Evaluation of Vocal Re-education after the Operation on Benign Structures of the Vocal Cords
Authors:
P. Staněk
Authors‘ workplace:
Klinika otorinolaryngologie a chirurgie hlavy a krku FN u sv. Anny, Brno
přednosta prof. MUDr. R. Kostřica, CSc.
Published in:
Otorinolaryngol Foniatr, 61, 2012, No. 1, pp. 13-22.
Category:
Original Article
Overview
In the period from August 2005 to February 2011, 132 patients with organic affection of the superficial mucosal layer of the vocal cords were operated on at our Department. Histologically, the following findings were verified: 48 vocal nodules, 43 polyps, 28 oedemas, and 13 cysts. In a cohort of 102 patients monitored (39 vocal nodules, 32 polyps, 21 oedemas, and 10 cysts), vocal re-education was applied in the postoperative period, and the cohort was then compared with a group of 30 operated patients (9 vocal nodules, 11 polyps, 7 oedemas, and 3 cysts) without any subsequent vocal re-education. Within the frame of postoperative care, both the operating surgeon and the phoniatrician in one person try to create the correct vocal technique by means of re-education exercises and vocal hygiene rules. An international questionnaire called Voice Handicap Index (index of vocal affection) was used for the evaluation of a subjective change of the vocal speech, and the results were statistically processed. The questionnaire contains 30 questions divided into three sections focused on qualitative evaluation of the vocal speech change perceived subjectively by the patient themselves prior to and after the operation and the subsequent re-education. The two cohorts were compared not only between each other on the whole but also in correlation of the diagnoses studied, and the effect of the re-educative treatment was confirmed. The scheme presents the monitoring of the cohorts from the making of a diagnosis through the operation intervention up to the long-term re-education therapy within the frame of the phoniatric vocal care. All the patients were diagnosed, operated on, and so far also monitored and documented by the same operating surgeon and in the same institution.
Key words:
voice, microlaryngoscopy, vocal re-education, phoniatrician, benign structures.
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
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