The Effect of Surgery on Cord Vibration in Patients with Vocal Cord Polyps: Retrospective Videolaryngostroboscopy Study

Objective: Vocal cord polyps are benign lesions of the larynx that are frequently seen and are treated surgically. These lesions generally develop in the free edge of the vocal cords, and form an incomplete glottal closure accompanied by irregular vibration of the vocal cords. In this study, the aim is to investigate the effect of surgery on vocal cord vibration in patients with vocal cord polyps who are treated with the endolaryngeal cold knife microsurgery. Method: Patients treated with endolaryngeal microsurgery at our clinic between 2014 and 2016, who were reported as vocal cord polyps by postoperative pathology result, and who regularly coming for follow-up examinations were included in the study. Using a scale which was first described by Hirano and Bless and modified and confirmed to be reliable in a study performed by Gürbüz et al., the preoperative and postoperative second month images of the patients were statistically compared. Results: 10 of the 25 patients included in our study were female (40%) and 15 were male (60%). In all patients, vocal cord polyps were unilateral, and were located in anterior 1/3 of the vocal cord in 12 patients (48%), and in medial 1/3 of the vocal cord in 9 patients (36%). It was determined that impaired vocal cord vibratory functions showed statistically significant recovery in the postoperative period compared to the preoperative period (p

___

1) R. Loire, M. Bouchayer, G. Cornut. Pathology of benign vocal fold lesions. Ear Nose Throat J. 1988; 67:357-362

2) Barillari MR, Volpe U, Mirra G, Giugliano F, Barillari U. Surgery or Rehabilitation: A Randomized Clinical Trial Comparing the Treatment of Vocal Fold Polyps via Phonosurgery and Traditional Voice Therapy with “Voice Therapy Expulsion” Training. J Voice. 2017; 31(3): 379

3) C.A. Rosen, T. Murry. Nomenclature of voice disorders and vocal pathology. Otolaryngol Clin North Am. 2000; 33:1035-1046

4) K.W. Altman. Vocal fold masses. Otolaryngol Clin North Am, 2007; 40:1091-1108

5) Petrovic-Lazic M., Jovanovic N., Kulic M., Babac S., Jurisic V. Acoustic and perceptual characteristics of the voice in patients with vocal polyps after surgery and voice therapy. Journal of Voice. 2015; 29:241-246.

6) Dursun G., Ertürk A., Kiliç, M.A. Vokal Fold Poliplerinde Endolarengeal Mikrocerrahinin Ses Üzerindeki Etkisi. T Klin J E N T. 2002; 2:78-83.

7) Erdinç M., Gürbüz M. K., Özüdoğru E., Cingi C., Çaklı H., Kaya E., İncesulu A., Keçik C. Vokal kord poliplerinde cerrahi tedavi sonrası ses kalitesinin değerlendirilmesi. J Med Updates 2012; 2:70-75.

8) Ju YH., Jung KY., Kwon SY., Woo JS., Cho JG., Park MW., Park EH., Baek SK. Effect of voice therapy after phonomicrosurgery for vocal polyps: a prospective, historically controlled, clinical study. The Journal of Laryngology & Otology. 2013; 127:1134-1138.

9) Hirano M, Bless DM. Videolaringostroboscopic examination of the larynx. San Diego: Singular Publishing Group; 1993.

10) Gürbüz MK., Birdane L., Açıkalın MF., Çolak E., Özüdoğru E., Cingi C., İncesulu A. Vocal Fold Hyperplastic Lesions: An Evaluation of Surgical Outcome with Videolaryngostroboscopy. Balkan medical journal. 2013; 30:172-177

11) Martins RH, Defaveri J, Domingues MA, de Albuquerque e Silva R. Vocal polyps: clinical, morphological, and immunohistochemical aspects. J Voice 2011; 25:98–106

12) Nunes RB, Behlau M, Nunes MB, Paulino JG. Clinical diagnosis and histologic analysis of vocal nodules and polyps. Braz J Otorhinolaryngol 2013; 79:434–440

13) Filho JM, Carvalho B, Mizoguchi FM, Catani GS, Filho ED, Malafaia O, Stahlke HJ Jr. Characteristics of polypoid lesions in patients undergoing microsurgery of the larynx. Int Arch Otorhinolaryngol 2013; 17:279–284

14) Shapshay SM, Rebeiz EE. Benign lesions of the larynx. In: Bailey B, ed. Head and Neck Surgery-Otolaryngology 1993; 1: 633-634.

15) Wang JS., Olszewski E., Devine EE., Hoffman MR., Zhang Y., Shao J., Jiang JJ. Extension and application of high-speed digital imaging analysis via spatiotemporal correlation and eigenmode analysis of vocal fold vibration before and after Polyp excision. Annals of Otology, Rhinology & Laryngology. 2016; 125:660-666.

16) Sahin M, Gode S, Dogan M, Kirazli T, Ogut F. Effect of voice therapy on vocal fold polyp treatment. European Archives of Oto-Rhino-Laryngology. 2018; 275:1533-1540
ENT Updates-Cover
  • ISSN: 2149-7109
  • Başlangıç: 2015
  • Yayıncı: Prof.Dr.Murat Demir
Sayıdaki Diğer Makaleler

The Effect of N-butyl-2-Cyanoacrylate on Wound Healing in the Head and Neck Region

Zeliha KAPUSUZ GENCER, Y. Kenan DAĞLIOĞLU, Muzaffer GENCER, Mahmut ÖZKIRIŞ, Levent SAYDAM, Sait POLAT

Parameters Used For Objective Acoustic Vocal Analysis In Paediatric Patients with Bronchiectasis

ÖMER FARUK ÇALIM, YAVUZ SELİM YILDIRIM, Özge GEDİK, Erkan ÇAKIR, Orhan ÖZTURAN

Application Of Platelet Rich Fibrin Matrix (PRFM) In Septorhinoplasty

İsmail GÜLER, Rauf Oğuzhan KUM, Yavuz Fuat YILMAZ

Association of Temporomandibular Joint Disorders with Habitual Sleeping Body Posture and Nasal Septal Deviation

Esin YALÇINKAYA

How Do Histopathological Findings Relate To Cervical Lymph Node Metastasis In Laryngeal Cancer? A Retrospective Study And Literature Review

Şeyda BELLİ, Metin YILDIRIM, Funda Emre KAYA, Tolga BİLECE, Mehmet Faruk OKTAY

Correlation of Histopathological Findings in Laryngeal Squamous Cell Carcinoma with Inflammatory Biomarkers

İldem DEVECİ, Mehmet Sürmeli, Serap ÖNDER, Burak KARABULUT, Hande Senem DEVECİ, Çağatay OYSU

Morphological Analysis Of Obstructive Sleep Apnoea Patients Using Computed Tomography

Sıdıka Deniz YALIM, Feride Fatma GÖRGÜLÜ

The Effect of Surgery on Cord Vibration in Patients with Vocal Cord Polyps: Retrospective Videolaryngostroboscopy Study

MEHMET ÖZGÜR PINARBAŞLI, Ali ALAİYE, Şükrü TURAN, Ahmet Halit AYDIN, Tankut UZUN, Ercan KAYA, Melek Kezban GÜRBÜZ

Comparison of two different methods of prosthesis placement in otosclerosis

Suphi BULĞURCU, İlker Burak ARSLAN, Ömer UĞUR, İbrahim ÇUKUROVA

Current Treatment Strategies in Cutaneous Malignant Melanoma of the Head and Neck

Erdoğan ÖZGÜR, Barış KARAKULLUKÇU, Görkem ESKİİZMİR