Skip to main content
SpringerLink
Log in

Study of Pre and Post Operative Videostroboscopic Evaluation of Benign Vocal Cord Lesions

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To determine pre and postoperative vocal fold vibratory changes using videostroboscopy (VS) and effect of surgery on functional, physical and emotional levels of voice using voice handicap index (VHI). To determine correlation between VHI and VS in patients with benign vocal fold pathology. This is a prospective study done at Pushpagiri Medical College. 40 patients in the age group of 14–75 years who presented with complaints of voice change were included. VS and VHI of patients done preoperatively in 40 patients. Patients were re-evaluated postoperatively at 1 month by VHI and VS. All patients underwent microlaryngoscopic excision of the benign vocal cord lesion with biopsy under GA in the conventional manner. One month postoperatively, these patients were evaluated by VS and VHI and the findings noted. There was statistically significant improvement in the stroboscopy ratings and VHI scores post operatively (p < 0.0001). The mucosal wave was diminished or absent in 100% of the studied TVC cysts and present in approximately 60% of vocal polyps. There was no significant correlation found between preoperative VHI scores and stroboscopy ratings except for mucosal waves. Whereas there was significant correlation noted between the VHI subscales and total scores with stroboscopic scores postoperatively except for symmetry. All but 6 patients in this study benefitted from surgery and 85% had a normal voice post-operatively. Pre and post operative assessment of patients with benign vocal fold lesions by stroboscopy and VHI is a useful way to determine the degree of improvement following surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Bless DM, Swift E (1996) Stroboscopy: new diagnostic techniques and applied physiology. In: Fried MP (ed) The larynx a multidisciplinary approach, 2nd edn. Mosby-Year Book, Inc., St. Louis, pp 81–100

    Google Scholar 

  2. Rosen CA (2005) Stroboscopy as a research instrument: development of a perceptual evaluation tool. Laryngoscope 115:423–428

    Article  Google Scholar 

  3. Colton RH, Woo P, Brewer DW, Griffin B, Casper J (1995) Stroboscopic signs associated with benign lesions of the vocal folds. J Voice 9:312–325

    Article  CAS  Google Scholar 

  4. Cummings CW, Fredrickson JM, Harker LA et al (1998) The professional voice otolaryngology head and neck surgery, vol III, 3rd edn. Mosby-Yearbook Inc., St. Louis, pp 2057–2059

    Google Scholar 

  5. 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 6:66–70

    Article  Google Scholar 

  6. Shohet JA, Courey MS, Scott MA, Ossoff RH (1996) Value of videostroboscopic parameters in differentiating true vocal fold cysts from polyps. Laryngoscope 106(1 Pt 1):19–26

    Article  CAS  Google Scholar 

  7. Kotby MN, Nassar AM, Seif EI, Helal EH, Saleh MM (1988) Ultrastructural features of vocal fold nodules and polyps. Acta Otolaryngol 105:477–482

    Article  CAS  Google Scholar 

  8. Banjara H, Mungutwar V, Singh D, Gupta A, Singh S (2012) Demographic and videostroboscopic assessment of vocal pathologies. Indian J Otolaryngol Head Neck Surg 64(2):150–157

    Article  Google Scholar 

  9. Hirano M, Kakis Y (1985) Cover body theory of vocal cord vibration. In: Davidoff RG (ed) Speech science. College Hill Press, San Diego, pp 1–46

    Google Scholar 

  10. Monday LA, Cornut G, Bouchayer M, Roch JB (1983) Epidermoid cysts of the vocal cords. Ann Otol Rhinol Laryngol 92(2 Pt 1):124–127

    Article  CAS  Google Scholar 

  11. Krecicki T, Zalesska-Krecicka M, Pastuszek P, Rak J, Morawska-Kochman M, Zatoński M (2004) Treatment of Reincke’s edema among different professional groups: presentation of results. Int J Occup Med Environ Health 17(2):279–284

    PubMed  Google Scholar 

  12. 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):336–340

    Article  Google Scholar 

  13. Nagata K, Kurita S, Yasumoto S, Maeda T, Kawasaki H, Hirano M (1983) Vocal fold polyps and nodules. A 10-year review of 1,156 patients. Auris Nasus Larynx 10 Suppl:S27–S35

    Article  CAS  Google Scholar 

  14. Sataloff RT, Spiegel JR, Hawkshaw MJ (1991) Strobovideolaryngoscopy: results and clinical value. Ann Otol Rhinol Laryngol 100:725–727

    Article  CAS  Google Scholar 

  15. Rosen CA, Murry T, Zinn A, Zullo T, Sonbolian M (2000) Voice handicap index change following treatment of voice disorders. J Voice 14(4):619–623

    Article  CAS  Google Scholar 

  16. Kiagiadaki DE, Chimona TS, Chlouverakis GI, Stylianou Y, Proimos EK, Papadakis CE, Bizakis JG (2012) Evaluating the outcome of phonosurgery: comparing the role of VHI and VoiSS questionnaires in the Greek language. J Voice 26(3):372–377

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of ENT, Pushpagiri Institute of Medical Science and Research Centre, Thiruvalla, Pathanamthitta, Kerala, India

    Sasindran Vivek, Moosankutty Sabah, Mathew Nidhi & George Neethu Sara

Authors
  1. Sasindran Vivek
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Moosankutty Sabah
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mathew Nidhi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. George Neethu Sara
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sasindran Vivek.

Ethics declarations

Conflict of interest

All authors declares that they have no conflict of interest.

Ethical Approval

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

Informed Consent

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

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sasindran, V., Moosankutty, S., Mathew, N. et al. Study of Pre and Post Operative Videostroboscopic Evaluation of Benign Vocal Cord Lesions. Indian J Otolaryngol Head Neck Surg 71 (Suppl 1), 333–340 (2019). https://doi.org/10.1007/s12070-018-1303-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-018-1303-x

Keywords

Search

Navigation