A COMPARISON OF 3 METHODS FOR THE MANAGEMENT OF VOCAL FOLD NODULES

被引:49
作者
MURRY, T
WOODSON, GE
机构
[1] Division of Head and Neck Surgery, University of California, San Diego, CA
[2] Otolaryngology-Head and Neck Surgery, VA Medical Center, San Diego, CA
关键词
VOCAL FOLD NODULES; MANAGEMENT;
D O I
10.1016/S0892-1997(05)80153-5
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
The improvement of the voices of 59 patients following the diagnosis of vocal fold nodules was evaluated according to the type of treatment, i.e., therapy, therapy following surgery, or combined management by an otolaryngologist-speech pathologist. Pre- and post-voice therapy recordings were judged by two experienced listeners and rated on a four-point scale of improvement. Posttreatment judgements indicated that the overall improvement was greatest in the combined management group followed by the group treated by voice therapy only and finally by the group that had the nodules removed prior to treatment. The results of the study suggest that satisfactory improvement of the voice can be obtained using any of the three approaches. Because of potential complications of surgery, the removal of vocal fold nodules is indicated only after other approaches fail to produce the desired results.
引用
收藏
页码:271 / 276
页数:6
相关论文
共 21 条
[1]  
Lancer, Snyder, Jones, LeBoutillier, Vocal cord nodules: a review, Clin Otolaryngol, 13, pp. 43-51, (1988)
[2]  
McFarlane, Watterson, Vocal nodules endoscopic study of their variations and treatment, Seminars in Speech and Language, 11, (1990)
[3]  
Kay, Vocal nodules in children—etiology and management, J Laryngol Otol, 96, pp. 731-736, (1982)
[4]  
Colton, Casper, Understanding voice problems. A physiological perspective for diagnosis and treatment, (1990)
[5]  
Hirano, Kurita, Histological structure of the vocal fold and its normal and pathological variations, Vocal fold histopathology: a symposium, (1986)
[6]  
Murry, Speaking fundamental frequency characteristics associated with vocal pathology, J Speech Hear Disord, 43, pp. 374-379, (1978)
[7]  
Peppard, Bless, Milenkovic, Comparison of young adult singers and non-singers with vocal nodules, J Voice, 2, pp. 250-260, (1988)
[8]  
Aronson, Clinical voice disorders, (1990)
[9]  
Boone, McFarlane, The voice and voice therapy, (1988)
[10]  
Mattson, Vocal abuse from cheerleading: a case study, (1980)