Vokal kord nodül, polip ve intraepitelyal neoplazilerinin yönetiminde kullanılabilecek pratik bir algoritma sunumu
Makaleler > Tam Makale · 2013
Yazarlar: M ŞAHIN, Tayfun KİRAZLI, Kerem ÖZTÜRK, Mehmet Fatih ÖĞÜT
The Turkish Journal of Ear Nose and Throat, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Scopus, 2013, cilt 23, ss 96-103
DOI: 10.5606/kbbihtisas.2013.32767
Özet
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 AND METHODS: 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.