DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203987

A study of phonosurgeries in vocal dysfunction in Salem district

K. Mahendran, M. Praveen Kumar

Abstract


Background: Phonosurgery essentially is surgery defined to improve or restore the voice. The objective of the study was to analyze and categorize the various benign lesions of the vocal cord causing vocal dysfunction requiring phonosurgeries, to analyze the incidence and distribution of cases according to age, sex, and etiology among the patients who require intense medical and voice therapy with surgical intervention.

Methods: This prospective study was conducted in fifty patients with vocal dysfunction from the ear, neck and throat (ENT) outpatient department of Otorhinolaryngology, Mohan Kumaramangalam Government General Hospital, Salem in the year September 2018 to October 2019 who failed conservative medical and voice therapy requiring phonological procedure were included in this study. Phonomicrosurgery was done for the patients with benign vocal fold mucosal disorders and medialization laryngoplasty using Gore-Tex was done for the patients with unilateral vocal cord palsy causing vocal dysfunction.

Results: The present study on phono surgery concludes vocal polyp is the commonest benign lesion of the vocal cord that constitutes 40% in our study population. Males are affected more than females. Proper investigation of voice and larynx provides the exact pathological nature of the lesion and determines the timing of surgical intervention.

Conclusion: Most of the patients who underwent medialization laryngoplasty using Gore-Tex also had a good outcome at the end of the voice therapy.

 


Keywords


Vocal dysfunction, Phonosurgery, Dysphonia

Full Text:

PDF

References


Bastian RW, Richardson BE. Postintubation phonatory insufficiency: an elusive diagnosis. Otolaryngol Head Neck Surg. 2001;124:625-33.

Bouchayer M, Cornut G. Witzig E, Loire R, Roch JB, Bastian RW. Epidermoid cysts, Sulci, and mucosal bridges of the true vocal cord; a Review of 157 cases. Laryngoscope. 1985;95:1087-94.

Carrau RL, Myers EN. Localization of true vocal cord for medialization laryngoplasty. Laryngoscope. 1995;105:534-6.

Coleman JR, Smith S, Reinisch L. Histomorphometric and laryngeal video stroboscopic analysis of the effects of corticosteroids on micro flap healing in the dog larynx. Ann Otol Rhinol Laryngol. 1999;108:119-27.

Courey Ms, Gardner GM, Stone RE. Endoscopic vocal fold micro flap. A three-year experience. Ann Otol Rhinol Laryngol. 1995;104:267-73.

Cummings CW, Purcell LF, Fluit PW. Hydroxylapatite laryngeal implants for medialization. Preliminary report. Ann Otol Rhinol Laryngol. 1993;102:843-51.

Desrosiers M, Ahmarani C, Bettez M. Precise vocal cord medialization using an adjustable laryngeal implant: A preliminary study. Otolaryngol head neck surg. 1993;109:1014-9.

Ford CN. Magnetic resonance imaging assessment of vocal fold medialization surgery. Laryngoscope. 1992;102:415-21.

Gray SD. Vocal evaluation of thyroplasty surgery in the treatment of unilateral vocal fold paralysis. Laryngoscope. 1992;102:415-21.

Hirano M. Laryngeal histopathology. Colton RH. Casper JK eds. In Understanding voice problems. A physiological perspective for diagnosis and treatment. Baltimore: Williams & Wilkins. 1990:51-69.

Hochman, Zietels SM, Heaton JT. Exposure and visualization of the glottis for phonomicrosurgery. Operative techniques in otolaryngology. Head and neck surgery. 1998;9:192-5.

Hoffman HH, McCulloch TM. Medialization laryngoplasty with expanded polytetrafluoroethylene: Surgical technique and preliminary results. Ann Otol Rhinol Laryngol. 1998;107:427-32.

Ishii N. Thyroplasty as a new phonosurgical technique. Acta Otolaryngol. 1974;78:451-7.

Jako GJ. Laryngoscope for microscopic observation, Surgery, and Photography.Arch Otolaryngol. 1970;91:196-9.

Kleinsasser O. Mikrochirurgie in Kehlkopf. Arch Ohrenheilk. 1964;183:428-33.

Liu Ay, Yousem DM, Chalian AA, Langlotz CP. Economic consequences of diagnostic imaging for vocal fold paralysis. Acad Radiol. 2001;8(2):137-48.

Maisel RH, Ogura JH. Evaluation and treatment of vocal cord paralysis. Laryngoscope. 1974;84:302-16.

Merati AL, Andrews RJ, Courey MS. Phonosurgical management of intracordal cysts. Operative techniques in Otolaryngology. Head and neck surgery. 1998;9:230-7.

Mietels LZ, Lin PT, Wenk EJ. An anatomic study of the external laryngeal framework with surgical implication. Otolaryngol Head Neck Surg. 1992;106:235-40.