Rehabilitation of a voice function in patients with benign laryngeal lesions after surgical treatment

• Main Authors: S. V. Starostina, V. M. Svistushkin, E. B. Rakunova
• Format: Article
• Language: Russian
• Published: Remedium Group LLC 2019-04-01
• Series: Медицинский совет
• Subjects: dysphonia; vocal cord polyp; benign laryngeal lesions; acoustic voice assessment; laryngostroboscopy
• Online Access: https://www.med-sovet.pro/jour/article/view/2966

Usually benign laryngeal lesions like cysts, polyps and fibrous masses occurs in result of phonotrauma as reactive changes of the mucous of vocal cords. Presence of organic pathology of larynx is a reason of functional voice disorders. 45 patients in age of 18-70 y.o. with benign laryngeal lesions were investigated. All patients underwent microlaryngoscopy with excision of the lesion in inpatient mode. This article describes complex of pre- and postoperative procedures performed to assess the vocal function in patients. For the surgical excision of lesions «cold-steel» instruments, radiofrequently ablation and laser surgery were used. Authors analysed the correlation between complaints, acoustic voice parameters and the process of mucous recovery. Laser technique is recommended for surgical treatment of benign lesions of larynx. Fibrolaryngoscopy, laryngostroboscopy and computer acoustic assessment of vocal parameters are required before voice normalization. Phonotherapy is indicated n case of persistence of dysphonia.