A study of laryngeal microsurgery for vocal cord lesions

Background: A voice disorder occurs when a person’s voice quality, pitch, or volume is out of synch with their age, gender, culture, or location. Moreover,when a person shows concern about an unusual voice that does not satisfy daily necessities, despite the fact that others do not notice, it is con...

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Main Authors: Shaheen Zafar, Rohit Kumar
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2022-03-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/41109
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author Shaheen Zafar
Rohit Kumar
author_facet Shaheen Zafar
Rohit Kumar
author_sort Shaheen Zafar
collection DOAJ
description Background: A voice disorder occurs when a person’s voice quality, pitch, or volume is out of synch with their age, gender, culture, or location. Moreover,when a person shows concern about an unusual voice that does not satisfy daily necessities, despite the fact that others do not notice, it is considered to have voice problem. Aims and Objectives: Collection and analysis of data base to determine the impact of microlaryngeal surgery (MLS) on voice outcome. Materials and Methods: The study was carried out in the Department of Otorhinolaryngology, in a tertiary care hospital in Patna Medical College andHospital, from October 2020 to June 2021. Study was performed on 30 consecutive cases of benign lesions of vocal cord diagnosed clinically not responding to medical management. Results: Voice handicap index was evaluated preoperatively and postoperatively. The results were compared. Preoperatively, 40% (12) of patients showed moderate handicap scoring and 60.0% (18) patients showed severe handicap index. Postoperatively, there was improvement. At 2nd, follow-up 33.3% (10) patients showed moderate handicap scoring, 50.0% (15) patients showed mild handicap scoring and 16.7% (5) patients showed severe handicap scoring. At 6th week follow-up 21, (70.0%) patients showed mild handicap scoring and 30.0% (9) showed moderate handicap scoring. Finally, at 12th week follow-up, we observed 93.3% (28) patients had mild handicap scoring while only 6.7% (2) patients had moderate handicap scoring with significant difference (P≤0.0001). Conclusion: MLS is an effective procedure to provide improvement in speech among patients with benign vocal cord lesion.
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spelling doaj.art-a4a2544eb8874f2f9b3ba8605cd721d52022-12-22T01:41:18ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-03-01133139142https://doi.org/10.3126/ajms.v13i3.41109A study of laryngeal microsurgery for vocal cord lesionsShaheen Zafar 0https://orcid.org/0000-0002-3732-4610Rohit Kumar 1https://orcid.org/0000-0003-4952-7682Senior Resident, Department of ENT, Patna Medical College and Hospital, Patna, Bihar, India Post Graduate Resident, Department of ENT, Patna Medical College and Hospital, Patna, Bihar, India Background: A voice disorder occurs when a person’s voice quality, pitch, or volume is out of synch with their age, gender, culture, or location. Moreover,when a person shows concern about an unusual voice that does not satisfy daily necessities, despite the fact that others do not notice, it is considered to have voice problem. Aims and Objectives: Collection and analysis of data base to determine the impact of microlaryngeal surgery (MLS) on voice outcome. Materials and Methods: The study was carried out in the Department of Otorhinolaryngology, in a tertiary care hospital in Patna Medical College andHospital, from October 2020 to June 2021. Study was performed on 30 consecutive cases of benign lesions of vocal cord diagnosed clinically not responding to medical management. Results: Voice handicap index was evaluated preoperatively and postoperatively. The results were compared. Preoperatively, 40% (12) of patients showed moderate handicap scoring and 60.0% (18) patients showed severe handicap index. Postoperatively, there was improvement. At 2nd, follow-up 33.3% (10) patients showed moderate handicap scoring, 50.0% (15) patients showed mild handicap scoring and 16.7% (5) patients showed severe handicap scoring. At 6th week follow-up 21, (70.0%) patients showed mild handicap scoring and 30.0% (9) showed moderate handicap scoring. Finally, at 12th week follow-up, we observed 93.3% (28) patients had mild handicap scoring while only 6.7% (2) patients had moderate handicap scoring with significant difference (P≤0.0001). Conclusion: MLS is an effective procedure to provide improvement in speech among patients with benign vocal cord lesion.https://www.nepjol.info/index.php/AJMS/article/view/41109dysphonialaryngoscopyvoice disorders
spellingShingle Shaheen Zafar
Rohit Kumar
A study of laryngeal microsurgery for vocal cord lesions
Asian Journal of Medical Sciences
dysphonia
laryngoscopy
voice disorders
title A study of laryngeal microsurgery for vocal cord lesions
title_full A study of laryngeal microsurgery for vocal cord lesions
title_fullStr A study of laryngeal microsurgery for vocal cord lesions
title_full_unstemmed A study of laryngeal microsurgery for vocal cord lesions
title_short A study of laryngeal microsurgery for vocal cord lesions
title_sort study of laryngeal microsurgery for vocal cord lesions
topic dysphonia
laryngoscopy
voice disorders
url https://www.nepjol.info/index.php/AJMS/article/view/41109
work_keys_str_mv AT shaheenzafar astudyoflaryngealmicrosurgeryforvocalcordlesions
AT rohitkumar astudyoflaryngealmicrosurgeryforvocalcordlesions
AT shaheenzafar studyoflaryngealmicrosurgeryforvocalcordlesions
AT rohitkumar studyoflaryngealmicrosurgeryforvocalcordlesions