후두 미세 수술 후 양성 성대 병변 환자의 예후 = Prognosis of Patients with Benign Vocal Fold Lesions after Laryngeal Microsurgery

다국어 초록 (Multilingual Abstract)

Background and Objectives : This study aimed to evaluate patients' subjective and objective outcomes after laryngeal microsurgery for benign vocal fold (VF) lesions, and to identify usefulness of surgical treatment. Materials and Methods : The authors reviewed the 102 patients medical records, retrospectively who received laryngeal microsurgery for benign VF lesions from January 2013 to August 2017. Subjective voice were measured using the Voice Handicap Index (VHI). Objective voice were recorded with Multi-Dimensional Voice Program (MDVP) just before surgery, and after at least 3 months of surgery. Results : Benign VF lesions were categorized as VF nodule (n=34, 33%), VF Polyp (n=47, 26%), Intracordal cyst (n=15, 15%), Reinke's edema (n=6, 6%), and VF Papilloma (n=2, 2%). Post-operative voice assessment at VHI scores showed statistically significant reductions in all of functional, physical and emotional parts (p<0.001). MDVP were showed significant improvement of Jitter (P=0.001), Shimmer (p<0.001) and Noise to Harmonic Ratio (NHR) (p=0.001). Conclusion : Laryngeal microsurgery for benign vocal fold lesions is effective treatment with statistically significant improvement at subjective and objective vocal quality assessment.

참고문헌 (Reference)

1 장현, "흡인을 동반한 일측성 성대마비 환자에서 일시적 성대주입술의 역할" 대한이비인후과학회 52 (52): 237-241, 2009

2 김재옥, "음도 고정 유무에 따른 공기역학, 음성효율성 및 성대접촉률 차이" 한국음성학회 5 (5): 19-26, 2013

3 Billante CR, "Voice outcome following thyroplasty in patients with cancer-related vocal fold paralysis" 28 (28): 315-321, 2001

4 Ward ECCA, "Validity, reliability and responsivity of the Royal Brisbane Hospital Outcome Measure for Swallowing" 4 (4): 109-129, 1999

5 Nam BH, "Testing the validity of the Korean SF-36 health survey" 28 (28): 3-24, 2003

6 Iseli TA, "Palliative surgery for neoplastic unilateral vocal cord paralysis" 71 (71): 672-674, 2001

7 Martin RE, "Oropharyngeal dysphagia in esophageal cancer before and after transhiatal esophagectomy" 16 (16): 23-31, 2001

8 Choi HS, "Medialization thyroplasty with silastic-decision making & practical points" 18 (18): 7-10, 2007

9 Lam PK, "Medialization thyroplasty for cancer-related unilateral vocal fold paralysis" 136 (136): 440-444, 2007

10 Zeitels SM, "Management of common voice problems: Committee report" 126 (126): 333-348, 2002

11 Lau DP, "Injection laryngoplasty with hyaluronic acid for unilateral vocal cord paralysis. Randomized controlled trial comparing two different particle sizes" 24 (24): 113-118, 2010

12 Kwon TK, "Injection laryngoplasty for management of unilateral vocal fold paralysis" 12 (12): 538-542, 2004

13 Sun DI, "Injection laryngoplasty" 24 (24): 88-95, 2013

14 O’Leary MA, "Injection laryngoplasty" 39 (39): 43-54, 2006

15 Woo JH BM, "Injection Laryngoplasty for The Treatment of Vocal Fold Scar, and Sulcus" 27 (27): 25-29, 2016

16 Soriano RG, "In-Office Hyaluronate Injection Laryngoplasty as Palliative Treatment for Unilateral Vocal Fold Paralysis" 78 (78): 187-192, 2016

17 Nguyen NP, "Impact of swallowing therapy on aspiration rate following treatment for locally advanced head and neck cancer" 43 (43): 352-357, 2007

18 Benninger MS, "Evaluation and treatment of the unilateral paralyzed vocal fold" 111 (111): 497-508, 1994

19 Raykher A, "Enteral nutrition support of head and neck cancer patients" 22 (22): 68-73, 2007

20 Benninger MS, "Changing etiology of vocal fold immobility" 108 (108): 1346-1350, 1998