Which is a better management for vocal fold cyst: cold knife or laser resection?

Abstract Background The objective of the study is to compare the conventional microlaryngeal surgery and the CO2 laser in the treatment of cysts of vocal folds, regarding the postoperative quality of voice. This study was conducted on 53 cases with vocal fold cysts. The cases were randomly allocated...

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Main Authors: Ahmed G. Khafagy, Anas Askoura, Hany Kassamy, Ahmed A. Abdelgoad
Format: Article
Language:English
Published: SpringerOpen 2022-12-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-022-00359-y
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author Ahmed G. Khafagy
Anas Askoura
Hany Kassamy
Ahmed A. Abdelgoad
author_facet Ahmed G. Khafagy
Anas Askoura
Hany Kassamy
Ahmed A. Abdelgoad
author_sort Ahmed G. Khafagy
collection DOAJ
description Abstract Background The objective of the study is to compare the conventional microlaryngeal surgery and the CO2 laser in the treatment of cysts of vocal folds, regarding the postoperative quality of voice. This study was conducted on 53 cases with vocal fold cysts. The cases were randomly allocated into two groups: group 1 (27 cases) was operated by the conventional technique, and group 2 (26 cases) was operated with CO2 laser microlaryngeal operation. At 3-month postoperative, evaluation was done by stroboscopic evaluation of vocal folds, grade of hoarseness, roughness, breathiness, asthenia, and strain (GRBAS) scale and Arabic version of Voice Handicap Index (VHI). Results The stroboscope assessment revealed that glottic closure was complete, symmetrical motion, the reappearance of the mucosal wave, normal amplitude, and periodicity in all patients. There is insignificantly different between either group as regards the postoperative scores on VHI and GRBAS scale. Conclusion There is insignificantly different when comparing laser to conventional microlaryngeal surgery for excision of vocal fold cysts regarding the quality of voice.
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spelling doaj.art-71b0594975944c488f9d8c3c71a73b922022-12-25T12:03:48ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392022-12-013811510.1186/s43163-022-00359-yWhich is a better management for vocal fold cyst: cold knife or laser resection?Ahmed G. Khafagy0Anas Askoura1Hany Kassamy2Ahmed A. Abdelgoad3Otorhinolaryngology Department, Faculty of Medicine, Ain Shams UniversityOtorhinolaryngology Department, Faculty of Medicine, Ain Shams UniversityOtorhinolaryngology Department, Faculty of Medicine, Ain Shams UniversityDepartment of Phoniatric, College of Medicine, Imam Abdulrahman bin Faisal UniversityAbstract Background The objective of the study is to compare the conventional microlaryngeal surgery and the CO2 laser in the treatment of cysts of vocal folds, regarding the postoperative quality of voice. This study was conducted on 53 cases with vocal fold cysts. The cases were randomly allocated into two groups: group 1 (27 cases) was operated by the conventional technique, and group 2 (26 cases) was operated with CO2 laser microlaryngeal operation. At 3-month postoperative, evaluation was done by stroboscopic evaluation of vocal folds, grade of hoarseness, roughness, breathiness, asthenia, and strain (GRBAS) scale and Arabic version of Voice Handicap Index (VHI). Results The stroboscope assessment revealed that glottic closure was complete, symmetrical motion, the reappearance of the mucosal wave, normal amplitude, and periodicity in all patients. There is insignificantly different between either group as regards the postoperative scores on VHI and GRBAS scale. Conclusion There is insignificantly different when comparing laser to conventional microlaryngeal surgery for excision of vocal fold cysts regarding the quality of voice.https://doi.org/10.1186/s43163-022-00359-yVocal fold cystsConventional microlaryngeal surgeryCO2 laserGRBAS scaleVoice Handicap Index
spellingShingle Ahmed G. Khafagy
Anas Askoura
Hany Kassamy
Ahmed A. Abdelgoad
Which is a better management for vocal fold cyst: cold knife or laser resection?
The Egyptian Journal of Otolaryngology
Vocal fold cysts
Conventional microlaryngeal surgery
CO2 laser
GRBAS scale
Voice Handicap Index
title Which is a better management for vocal fold cyst: cold knife or laser resection?
title_full Which is a better management for vocal fold cyst: cold knife or laser resection?
title_fullStr Which is a better management for vocal fold cyst: cold knife or laser resection?
title_full_unstemmed Which is a better management for vocal fold cyst: cold knife or laser resection?
title_short Which is a better management for vocal fold cyst: cold knife or laser resection?
title_sort which is a better management for vocal fold cyst cold knife or laser resection
topic Vocal fold cysts
Conventional microlaryngeal surgery
CO2 laser
GRBAS scale
Voice Handicap Index
url https://doi.org/10.1186/s43163-022-00359-y
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