Update on the etiology, diagnosis, and treatment of vocal fold nodules, polyps, and cysts.
Update on the etiology, diagnosis, and treatment of vocal fold nodules, polyps, and cysts.
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DOI：
10.1097/00020840-200312000-00009
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发表时间：
2003-12-01
影响因子：
1.6
通讯作者：
Johns, Michael M
中科院分区：
文献类型：
--
作者：
Johns, Michael M
综述的目的：创新的耳鼻喉科医生、言语语言病理学家和发声科学家继续推进我们对声带小结、息肉和囊肿的病因、诊断和治疗的理解。本文回顾了近3年来有关这些进展的最新研究成果：支持良性声带损伤源于发声损伤和发声误用的观点日益明显。人们开始了解这些病变中固有层的分子特征的变化。为了诊断目的，正在探索使用创新技术，如超声波检查和虚拟喉镜检查。行为矫正作为良性声带病变的主要治疗方式的持续支持已经发表，喉部显微外科技术方面的改进仍在继续。最后，结果研究表明，通过行为和手术干预，发声障碍得到了改善。总结：临床和基础研究加深了我们对良性声带病变的了解，并扩大了我们对由这些病变引起的发音困难患者的诊断和治疗设施。
PURPOSE OF REVIEW: Innovative otolaryngologists, speech language pathologists, and voice scientists have continued to advance our understanding of the etiology, diagnosis, and treatment of vocal fold nodules, polyps, and cysts. This article reviews the recent publications over the past 3 years with respect to these advances.RECENT FINDINGS: Support for the notion that benign vocal fold lesions arise from phonatory trauma and vocal misuse continues to become evident. Changes in the molecular characteristics of the lamina propria in these lesions are beginning to be understood. For diagnostic purposes, the use of innovative technology such as ultrasonography and virtual laryngoscopy is being explored. Continued support for behavior modification as a primary treatment modality for benign vocal fold lesions has been published, and refinements in technical aspects of laryngeal microsurgery persist. Finally, outcomes studies have demonstrated improvements in vocal disability with both behavioral and surgical interventions.SUMMARY: Clinical and basic research has furthered our understanding of benign vocal fold lesions and has expanded our diagnostic and therapeutic armamentarium for patients with dysphonia arising from these lesions.