Incidence and Outcome of Vocal Cord Polyp: An Endoscopic Experience and Perception
Asian Journal of Research in Surgery,
Page 12-18
Abstract
Background: The larynx is an intrinsic organ of the body which has to perform very composite function like protection, respiration, phonation. To carry out the function larynx should be adaptable and flexible. Any structural disorder like vocal cord polyp alter these specialized function, and squander the laryngeal pacing, and increasing voice discomfort of the patient like hoarseness, dysphonia and odynophagia day by day. Phonosurgery is the mainstay of treatment.
Methods: It is a cohort retrospective study of 54 cases in the Department of Otolaryngology and Head-Neck Surgery, Comilla Medical College, Bangladesh from 20 February 2017 to 27 October 2019.
Result: Incidence of vocal cord polyp in laryngeal disorder patient was 6.83% and laryngeal operative patient was 28.27%. All patients were treated by microlaryngeal surgery with rigid Hopkin’s laryngeal telescope and setback was 2 (3.70%). Of them, male were 41(75.92%), females were 13(24.08%), below 20 years were 2(3.70%), 20-50years 39(72.23%) and above 50years 13(24.07%), unilateral was 50(92.59%) and 4(7.41%) were bilateral, smoker were 41(75.92%), nonsmoker 13(24.08%), industrial workers were 21(38.89%), professional voice user were 13(24.07%). The patient’s symptoms were divided 3 categories rely on an auditory-perceptual evaluation method GRBAS (Grade of hoarseness: Roughness, Breathiness, Asthenia and Strain) slight degree was 34(62.96%), medium 13(24.08%), and high 7(12.96%). There is another group of people reflux related disease RSI (Reflux symptom index) was 21(38.89%).
Conclusion: Multidimensional assessment and multi-professional team approach towards the treatment of patient may fulfill the patient vocal requirement.
Keywords:
- Vocal cord poly
- microlaryngeal surgery (MLS)
- gastroesophageal reflux disease (GERD)
- laryngopharyngeal reflux(LPR).
How to Cite
References
Davis PJ, Zhang SP, Winkworth A, Bandler R. Neural control of vocalization, respiratory and emotional influences. J Voice. 1996;10:23-38.
Wallis L, Jackson-Menaldi C, Holland W, Giraldo A. A vocal fold nodule vs vocal fold polyp: Answer from surgical pathologist and voice pathologist point of view. J Voice. 2004;18:125-9.
Bastan RW, Thomas JP. Do talkativeness and vocal loudness correlate with laryngeal pathology? A study of the vocal overdoer/underdoer continuum. (ejournals/linkout/10.1055/5-0038-1675391/id/jr0802um-25). J Voice. 2016; 30(05):557-562.
Ciprtani NA, Martin DE, Corey JP. The clinic-pathologic spectrum of benign mass lesion of the vocal fold due to vocal abuse. Int J. Surg Pathol. 2011;19(5):583-7.
Koufman JA. The Otolaryngologic manifestation of gastroesophageal disease (GERD): A clinical investigation of 225 patient using ambulatory 24 hours pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope. 1991;101(4p:2suppl53):1-78.
Effat KG, Millad M. A comparative histopathological study of vocal fold polyps in smokers versus non-smokers. J Laryngol Otol. 2015;129(5):484-8.
Bykova VP, Kochesokova EA, Ivanchenko GF, Rotova ID. The morphology of vocal fold polyps and Mucosa in Reinke’s edema. Arkh Patol. 2015;77(1):30-7.
Martin RH, Defaveril, Domingues MA, de Albuquerque e silva R. Vocal polyps: Clinical, morphological and immunohistochemical aspects. J Voice. 2011;25(1):786-792.
Singh M. Bandyopadhyay S. Gupta SC, Rai A. Benign Laryngeal Lesion-a clinicopathological study of eleven years and a case report of pleomorphic lipoma. Indian Journal of Otolaryngology and Head-Neck Surgery. 2002;54(3):242-245.
