudiologie. Stuttgart: Thieme; 2005.
10. Shilenkova V.V. Acoustic voice analysis: monograph. Yaroslavl: Avers Plus, 2015. 176 p.] (In Russ).
11. Uloza V., Saferis V., Uloziene I. Perceptual and acoustic assessment of voice pathology and the efficiacy of endolaryngeal phonomicrosurgery. J Voice. 2005;19:138–45.
12. Zeitels S.M., Hillman R.E., Desloge R., Mauri M., Doyle P.B. Phonomicrosurgery in singers and performing artists: treatment outcomes, management theories, and future directions. Ann Otol Rhinol Laryngol. 2002;111:21–40.
13. Zhang Y., Jiang J.J. Chaotic vibrations of a vocal fold model with a unilateral polyp. The Journal of the Acoustical Society of America. 2004;115(3):1266–1269. doi:10.1121/1.1648974.
14. Vlot C., Ogawa M., Hosokawa K., Iwahashi T., Kato C., Inohara H. Investigation of the immediate effects of humming on vocal fold irregularity using electroglottography and highspeed laryngoscopy in patients with organic voice disorders. J Voice. 2017;31:48–56.
15. Sulica L., Behrman A. Management of benign vocal fold lesions: a survey of current opinion and practice. Ann Otol Rhinol Laryngol. 2003;112:827–33.
16. Kotyanina O.V. Comprehensive rehabilitation and quality of life of patients with benign laryngeal lesions. Extended abstract of Cand. Sci. (Med.) Dissertation. Novosibirsk, 2009.] (In Russ).
Review
For citations:
Starostina SV, Svistushkin VM, Rakunova EB. Rehabilitation of a voice function in patients with benign laryngeal lesions after surgical treatment. Meditsinskiy sovet = Medical Council. 2019;(8):122-126. (In Russ.) https://doi.org/10.21518/2079-701X-2019-8-122-126