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Role and Effectiveness of Postoperative Voice Therapy in Laryngeal Microsurgery
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후두미세수술에서 술 후 음성치료의 역할 및 효과

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Type
Academic journal
Author
Journal
대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제4호 KCI Accredited Journals
Published
2018.1
Pages
200 - 207 (8page)

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Role and Effectiveness of Postoperative Voice Therapy in Laryngeal Microsurgery
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Background and ObjectivesVoice therapy is performed following laryngeal microsurgery to help the recovery of the operation site and assist in optimal voice output. The aim of this study was to evaluate the effect of postoperative voice therapy and to obtain objective evidence about the necessity of voice therapy. Subjects and MethodThe voice of 109 patients who underwent laryngeal microsurgery for vocal fold lesions and received voice therapy was analyzed. Voice analysis was performed preoperatively, postoperatively, and after the first voice therapy. GRBAS scale was used for auditory perceptual evaluation and acoustic analysis was performed for objective evaluation. ResultsOverall, significant improvement was observed postoperatively in both auditory perceptual evaluation and acoustic parameters, and significantly better voice was obtained after the first postoperative voice therapy. The degree of postoperative voice improvement varied on the type of vocal fold lesions, but voice quality was improved in all diseases after first postoperative voice therapy. The number of voice therapy decreased significantly as the voice quality improved after the operation or the first voice therapy. Four or more voice therapy were needed when the cepstral/spectral index of dysphonia (CSID) value was 5.88 or higher. ConclusionVoice therapy following laryngeal microsurgery was effective in better voice output. The CSID value after the first postoperative voice therapy was predictive of finding patients who need long-term voice therapy. These results suggest that the first postoperative voice therapy will be helpful in finding the adequate vocalization method and providing objective evidence for selecting patients who would require continuous voice therapy.

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References (16)

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신유섭 / 2013 / Persistent Dysphonia after Laryngomicrosurgery for Benign Vocal Fold Disease / Clinical and Experimental Otorhinolaryngology 6(3):166~170 dbpia Wang NM / 1994 / A vocal treatment plan for voice disorders after phonosurgery--a preliminary study / Changgeng Yi Xue Za Zhi 17(2):144~148 google schola Bequignon E / 2013 / Long-term results of surgical treatment of vocal fold nodules / Laryngoscope 123(8):1926~1930 Crossref Petrovic-Lazic M / 2015 / Acoustic and perceptual characteristics of the voice in patients with vocal polyps after surgery and voice therapy / J Voice 29(2):241~246 Crossref Kaneko M / 2017 / Optimal duration for voice rest after vocal fold surgery: randomized controlled clinical study / J Voice 31(1):97~103 Crossref

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