AI Article Synopsis

  • The study investigates the effectiveness of office-based vocal fold steroid injection (VFSI) as a treatment for benign vocal fold lesions (BVFLs) that lead to voice disorders.
  • It involved 83 patients and found that VFSI significantly improved voice quality, with no significant age-related differences in improvement, although those over 45 years showed no improvement in aerodynamics.
  • The results highlight the need for clear indication criteria for VFSI treatment, tailoring approaches based on patient age and specific needs.

Article Abstract

Objective: Benign vocal fold lesions (BVFLs) cause voice disorders and impair social life. Recently, office-based vocal fold steroid injection (VFSI) has gained attention as a minimally invasive treatment for BVFLs. This study aimed to analyze the age-dependent treatment effect of VFSI and to clarify the indications for treatment.

Methods: In this retrospective cohort study, a total of 83 patients with BVFLs were treated with a similar regimen of VFSI. Three or four months after the injection, age-dependent phonological functions were evaluated. The differences between pre- and post-treatment findings were analyzed using the Wilcoxon matched-pair signed-rank test, and the correlation between patient age and improvement rates were determined by Pearson's correlation coefficient.

Results: Improvement in voice handicap index (VHI), which was the primary endpoint, was observed. Subjective and objective voice quality measurements also showed significant improvements. Subgroup analyses revealed that there was no age-related difference in the improvement of voice quality and that there was no improvement in aerodynamic effect in patients over 45 years of age.

Conclusion: This study clarified the age-dependent treatment effect of VFSI and provided the important suggestion of establishing indication criteria for BVFLs. The study results provided clarity on the indication criteria of VFSI and served as an important indicator for tailoring treatment to patients' needs.

Level Of Evidence: 4.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948573PMC
http://dx.doi.org/10.1002/lio2.997DOI Listing

Publication Analysis

Top Keywords

vocal fold
16
age-dependent treatment
12
fold steroid
8
steroid injection
8
benign vocal
8
fold lesions
8
bvfls study
8
treatment vfsi
8
improvement voice
8
voice quality
8

Similar Publications

Vocal Fold Vibration Associated With Inspiratory Phonation-An Acoustic and Electroglottographic Study.

J Voice

December 2024

Department of Duquesne-China Health Institute, John G. Rangos Sr. School of Health Sciences, Duquesne University, Pittsburgh, PA; Speech Science Laboratory, Faculty of Education, The University of Hong Kong, Hong Kong SAR, China.

Article Synopsis
  • The study focused on inspiratory phonation (IP) and its differences from expiratory phonation (EP) in terms of voice quality and glottal vibratory characteristics.
  • Acoustic and electroglottographic analyses were conducted on the vowel /i/ produced by 43 vocally healthy adults to assess voice metrics like fundamental frequency and jitter.
  • Results showed distinct changes in glottal vibration during IP, highlighting its clinical significance and the need for more research to understand its role in diagnosing and treating voice disorders.
View Article and Find Full Text PDF

The Yucatan Minipig: A Reliable Model for Studying Unilateral Vocal Fold Paralysis.

J Voice

December 2024

Indiana University School of Medicine (IUSM), Indianapolis, Indiana; IUSM Department of Otolaryngology-Head and Neck Surgery, Indianapolis, Indiana; Purdue University Department of Speech, Language, and Hearing Sciences, West Lafayette, Indiana. Electronic address:

Objectives/hypothesis: Given the complex pathology underlying unilateral vocal fold paralysis (UVFP), there has been limited systematic exploration of curative treatments in humans. Central to the investigation of experimental therapies includes establishing a reliable and analogous large animal model. The study goal was to create a standardized porcine model of UVFP by establishing characteristic pathophysiology and functional outcomes.

View Article and Find Full Text PDF

Approaches to regenerate vocal fold in glottic insufficiency remains to be a focus for exploration. This is attributed to the applications of cells or biological molecules alone result in fast degradation and inadequate for regeneration. Development of an injectable hydrogel for glottic insufficiency is challenging, as it needs to be non-cytotoxic, elastic yet possess good strength and easy to fabricate.

View Article and Find Full Text PDF

Introduction: There is a paucity of literature on pre-adolescent paradoxical vocal fold motion (PVFM), PVFM is a sub-type of inducible laryngeal obstruction. Studies typically focus on older patients, however the discovery of this entity in pre-adolescent pediatric patients has led to more questions about how this entity manifests differently and is treated differently in younger populations. Initially considered psychosomatic and commonly mistaken for asthma, PVFM etiology is now thought to be associated underlying neurologic conditions and may have irritant triggers with proposed mechanisms related to laryngeal hypersensitivity.

View Article and Find Full Text PDF

Background: In emergency settings, difficult intubations often occur unexpectedly despite pre-intubation assessments. Traditional glottic view scoring systems for direct laryngoscope may not apply to video laryngoscopy. With video laryngoscopy, the vertical location of the glottis on the monitor can be clearly defined.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: