Results of surgical treatment in patients with sulcus vocalis

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Results of surgical treatment in patients with sulcus vocalis

Journal Title: Otolaryngologia Polska - Year 2015, Vol 69, Issue 6

Abstract

Sulcus vocalis is one of the most difficult to treat benign vocal fold pathologies. Ford distinguished three types of sulci: I- superficial, II- vergeture and III- true sulcus vocalis. The aim of the study was to assess the results of surgical treatment in patients with sulcus vocalis. Material of the study consisted of 24 patients with type II (16 subjects) and type III sulcus (8 subjects). Methods: Videostroboscopy, perceptual voice assessment and objective acoustic voice analysis were performed before surgery and at 8 months of follow-up. All patients underwent surgical treatment as well as pre- and postsurgical voice therapy. Results: Postsurgical stroboscopic examination showed statistically significant differences in symmetry and regularity of vibrations. Subjective perceptual voice assessment showed improvement in the grade of voice hoarseness, roughness, breathiness and strain. Objective voice analysis showed statistically significant difference only in jita parameter, in contrast to other examined parameters - although their values decreased after surgery, the change was not statistically significant. Conclusions: Surgical treatment of sulcus should be considered in patients with severe voice problems; however, the end results are not always entirely satisfactory.

Authors and Affiliations

Beata Miaśkiewicz, Agata Szkiełowska, Adam Piłka, Henryk Skarżyński

Keywords

Adenoma polymorphum localised out of salivary glands in material of ENT Department MSS Hospital between 2007–2009 – two cases

The adenoma polymorphum is benign salivary glands tumor. The most common location of occurrence is the parotid followed by the minor salivary glands in which the palate, upper lip and buccal mucosa are most commonly affe...

EP ID EP76612
DOI 10.5604/00306657.1182613
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