Rehabilitation of patients with benign vocal fold lesions

Benign vocal fold lesions is the largest group of larynx diseases. At the present time the fundamental principle in treatment of benign laryngeal lesions is the combined therapy including surgical, medical and phonopedic methods of voice rehabilitation by indications.

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Benign Laryngeal Lesions

10.2310/ot.7059 ◽

2022 ◽

Author(s):

Jeffrey Straub ◽

Brandon Kim

Keyword(s):

Laser Therapy ◽

Vocal Fold ◽

Clinical Presentation ◽

Benign Tumors ◽

Vocal Hygiene ◽

Laryngeal Lesions ◽

Benign Laryngeal Lesions ◽

Vocal Fold Nodules

Benign laryngeal lesions represent a diverse set of pathologies whose clinical presentation may range from no symptoms to dyspnea and/or dysphonia. Flexible fiberoptic laryngoscopy and videolaryngostroboscopy are important in distinguishingdifferent types of lesions, and management and treatment are dependent on the identification of these lesions, as they have different etiologies. Some lesions such as vocal fold nodules and polyps are primarily phonotraumatic and may benefit fromspeech therapy and vocal hygiene as initial approaches. Vocal fold cysts and benign tumors may benefit from microlaryngeal approaches, while capillary ectasias, polypoid corditis, laryngoceles, saccular cysts, and papilloma may benefit from laser therapy. Vocal fold granulomas may arise from various etiologies such as intubation, traumatic behaviors, or reflux. Polypoid corditis arises from smoking. This review is intended to provide an overview of the variety of lesions that encompass non-malignant laryngeal lesions that is both suitable for junior and senior residents. This review contains 12 figures, 5 tables, and 64 references Keywords: Benign laryngeal lesions, Laryngocele, Polyp, Cyst, Polypoid Corditis, Papilloma

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The Importance of Inspiratory Maneuver for Benign Laryngeal Lesions

International Archives of Otorhinolaryngology ◽

10.1055/s-0040-1702968 ◽

2020 ◽

Vol 24 (04) ◽

pp. e513-e517

Author(s):

Marília Batista Costa ◽

Taynara Oliveira Ledo ◽

Mariana Delgado Fernandes ◽

Romualdo Suzano Louzeiro Tiago

Keyword(s):

Vocal Fold ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Cross Sectional ◽

Simple Method ◽

Main Complaint ◽

Laryngeal Lesions ◽

Before And After ◽

Sulcus Vocalis ◽

Benign Laryngeal Lesions

Abstract Introduction Inspiratory maneuver corresponds to a simple method used during videolaryngoscopy to increase characterizations of laryngeal findings, through the movement of the vocal fold cover and exposure of the ligament, facilitating its evaluation. Objective To evaluate the increase in diagnosis of benign laryngeal lesions from the usage of inspiratory maneuvers during videolaryngoscopy in patients with or without vocal complaints. Methods A cross-sectional study performed from March 1 to July 1, 2018, in the Laryngology sector of a tertiary hospital. The age of the patients varied from 18 to 60 years old. They were divided into two groups, symptomatic and asymptomatic vocals, and evaluated through videolaryngoscopy together with inspiratory maneuvers. The exams were recorded and later evaluated by three trained laryngologists who determined the laryngeal lesions before and after the inspiratory maneuver. Results There were 60 patients in this sample, 41 of which were vocal symptomatic and 19 asymptomatic. The majority was female and the main complaint was about dysphonia. Before the inspiratory maneuver, the most observed lesions in both groups were chronic laryngitis, followed by vascular dysgenesis. After the inspiratory maneuver, sulcus vocalis was the most frequent additional finding. Conclusion With the inspiratory maneuver, it was possible to increase the identification of structural lesions in the vocal fold, and the most frequent lesion in patients with or without vocal complaints was sulcus vocalis.