Coltron RH, Woo P, Brewer DW, et al. Stroboscopic signs associated with benign lesion of the vocal folds. J Voice. 2002; 9:312-25.
Koufman JA. Perspective on laryngopharyngeal reflux: From silence to omnipresence. Classics in voice and laryngology. San Diego: Plural Publishing. 2009;179-266.
Jeong WJ, Lee SJ, Lee WY, et al. Conservative management for vocal fold polyps. JAMA Otolaryngol Head Neck Surg. 2014;140(5):448-52.
Green H. Morbid growth within the larynx. New York; GP Putnam; 1852.
Kleinsasser O. Pathogenesis of vocal cord polyps. Annals of Otology, Rhinology & Laryngology. 1982;91(4):378-381.
Benninger MS. Microdissection or Microspot Co2 laser for limited vocal fold benign lesions: a prospective randomized trial. Laryngoscope. 2000;110:1-17.
Patel RS, Mackenzie K. Powered Laryngeal Shavers and Laryngeal Papillomatosis: A preliminary report. Clin Otolaryngol. 2000;25:358-60.
Hirano M. Clinical examination of voice. New York. 1981;Springer-verleg:43-65.
Okano W, Tada Y, Omori K. Laryngeal disorders-This is how I examine vocal cord polyps/nodes(1). JOHNS. 2009;25:535-538.
Betelefsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index(RSI) J Voice. 2002;16:274-7.
Vasconcelos D, Gomes A, Araujo C, Vocal fold polyp; Literature review. Int Arch Otorhinolaryngol. 2019;23(1):116-24.
Goswami S, Kesarwaani S, Basumata DK. Saudi J Med. 2018;May(Vol-3):196-201.
Woo SH, Kim RB, Choi SH, Lee SW, Won SJ. Prevalence of laryngeal disease in South Korea: Data from the Korea National Health and Nutrition Examination Survey from 2004 to 2011. Yonsei Med J. 2014;55(02):499-507.
Nagata K, Kurita S, Yasumoto S, Maeda T,Kawasaki H & Hirano M. Vocal fold polyps and nodules. A 10-year review of 1156 patients. Auris Nasus Larynx. 1943;10:S27-S35.
Dursan G, Karatayli-Ozgursoy S, Ozgursoy OB, Tezcaner ZC, Courh I, Kilic MA. Influencece of the macroscopic features of vocal fold polyps on the quality of the voice: a retrospective review of 101 cases. Ear Nose Throat J. 2010;89(03): E12-E17.
Effat KG, Milad M. A comparative histopathological study of vocal fold polyps in Smokers versus Nonsmokers. The Journal of Laryngology & Otology. 2015; 129(5):484-488.
Karagawa YA, McGlashan JA. Scott-Brown’s Otorhinolaryngology Head and Neck Surgery. 8th Edition. 2019;3, Chapter63:950.
Bastian RW, Keider A, Verdolini-Marston K. Simple vocal tasks for detecting vocal fold swelling. Journal of Voice. 1990;4(2):172-1.
Mosca F, Rossillo V, Leone CA. Manifestation of gastro-pharyngo-laryngeal reflux disease. Acta Otorhinolaryngol Ital. 2006;26(5):247-51.
Klein AM, Lehmann M, Hapner ER, Johons MM. Spontanous resolution of hemorrhagic Polyps of the true vocal fold. Journal of Voice. 2009;23(1):132-135.
Zeitels SM, Hilman RE, Desloge R, et al. Phonosurgery in singers and performing artists: Treatment outcome, management theories and future directions. Ann Otol Rhinol Laryngol. 2002; 111:21-40.
Wang CT, Liao LJ, Lai MS, Cheng PW. Comparison of benign lesion regression following vocal fold steroid injection and vocal hygiene education. The Laryngoscope. 2014;124(2):510-515.
Hojslet PE, Moesgaard-Nielsen V, Karlsmose M. Smoking cessation in chronic Reinke’s edema. The Journal of Laryngology & Otology. 1990;104(8):626-628.
-
Abstract View: 1283 times
PDF Download: 629 times
