Utility of voice therapy in the management of vocal fold polyps and cysts
Utility of voice therapy in the management of vocal fold polyps and cysts
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DOI：
10.1016/j.otohns.2006.12.009
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发表时间：
2007-05-01
影响因子：
3.4
通讯作者：
Garrett, C. Gaelyn
中科院分区：
文献类型：
--
作者：
Cohen, Seth M.;Garrett, C. Gaelyn
目的：评估声音治疗在声带息肉和囊肿治疗中的疗效。研究设计和背景：对在三级护理中心接受声音治疗的声带囊肿和息肉进行回顾性评价。症状缓解或持续（导致手术干预）是主要的结局指标。 结果：确定了 57 名患者，其中 49.1% 仅通过声音治疗实现了症状缓解。声门完全闭合且肌张力性发声困难的患者的反应并不比声门不完全闭合且无肌张力性发声困难的患者更好（分别为 P = 0.1，chi(2)）。半透明息肉患者对声音治疗的反应比纤维化息肉、透明息肉或出血性息肉患者更常见，反应率分别为 81.8%、15.4% 和 25.0%（P = 0.002，chi(2)）。结论：声音治疗是声带息肉和囊肿的有效治疗方式。意义：包括试验声音治疗在内的多学科方法是必要的。 (C) 2007 年美国耳鼻喉科学会-头颈外科基金会。版权所有。
OBJECTIVE: To evaluate the efficacy of voice therapy in the management of vocal fold polyps and cysts.STUDY DESIGN AND SETTING: Retrospective review of vocal fold cysts and polyps undergoing voice therapy in a tertiary care center. Symptom resolution or persistence resulting in surgical) intervention was the main outcome measure.RESULTS: Fifty-seven patients were identified, of which 49.1% achieved symptom resolution with voice therapy alone. Patients with complete glottal closure and muscle tension dysphonia did not have a better response than those with incomplete glottal closure and without muscle tension dysphonia (P = 0.1, chi(2), respectively). Patients with translucent polyps more commonly responded to voice therapy than fibrotic, hyaline, or hemorrhagic polyps, 81.8% versus 15.4% and 25.0% response rate, respectively (P = 0.002, chi(2)).CONCLUSIONS: Voice therapy is an effective treatment modality for vocal fold polyps and cysts.SIGNIFICANCE: A multidisciplinary approach including a trial of voice therapy is warranted. (C) 2007 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.