Evaluation of Vocal Re-education after the Operation on Benign Structures of the Vocal Cords
Authors:
P. Staněk
Authors place of work:
Klinika otorinolaryngologie a chirurgie hlavy a krku FN u sv. Anny, Brno
přednosta prof. MUDr. R. Kostřica, CSc.
Published in the journal:
Otorinolaryngol Foniatr, 61, 2012, No. 1, pp. 13-22.
Category:
Original Article
Summary
In the period from August 2005 to February 2011, 132 patients with organic affection of the superficial mucosal layer of the vocal cords were operated on at our Department. Histologically, the following findings were verified: 48 vocal nodules, 43 polyps, 28 oedemas, and 13 cysts. In a cohort of 102 patients monitored (39 vocal nodules, 32 polyps, 21 oedemas, and 10 cysts), vocal re-education was applied in the postoperative period, and the cohort was then compared with a group of 30 operated patients (9 vocal nodules, 11 polyps, 7 oedemas, and 3 cysts) without any subsequent vocal re-education. Within the frame of postoperative care, both the operating surgeon and the phoniatrician in one person try to create the correct vocal technique by means of re-education exercises and vocal hygiene rules. An international questionnaire called Voice Handicap Index (index of vocal affection) was used for the evaluation of a subjective change of the vocal speech, and the results were statistically processed. The questionnaire contains 30 questions divided into three sections focused on qualitative evaluation of the vocal speech change perceived subjectively by the patient themselves prior to and after the operation and the subsequent re-education. The two cohorts were compared not only between each other on the whole but also in correlation of the diagnoses studied, and the effect of the re-educative treatment was confirmed. The scheme presents the monitoring of the cohorts from the making of a diagnosis through the operation intervention up to the long-term re-education therapy within the frame of the phoniatric vocal care. All the patients were diagnosed, operated on, and so far also monitored and documented by the same operating surgeon and in the same institution.
Key words:
voice, microlaryngoscopy, vocal re-education, phoniatrician, benign structures.
Zdroje
1. Amir, O., Ashkenazi, O., Leibovitzh, T., Orit, M., Tavor, Y., Wolf, M.: Applying the Voice Handicap Index (VHI ) to dysphonic and nondysphonic Hebrew speakers. Journal of Voice, 20, 2006, 2, s. 318-324.
2. Anderson, T. D.: Benign lesions of the larynx. Textbook of Laryngology. Plural Publishing Inc., San Diego, Oxford, Brisbane, 24, 2007, s. 304-320.
3. Behrman, A.: Common practices of voice therapists in the evaluation of patiens. Journal of Voice, 19, 2004, 3, s. 454-469.
4. Bouchayer, M., Cornut, G.: Microsurgical treatment of benign vocal folds lesions, indications, technique,results. Folia Phoniatrica, 44, 1992, 3-4, s.155-184.
5. Bovo, R., Galceran, M., Petrucelli, J., Hatzopoulos, S.: Vocal problems among teachers evaluations of a preventive voice program, Journal of Voice, 21, 2006, 6, s. 705-722.
6. Brodnitz, F. S.: Results and limitations of vocal rehabilitation, Otolaryngology, 77, 1963, s. 148 -156.
7. Courey, M. S., Ossoff, H.: Surgical management of benign voice disorders. Diagnosis and Treatment of Voice Disorders, 36, 2005, s. 619-638.
8. Frostová, J.: Využití pěvecké techniky při reedukaci a rehabilitaci hlasových poruch. Dizertační práce, MU - pedagogická fakulta, Brno, 2001.
9. Hakkesteegt, M. M., Brocaar, M. P., Wieringa, M. H.: The applicability of the dysphonia severity index and the Voice Handicap Index in evaluating effects of voice therapy and phonosurgery. Journal of Voice, 24, 2010, 2, s. 199-205.
10. Havlík, R., Frostová, J.: Komplexní reedukace hlasu v Audio-Fon Centr Brno. Otorinolaryn. a Foniat./Prague/, 56, 2007, 1, s. 35-38.
11. Helidoni, M. E., Murry, T., Moschandreas, J., Lioni, Ch., Printza, A., Velegrakis, G. A.: Cross- cultural adaptation and validation of the Voice Handicap Index. Greek Journal of Voice, 24, 2008, 2, s. 221-227.
12. Hicks, D. M., Milstein,C. F.: Laryngeal hygiene. Textbook of Laryngology, 2007, 2, s. 150-154.
13. Isshiki, N.: Vocal mechanics as the basis for phonosurgery. The Larygoscope, 108, 1998, 12, s. 1761-1766.
14. Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit, A. K., Jacobson, G. P. Benninger, M. S., Newman, C. W.: The Voice Handicap Index: Development and validation. Journal Speech-Language, 1997, 6, s. 66-70.
