Utility of voice therapy in the management of vocal fold polyps and cysts.
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.
Duke Scholars
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Related Subject Headings
- Voice Training
- Voice Disorders
- Vocal Cords
- Treatment Outcome
- Speech Therapy
- Retrospective Studies
- Polyps
- Patient Care Team
- Otorhinolaryngology
- Muscle Tonus
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Voice Training
- Voice Disorders
- Vocal Cords
- Treatment Outcome
- Speech Therapy
- Retrospective Studies
- Polyps
- Patient Care Team
- Otorhinolaryngology
- Muscle Tonus