Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1159/000502477 http://hdl.handle.net/11449/209868 |
Resumo: | Introduction: Vocal nodules and cysts are frequent causes of infantile dysphonia. Vocal therapy is the first treatment. Microsurgery has restricted indications, especially for nodules. Objective: To describe our experience with microsurgery for nodules and cysts in children. Methods: Dysphonic children (aged 4-18 years) with the diagnosis of nodules and vocal cysts were initially selected. Of these children, only those were included who had undergone microsurgery. For nodules and cysts, the microsurgery was indicated in cases of failure of vocal therapy and in cases of voice worsening or doubts about the diagnosis. All children were submitted to auditory perceptual vocal analysis and videolaryngostroboscopy (before and after surgery, after 6 months). Surgical outcomes were: total improvement (disappearance of vocal symptoms and of the laryngeal lesions); partial improvement (partial improvement of symptoms and/or maintenance of lesions); no improvement (maintenance or worsening of the symptoms and/or persistence of the lesions). Results: There were 78 children with vocal nodules and 27 children with vocal cysts. Surgery was indicated for 12 children with vocal nodules (15.4%) and 12 children with cysts (44.4%). Total improvement registered for nodules and cysts was 75 and 83.4%, respectively. Partial improvement for both lesions was 25 and 16.6%, respectively. Conclusion: The best outcome for laryngeal microsurgery in dysphonic children was for vocal cysts. So, we encourage laryngologists for this conduct in vocal cysts. The success of microsurgery for vocal nodules was lower, and in these cases voice therapy seems to be the best treatment. |
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Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic ChildrenVoice disordersChildrenSurgeryDysphoniaIntroduction: Vocal nodules and cysts are frequent causes of infantile dysphonia. Vocal therapy is the first treatment. Microsurgery has restricted indications, especially for nodules. Objective: To describe our experience with microsurgery for nodules and cysts in children. Methods: Dysphonic children (aged 4-18 years) with the diagnosis of nodules and vocal cysts were initially selected. Of these children, only those were included who had undergone microsurgery. For nodules and cysts, the microsurgery was indicated in cases of failure of vocal therapy and in cases of voice worsening or doubts about the diagnosis. All children were submitted to auditory perceptual vocal analysis and videolaryngostroboscopy (before and after surgery, after 6 months). Surgical outcomes were: total improvement (disappearance of vocal symptoms and of the laryngeal lesions); partial improvement (partial improvement of symptoms and/or maintenance of lesions); no improvement (maintenance or worsening of the symptoms and/or persistence of the lesions). Results: There were 78 children with vocal nodules and 27 children with vocal cysts. Surgery was indicated for 12 children with vocal nodules (15.4%) and 12 children with cysts (44.4%). Total improvement registered for nodules and cysts was 75 and 83.4%, respectively. Partial improvement for both lesions was 25 and 16.6%, respectively. Conclusion: The best outcome for laryngeal microsurgery in dysphonic children was for vocal cysts. So, we encourage laryngologists for this conduct in vocal cysts. The success of microsurgery for vocal nodules was lower, and in these cases voice therapy seems to be the best treatment.Univ Estadual Paulista, Botucatu Med Sch, Dept Ophthalmol Otorhinolaryngol Head & Neck Surg, Dist Rubiao Jr S-N, BR-18618970 Botucatu, SP, BrazilUniv Estadual Paulista, Botucatu Med Sch, Dept Ophthalmol Otorhinolaryngol Head & Neck Surg, Dist Rubiao Jr S-N, BR-18618970 Botucatu, SP, BrazilKargerUniversidade Estadual Paulista (Unesp)Garcia Martins, Regina Helena [UNESP]Siqueira, Dandara Bernardo [UNESP]Dias, Norimar Hernanes [UNESP]Joia Gramuglia, Andrea Cristina [UNESP]2021-06-25T12:31:56Z2021-06-25T12:31:56Z2020-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article325-330http://dx.doi.org/10.1159/000502477Folia Phoniatrica Et Logopaedica. Basel: Karger, v. 72, n. 4, p. 325-330, 2020.1021-7762http://hdl.handle.net/11449/20986810.1159/000502477WOS:000605968600011Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengFolia Phoniatrica Et Logopaedicainfo:eu-repo/semantics/openAccess2024-08-16T18:43:51Zoai:repositorio.unesp.br:11449/209868Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T18:43:51Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children |
title |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children |
spellingShingle |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children Garcia Martins, Regina Helena [UNESP] Voice disorders Children Surgery Dysphonia |
title_short |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children |
title_full |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children |
title_fullStr |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children |
title_full_unstemmed |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children |
title_sort |
Laryngeal Microsurgery for the Treatment of Vocal Nodules and Cysts in Dysphonic Children |
author |
Garcia Martins, Regina Helena [UNESP] |
author_facet |
Garcia Martins, Regina Helena [UNESP] Siqueira, Dandara Bernardo [UNESP] Dias, Norimar Hernanes [UNESP] Joia Gramuglia, Andrea Cristina [UNESP] |
author_role |
author |
author2 |
Siqueira, Dandara Bernardo [UNESP] Dias, Norimar Hernanes [UNESP] Joia Gramuglia, Andrea Cristina [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Garcia Martins, Regina Helena [UNESP] Siqueira, Dandara Bernardo [UNESP] Dias, Norimar Hernanes [UNESP] Joia Gramuglia, Andrea Cristina [UNESP] |
dc.subject.por.fl_str_mv |
Voice disorders Children Surgery Dysphonia |
topic |
Voice disorders Children Surgery Dysphonia |
description |
Introduction: Vocal nodules and cysts are frequent causes of infantile dysphonia. Vocal therapy is the first treatment. Microsurgery has restricted indications, especially for nodules. Objective: To describe our experience with microsurgery for nodules and cysts in children. Methods: Dysphonic children (aged 4-18 years) with the diagnosis of nodules and vocal cysts were initially selected. Of these children, only those were included who had undergone microsurgery. For nodules and cysts, the microsurgery was indicated in cases of failure of vocal therapy and in cases of voice worsening or doubts about the diagnosis. All children were submitted to auditory perceptual vocal analysis and videolaryngostroboscopy (before and after surgery, after 6 months). Surgical outcomes were: total improvement (disappearance of vocal symptoms and of the laryngeal lesions); partial improvement (partial improvement of symptoms and/or maintenance of lesions); no improvement (maintenance or worsening of the symptoms and/or persistence of the lesions). Results: There were 78 children with vocal nodules and 27 children with vocal cysts. Surgery was indicated for 12 children with vocal nodules (15.4%) and 12 children with cysts (44.4%). Total improvement registered for nodules and cysts was 75 and 83.4%, respectively. Partial improvement for both lesions was 25 and 16.6%, respectively. Conclusion: The best outcome for laryngeal microsurgery in dysphonic children was for vocal cysts. So, we encourage laryngologists for this conduct in vocal cysts. The success of microsurgery for vocal nodules was lower, and in these cases voice therapy seems to be the best treatment. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-01 2021-06-25T12:31:56Z 2021-06-25T12:31:56Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1159/000502477 Folia Phoniatrica Et Logopaedica. Basel: Karger, v. 72, n. 4, p. 325-330, 2020. 1021-7762 http://hdl.handle.net/11449/209868 10.1159/000502477 WOS:000605968600011 |
url |
http://dx.doi.org/10.1159/000502477 http://hdl.handle.net/11449/209868 |
identifier_str_mv |
Folia Phoniatrica Et Logopaedica. Basel: Karger, v. 72, n. 4, p. 325-330, 2020. 1021-7762 10.1159/000502477 WOS:000605968600011 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Folia Phoniatrica Et Logopaedica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
325-330 |
dc.publisher.none.fl_str_mv |
Karger |
publisher.none.fl_str_mv |
Karger |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128128979042304 |