A Study on Efficacy of Differences in Speech Therapy Duration in Vocal Outcomes of Benign Lesions of Vocal Cords After Conventional Microlaryngeal Surgery .

Publisher: Springer Country of Publication: India NLM ID: 9422551 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2231-3796 (Print) Linking ISSN: 22313796 NLM ISO Abbreviation: Indian J Otolaryngol Head Neck Surg Subsets: PubMed not MEDLINE

Publication: <2007>- : New Delhi : Springer
Original Publication: Calcutta : B.K. Roy Chaudhuri, [1993-

Introduction: Benign laryngeal lesions usually disrupt the microstructure in the vocal cords causing hoarseness of voice. This study analyses the success rate of voice therapy and factors contributing to better outcomes in surgical treatment of benign vocal fold lesions. Methods: Forty consecutive patients with benign vocal cord lesions complying with the inclusion and exclusion criteria were enrolled and divided into two groups A and B, such that one received speech therapy post surgery for 6 weeks and the other received speech therapy for 12 weeks respectively. Preoperatively all the patients were evaluated by voice fatigue index, GRBAS scale and videolaryngoscopy. Vocal fold relaxation exercises were given preoperatively for patients of both groups. After undergoing conventional microlaryngeal excision surgery, both groups of patients underwent subjective analysis by voice fatigue index, perceptual analysis by GRBAS scale and videolaryngoscopy in regular intervals. Speech therapy was started after 1 week of complete voice rest post operatively and patients were followed up at the end of 1 week, 2 months and 4 months from the date of surgery. Results: There is no statistical difference in characteristics of patients between the two groups. Improvement in the Voice fatigue index and GRBAS scale score is statistically the same in groups A and B. Conclusion: Speech therapy is an important part of voice rehabilitation following microlaryngeal surgery. The misconception that longer speech therapy duration leads to better outcomes did not hold true in this study. Speech therapy postoperatively with proper voice hygiene practices is sufficient to obtain a near normal voice.
Supplementary Information: The online version contains supplementary material available at 10.1007/s12070-023-03780-8.
Competing Interests: Conflicts of interestThere are no conflicts of interest among the authors.
(© Association of Otolaryngologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)

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Keywords: Benign lesions; Micro-laryngeal surgery; Post-operative speech therapy; Voice fatigue index

Date Created: 20230828 Latest Revision: 20240902

20240902

PMC10447775

10.1007/s12070-023-03780-8

37636628