[A presentation of a practical algorithm which can be used in the management of vocal cord nodules, polyps and intraepithelial neoplasias]. / Vokal kord nodül, polip ve intraepitelyal neoplazilerinin yönetiminde kullanilabilecek pratik bir algoritma sunumu.
Kulak Burun Bogaz Ihtis Derg
; 23(2): 96-103, 2013.
Article
en Tr
| MEDLINE
| ID: mdl-23611323
ABSTRACT
OBJECTIVES:
This study aims to offer an accurate diagnosis for vocal cord nodules, polyps, and intraepithelial neoplasias through videolaryngostroboscopy (VLS) and multi-dimensional voice analysis program (MDVP) and to decide management modalities. PATIENTS ANDMETHODS:
A total of 397 patients (214 males, 183 females; mean age 46.2 years; range 17 to 71 years) with 218 nodules, 101 polyps and 78 vocal cord intraepithelial neoplasias who were admitted for treatment and follow-up in phoniatry unit of our clinic in the past five years were retrospectively analyzed in terms of VLS findings, the percent of jitter, percent of shimmer, fundamentally frequency, noise-harmonic ratio values, GRBAS [Grade of dysphonia (G), roughness (R), breathiness (B), asthenicity (A) and strain (S)] scores, and voice handicap index (VHI) obtained by MDVP.RESULTS:
We obtained better voice parameters with improved GRBAS and SHE scores in patients with vocal cord nodules who underwent voice training and those with polyps who were operated, while these scores worsened following diagnostic phonosurgery in the intraepithelial group.CONCLUSION:
In the initial examination, patients who are prediagnosed vocal cord nodules should have voice therapy as the first-line treatment modality and checked for the response to treatment. If laryngeal cancer is suspected, surgery should be planned according to the biopsy result and biopsy should be performed, if polyp is present.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Pólipos
/
Pliegues Vocales
/
Carcinoma in Situ
/
Neoplasias Laríngeas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adolescent
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Adult
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Aged
/
Female
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Humans
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Male
/
Middle aged
Idioma:
Tr
Año:
2013
Tipo del documento:
Article