Aldulhalim AYSEL, Mehmet ÖĞÜT, Mustafa ŞAHİN, İSA KAYA, KEREM ÖZTÜRK, ERKAN ZEKİ ENGİN

VOKAL KORD POLİPİ TANILI HASTALARDA CERRAHİ TEDAVİ SONRASI SES TERAPİSİ ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

Giriş: Vokal kord polipleri (VKP) cerrahi müdahaleye en fazla ihtiyaç gösteren benign ses teli lezyonlarıdır. Tedavinin temel ayağı cerrahi olmasına rağmen; son yıllarda cerrahi öncesinde ve/veya sonrasında Ses Terapisi (ST) eklenmesi giderek yaygınlaşmaktadır. Bu çalışmadaki amacımız VKP tedavisinde cerrahi ile birlikte uygulanan ST’nin etkinliğini araştırmaktı. Bu amaçla VKP tanısıyla sadece cerrahi tedavi uygulanan hastalarla cerrahiden önce ve sonra ST alan hastaların ses analiz verileri karşılaştırıldı. Gereç ve Yöntem: VKP tanısı alarak tedavi verilen hastalar dahil edildi. Hastalar 2 gruba ayrıldı. Grup I’de ST almak istemedikleri için sadece cerrahi tedavi uygulanan hastalar yer aldı. Grup II’de ise ameliyat ile birlikte toplam sekiz seanstan oluşan ST verilen hastalar bulunmakta idi. Her iki grubun tedaviden önce ve tedavi sonrasıaltıncı aydaki subjektif ve objektif ses değerlendirme parametreleri karşılaştırıldı. Bulgular: Grup I deki 34 olgunun 20’si (% 58.8) erkek 14’ü (%41.2) kadın ve ortalama yaşları 43,8 ±10,8 idi. Grup II deki 50 olgudan verileri değerlendirilen 44 hastanın 21’i (47,7%), erkek, 23’ü (52,3%) kadın ve ortalama yaşları42,3±11 idi. Grup II de postoperatif GRB değerindeki düşüş miktarı grup I den anlamlı olarak daha yüksekti (p

EVALUATION OF VOICE THERAPY EFFECTIVENESS AFTER SURGICAL TREATMENT IN PATIENTS WITH VOCAL FOLD POLYP

Introduction: Vocal cord polyps (VCPs) are benign vocal fold lesions that require the most surgical intervention. Although the main treatment is surgery; In recent years, the addition of Voice Therapy (VT) before and / or after surgery has become increasingly widespread. The aim of this study was to investigate the efficacy of VT combined with surgery in the treatment of VCP. For this purpose, the voice analysis data of the patients who received only surgical treatment and surgery with VT before/after the surgery were compared. Material and Method: Patients treated with VCP were included. The patients were divided into two groups. Patients who did not want to receive VT in Group I received only surgical treatment. In Group II, there were patients who had VT with eight sessions. The subjective and objective voice assessment parameters of both groups were compared before and six months after treatment. Results: Of the 34 patients in Group I, 20 (58.8%) were male and 14 (41.2%) were female and the mean age was 43.8 ± 10.8. Of the 44 patients in Group II, 21 (47.7%) were male, 23 (52.3%) were female and the mean age was 42.3 ± 11 years. In Group II, the decrease in postoperative GRB value was significantly higher than group I (p

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