15. Kiml, J.: Neurodynamické poruchy hlasu. SZN, Praha, 1963.
16. Kučera, M., Frič, M., Halíř, M.: Praktický kurz hlasové rehabilitace a reedukace, Opočno, 2010.
17. Martins, R. H. G., Santana, M. F., Tavares, E. L. M.: Vocal cysts: clinical, endoscopic, and surgical aspects. Journal of Voice, 25, 2010, 1, s. 107-110.
18. Martins, R. H. G., Defaveri, J., Domingues, M. A. C., Silva, R. A.: Vocal polyps: clinical, morphological and immunohistochemical aspects. Journal of Voice, 25, 2010, 1, s. 98-106.
19. Murry, T., Rosen C. A.: The role of the speech -language pathologist in the treatment of voice disorders. Journal of Voice, 2005, 31, s. 527-535.
20. Poels, P. J. P., de Jong, F. I. C. R. S., Schulte, H. K.: Consistency of the preoperative and intraoperative diagnosis of benign vocal fold lesions. Journal of Voice, 17, 2002, 3, s. 425-433.
21. Pontes, P., Kyrillos, L., Behlau, M., De Biase, N., Pontes, A.: Vocal nodules and laryngeal morphology. Journal of Voice, 16, 2001, 3, s. 408-414.
22. Portone, C., Johns, M. M, Hapner, E. R.: A rewiew of patient adherence to the recommendation for voice therapy. Journal of Voice, 22, 2007, 2, s. 192-196.
23. Portone, C. R., Hapner, E. R., McGregor, L., Otto, K., Johns, M. M.: Correlation of the voice handicap index (VHI ) and the voice related quality of life measure (V-RQOL). Journal of Voice, 21, 2006, 6, s. 723-727.
24. Rubin, A. D., Sataloff, R. T.: General principles of microlaryngeal surgery. Textbook of Laryngology, 14, 2007, s. 168-186.
25. Ruotsalainen, J. H., Sellman, J., Lehto, L., Isotalo, L. K., Verbeek, J. H.: Interventions for preventing voice disorders in adults. Cochrane Database of Systematic Reviews, 2007.
26. Seth, M. C., Garrett, C. G.: Use of voice therapy in benign vocal fold lesions, Otolaryngology Head and Neck Surgery, 135, 2006, 1, s. 195.
27. Shah, R., K., Engel. S. H., Choi, S.: Relatioship between voice quality and vocal nodule size. Otolaryngology Head and Neck Surgery, 139, 2008, s. 723-726.
28. Schindler, A., Ottaviani , F., Mozzanica, F., Bachamnn, C., Favero, E., Schettino, I., Ruoppolo,G.: Cross-cultural adaptation and validationn of the Voice Handicap Index. Italian, Journal of Voice, 24, 2010, 6, s. 708-714.
29. Speyer, R.: Effects of voice therapy: A systematic review. Journal of Voice, 22, 2008, s. 565-580.
30. Stávková, J., Dufek, J.: Biometrika. Mendelova zemědělská a lesnická univerzita v Brně 1813, 2000, 194 stran.
31. Švec, J. G., Lejska, M., Frostová, J., Zábrodský, M., Sršatá, J., Král, P.: Česká verze dotazníku Voice Handicap Index pro kvantitativní hodnocení hlasových obtíží vnímaným pacientem, Otorinolaryng. a Foniat. /Prague/, 58, 2009, 3, s. 132-138.
32. Tavares, E. L. M., Martins, R. H. G.: Vocal evaluation in teachers with or without symptoms. Journal of Voice, 21, 2006, 4, s. 407-414.
33. Thomas, G., Kooijman, P. G. C., Donders, A. R., Cremers, C. W. R. J., de Jong, F.: The voice handicap of students - teachers and risk factors perceived to have a negative influence on the voice. Jurnal of Voice, 21, 2006, 3, s. 325-336.
34. Xu, W., Han, D., Li, H., Hu, R., Zhang, L.: Application of the Mandarin Chinese version of the Voice Handicap Index. Journal of Voice , 24, 2010, 6, s. 702-707.
35. Zeitels, S. M.: Phonomicrosurgical techniques. Professional Voice-The Science and Art of Clinical Care, 83, 2005, 3, s. 1215-1234.
36. Zraick, R. I., Risner, B. Y., Smith-Olinde, L., Gregg, B. A., Johnson, F. L., McWeeny, E. K.: Patient versus partner perception of voice handicap. Journal of Voice, 21, 2006, 4, s. 485-494.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2012 Číslo 1
Najčítanejšie v tomto čísle
- What Treatment for the “Dry” Nose?
- Pharyngitis Caused by Streptococcus Pyogenes
- Bleeding after Tonsillectomy and Tonsillotomy in Children
- Translabyrinth Craniotomy for Removal of Vestibular Schwannoma