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A Comprehensive Voice Analysis in Benign Vocal Fold Lesions Treated by Cold Knife Endolaryngeal Surgery Using Subjective, Objective and Video-Stroboscopic Parameters

  • Anshu Singh
  • Aparaajita UpadhyayEmail author
  • Anubhav Shrivastava
  • R. K. Mundra
Original Article
  • 2 Downloads

Abstract

In the era of globalisation, numerous technical methods have emerged in the management of benign laryngeal lesions. Still cold knife endolaryngeal surgery holds the basic and effective position in providing excellent voice outcome. The aim of this study is to assess the cold knife as a tool for excision of benign laryngeal lesions by protocol of voice assessment. Fifty-five patients with benign vocal fold lesions were included (26 women and 29 men), with age ranging from 22 to 56 years. Each patient was subjected to endoscopic microlaryngeal surgery with cold instruments. Voice assessment was done preoperatively and 3 weeks postoperatively and 3 month post-operatively. The patients were assessed subjectively by Voice Problem Self-Assessment Scale and objectively by laryngoscopy, stroboscopy, and acoustic analysis. Outcome was measured by comparing preoperative and postoperative groups. Significant improvement (< 0.05) was observed in the voice handicap index, acoustic parameters and video stroboscopy parameters between the preoperative and the postoperative groups. The cold knife endo-laryngoscopic surgery still stands out to be a simple, cost effective yet efficient way in treating majority of benign vocal fold lesions causing hoarseness of voice.

Keywords

Benign vocal lesion Stroboscopy PRAAT Objective voice analysis VHI GRB MPT 

Notes

Funding

This study was not funded by any source.

Compliance with Ethical Standards

Conflict of interest

The authors hereby disclose that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Human and Animal Rights

This article does not contain any studies with animals performed by any of the authors.

References

  1. 1.
    Upadhyay A, Zaidi AK, Mundra RK (2018) A Comprehensive analysis of benign vocal fold lesions causing hoarseness of voice and our experience with cold knife endolaryngeal surgery in a tertiary healthcare centre. Indian J Otolaryngol Head Neck Surg 4:5–6.  https://doi.org/10.1007/s12070-018-1377-5 Google Scholar
  2. 2.
    Divakaran S, Alexander A, Vijayakumar S, Saxena SK (2015) Voice outcome following carbon dioxide laser assisted microlaryngeal surgery. Indian J Otolaryngol Head Neck Surg 67:361–365CrossRefPubMedGoogle Scholar
  3. 3.
    Singhal P, Bhandari A, Chouhan M, Sharma MP, Sharma S (2009) Benign tumors of the larynx: a clinical study of 50 cases. Indian J Otolaryngol Head Neck Surg 61(Suppl 1):26–30CrossRefPubMedGoogle Scholar
  4. 4.
    Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G et al (2001) A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Eur Arch of Otorhinolaryngol 258(2):77–82CrossRefGoogle Scholar
  5. 5.
    Jahn A, Blitzer A (1996) A short history of laryngoscopy. Logoped Phoniatr Vocol 21(3–4):181–185CrossRefPubMedGoogle Scholar
  6. 6.
    Datta R, Sethi A, Singh S, Nilakantan A, Venkatesh MD (2011) Translation and validation of the voice handicap index in Hindi. J Laryngol Voice 1(1):12CrossRefGoogle Scholar
  7. 7.
    Hirano M, Hirano M (1993) Surgical anatomy and physiology of the vocal folds. Mosby-Year Book, Chicago, pp 125–158Google Scholar
  8. 8.
    Petrovic-Lazic M, Jovanovic N, Kulic M, Babac S, Jurisic V (2015) Acoustic and perceptual characteristics of the voice in patients with vocal polyps after surgery and voice therapy. J Voice 29(2):241–246CrossRefPubMedGoogle Scholar
  9. 9.
    Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS et al (1997) The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol/Am Speech Lang Hear Assoc 6(3):66–69CrossRefGoogle Scholar
  10. 10.
    Karnell MP, Melton SD, Childes JM, Coleman TC, Dailey SA, Hoffman HT (2007) Reliability of clinician-based (GRBAS and CAPE-V) and patient-based (V-RQOL and IPVI) documentation of voice disorders. J Voice 21(5):576–590CrossRefPubMedGoogle Scholar
  11. 11.
    Patel R, Awan S, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T et al (2018) Recommended protocols for instrumental assessment of voice: American speech-language-hearing association expert panel to develop a protocol for instrumental assessment of vocal function. Am J Speech Lang Pathol 1(27):1–19Google Scholar
  12. 12.
    Teixeira JP, Gonçalves A (2014) Accuracy of jitter and shimmer measurements. Procedia Technol 1(16):1190–1199CrossRefGoogle Scholar
  13. 13.
    Cesari U, Galli J, Ricciardiello F, Cavaliere M, Galli V (2004) Dysphonia and laryngopharyngeal reflux. Acta Otorhinolaryngol Ital 24(1):13–19PubMedGoogle Scholar
  14. 14.
    Rajput SD, Poriya MJ (2017) Stroboscopy: an evolving tool for voice analysis in vocal cord pathologies. Int J Otorhinolaryngol Head Neck Surg 3(4):927–931CrossRefGoogle Scholar
  15. 15.
    Zeitels SM (1996) Laser versus cold instruments for microlaryngoscopic surgery. Laryngoscope 106:545–552CrossRefPubMedGoogle Scholar
  16. 16.
    Virmani N, Sharma A, Dabholkar JP (2016) Outcome analysis in patients with benign vocal fold lesions. Int J Phonosurg Laryngol 6:8–13Google Scholar
  17. 17.
    Thomas G, Mathews SS, Chrysolyte SB, Rupa V (2007) Outcome analysis of benign vocal cord lesions by videostroboscopy, acoustic analysis and voice handicap index. Indian J Otolaryngol Head Neck Surg 59(4):336–340CrossRefPubMedGoogle Scholar
  18. 18.
    Stajner-Katusić S, Horga D, Zrinski KV (2008) A longitudinal study of voice before and after phonosurgery for removal of a polyp. Clin Linguist Phon 22(10–11):857–863CrossRefPubMedGoogle Scholar
  19. 19.
    Ivey CM, Woo P, Altman KW, Shapshay SM (2008) Office pulsed dye laser treatment for benign laryngeal vascular polyps: a preliminary study. Ann Otol Rhinol Laryngol 117:353–358CrossRefPubMedGoogle Scholar
  20. 20.
    Shi ZP, Wang HW (2007) Objective analysis of voice after microlaryngoscopic surgery in patients with vocal polyps at different anatomical sites. J Med Sci (Taipei, Taiwan) 27(6):265–269Google Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Department of ENTM.G.M.M.C. and M.Y. HospitalIndoreIndia

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