Tags

Type your tag names separated by a space and hit enter

Office-based treatment of vocal fold polyp with flexible laryngosvideostroboscopic surgery.
J Otolaryngol Head Neck Surg. 2010 Feb; 39(1):90-5.JO

Abstract

OBJECTIVES

To evaluate the usefulness and safety of flexible laryngovideostroboscopic (FLVS) surgery in patients with vocal fold polyp and to discuss its advantages and limitations in comparison with traditional direct microlaryngoscopic technique under general anesthesia.

DESIGN

Retrospective analysis.

PATIENTS AND METHODS

Twenty patients with vocal fold polyp treated by FLVS surgery under topical anesthesia were reviewed. The results were evaluated by videostroboscopy and grade of the severity of dysphonia, roughness, and breathiness (GRB) scales. Phonatory results, including maximum phonation time, jitter, shimmer, and noise to harmonic ratio, were also reviewed for objective evaluations.

RESULTS

All patients completed the surgery smoothly, and seven of them had a higher risk for general anesthesia because of their medical diseases. The procedure was typically accomplished within 20 minutes, and no complications were noted. Videostroboscopy showed improved degree of glottic closure (p < .001), regularity (p = .046), phase symmetry (p = .008), and mucosal wave (p = .008) after FLVS. A significant improvement was noted between preoperative and postoperative results with regard to GRB scale (p < .001, p = .001, and p = .013, respectively). Maximum phonation time also increased significantly after surgery (p = .002). Trivial mucosal residual was noted in one patient. No recurrence was found after a 6-month follow-up period.

CONCLUSIONS

FLVS surgery is a highly applicable procedure with low invasiveness and minimal morbidity. It offers a simple and cost-effective alternative to the traditional direct microlaryngoscopic procedure, especially for those who are not candidates for general anesthesia or suspension of the larynx.

Authors+Show Affiliations

Department of Otolaryngology, Taipei Tzu Chi General Hospital, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20122350

Citation

Lan, Ming-Chin, et al. "Office-based Treatment of Vocal Fold Polyp With Flexible Laryngosvideostroboscopic Surgery." Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, vol. 39, no. 1, 2010, pp. 90-5.
Lan MC, Hsu YB, Chang SY, et al. Office-based treatment of vocal fold polyp with flexible laryngosvideostroboscopic surgery. J Otolaryngol Head Neck Surg. 2010;39(1):90-5.
Lan, M. C., Hsu, Y. B., Chang, S. Y., Huang, J. L., Tai, S. K., Chien, C. H., & Chu, P. Y. (2010). Office-based treatment of vocal fold polyp with flexible laryngosvideostroboscopic surgery. Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, 39(1), 90-5.
Lan MC, et al. Office-based Treatment of Vocal Fold Polyp With Flexible Laryngosvideostroboscopic Surgery. J Otolaryngol Head Neck Surg. 2010;39(1):90-5. PubMed PMID: 20122350.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Office-based treatment of vocal fold polyp with flexible laryngosvideostroboscopic surgery. AU - Lan,Ming-Chin, AU - Hsu,Yen-Bin, AU - Chang,Shyue-Yih, AU - Huang,Jui-Lin, AU - Tai,Shyh-Kuan, AU - Chien,Chih-Hung, AU - Chu,Pen-Yuan, PY - 2010/2/4/entrez PY - 2010/2/4/pubmed PY - 2010/5/22/medline SP - 90 EP - 5 JF - Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale JO - J Otolaryngol Head Neck Surg VL - 39 IS - 1 N2 - OBJECTIVES: To evaluate the usefulness and safety of flexible laryngovideostroboscopic (FLVS) surgery in patients with vocal fold polyp and to discuss its advantages and limitations in comparison with traditional direct microlaryngoscopic technique under general anesthesia. DESIGN: Retrospective analysis. PATIENTS AND METHODS: Twenty patients with vocal fold polyp treated by FLVS surgery under topical anesthesia were reviewed. The results were evaluated by videostroboscopy and grade of the severity of dysphonia, roughness, and breathiness (GRB) scales. Phonatory results, including maximum phonation time, jitter, shimmer, and noise to harmonic ratio, were also reviewed for objective evaluations. RESULTS: All patients completed the surgery smoothly, and seven of them had a higher risk for general anesthesia because of their medical diseases. The procedure was typically accomplished within 20 minutes, and no complications were noted. Videostroboscopy showed improved degree of glottic closure (p < .001), regularity (p = .046), phase symmetry (p = .008), and mucosal wave (p = .008) after FLVS. A significant improvement was noted between preoperative and postoperative results with regard to GRB scale (p < .001, p = .001, and p = .013, respectively). Maximum phonation time also increased significantly after surgery (p = .002). Trivial mucosal residual was noted in one patient. No recurrence was found after a 6-month follow-up period. CONCLUSIONS: FLVS surgery is a highly applicable procedure with low invasiveness and minimal morbidity. It offers a simple and cost-effective alternative to the traditional direct microlaryngoscopic procedure, especially for those who are not candidates for general anesthesia or suspension of the larynx. SN - 1916-0216 UR - https://www.unboundmedicine.com/medline/citation/20122350/Office_based_treatment_of_vocal_fold_polyp_with_flexible_laryngosvideostroboscopic_surgery_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=20122350.ui DB - PRIME DP - Unbound Medicine ER -