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Effect of voice therapy after phonomicrosurgery for vocal polyps: a prospective, historically controlled, clinical study

Published online by Cambridge University Press:  04 November 2013

Y H Ju ,
K-Y Jung ,
S-Y Kwon ,
J-S Woo ,
J-G Cho ,
M W Park ,
E-H Park  and
S-K Baek
Y H Ju
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
K-Y Jung
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
S-Y Kwon
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
J-S Woo
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
J-G Cho
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
M W Park
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
E-H Park
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
S-K Baek*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, South Korea
*
Address for correspondence: Dr Seung-Kuk Baek, Anam-dong 5-ga 126-1, Seongbuk-gu, Seoul, 136-705, South Korea Fax: +82 2 925 5233 E-mail: mdskbaek@gmail.com
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Abstract

Objective:

This study aimed to evaluate the efficacy of post-operative voice therapy after phonomicrosurgery for vocal polyp removal.

Methods:

The study retrospectively enrolled 55 consecutive patients who had undergone voice therapy after phonomicrosurgery for vocal polyp removal occurring between June 2010 and June 2011. A historical group of 63 similar patients not receiving voice therapy was used as an external control. We compared voice analysis parameters and Voice Handicap Index scores for the two groups.

Results:

Most objective and subjective voice outcome parameters were significantly improved after surgical treatment. Although the study and control groups showed no significant difference regarding objective parameters (using acoustic and aerodynamic analysis) or the subjective parameters assessed using the grade-roughness-breathiness-asthenia-strain scale, the study group had significantly better final Voice Handicap Index scores.

Conclusion:

Following surgery for vocal polyps, post-operative voice therapy can improve patients' vocal discomfort, emotional responses and everyday self-perception.

Keywords

Speech TherapyVoiceOutcomes AssessmentSurgical Procedures, OperativeVocal CordsPolyps
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 11 , November 2013 , pp. 1134 - 1138
Copyright
Copyright © JLO (1984) Limited 2013 

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