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Videoendoscopic Laryngeal Surgery

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940010900207 ◽

2000 ◽

Vol 109 (2) ◽

pp. 149-155 ◽

Cited By ~ 34

Author(s):

Koichi Omori ◽

Tomoko Tsuji ◽

Kaoru Shinohara ◽

Hisayoshi Kojima

Keyword(s):

High Resolution ◽

Vocal Fold ◽

Charge Coupled Device ◽

Vocal Function ◽

Laryngeal Surgery ◽

Benign Vocal Fold Lesions ◽

Laryngeal Lesions ◽

Laryngeal Tumors ◽

High Resolution Images ◽

Device Chip

This paper introduces videoendoscope-assisted laryngeal surgery with office-based equipment. With this technique, a patient is seated and the nose, pharynx, and larynx are topically anesthetized. A flexible videoendoscope with a light-sensitive charge-coupled device chip built into the tip is transnasally inserted by an assistant. Specially designed fine-tipped forceps and scalpels were developed for removal of laryngeal lesions. Videoendoscopic laryngeal surgery was undertaken in 114 cases of laryngeal lesions such as polyps, granuloma, and cancer. For benign vocal fold lesions, postoperative vocal function was shown to be improved on aerodynamic and perceptual analyses. For laryngeal tumors, biopsy of the lesion was easily undertaken. Videoendoscopic laryngeal surgery presents the following advantages. It is applicable to outpatients not requiring general anesthesia, it enables functional monitoring of the patient's voice and vocal fold during phonation, it allows for delicate manipulations with both hands, and it gives high-resolution images in comparison to conventional fiberscopy.

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Efficacy of percutaneous vocal fold injections for benign laryngeal lesions: Prospective multicenter study

Acta Oto-Laryngologica ◽

10.3109/00016489.2011.620620 ◽

2011 ◽

Vol 131 (12) ◽

pp. 1326-1332 ◽

Cited By ~ 24

Author(s):

Joo-Hyun Woo ◽

Dong-Young Kim ◽

Jae-Wook Kim ◽

Eun-A Oh ◽

Seung-Won Lee

Keyword(s):

Multicenter Study ◽

Vocal Fold ◽

Prospective Multicenter Study ◽

Laryngeal Lesions ◽

Benign Laryngeal Lesions

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A study on non-malignant lesion of larynx

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180952 ◽

2018 ◽

Vol 4 (3) ◽

pp. 655

Author(s):

Bharathi Mohan Mathan M. ◽

Selvam D. K. ◽

Vikram V. J.

Keyword(s):

Malignant Lesion ◽

Voice Rehabilitation ◽

Excision Biopsy ◽

Common Symptom ◽

Age Group ◽

Laryngeal Diseases ◽

Predominant Symptom ◽

Laryngeal Lesions ◽

Malignant Lesions ◽

Benign Laryngeal Lesions

Background: Benign laryngeal lesions are a spectrum of laryngeal diseases where symptoms vary from discomfort in throat, pain in throat, change of voice to stridor. Prompt diagnosis and intervention will reverse the conditions in certain laryngeal lesions.Methods: A prospective study was carried out in department of ENT, Madras Medical College/Institute of Child Health, Chennai between August 2013-November 2015 of non-malignant lesions of larynx. All these cases underwent a thorough ENT examination, examined under direct laryngoscope or micro laryngeal examination as the situation warrants. Benign non –neoplastic lesions are usually treated by excision biopsy and the biopsy results were confirmed. Results: This study included 50 cases of non-malignant lesions of larynx. In our study 34% of the cases fall in the age group of 20-30 years, followed by 22% in age group of 0-10 years. The mean age group was 26 years. Males were 72% and female constituted 28%. The hoarseness is the common symptom in 36 patients, while stridor was the predominant symptom in 14 patients. The treatment modality followed were micro laryngeal excision in 40 cases, tracheostomy in 6 cases.Conclusions: Management of the non-malignant lesions of larynx, by early diagnosis with effective conservative management in the initial stages, will reduce the necessity of the surgery. Counselling, voice rehabilitation, micro laryngeal surgery is the best modality.

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Pediatric Benign Vocal Fold Lesions: A Team Approach

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd19.3.105 ◽

2009 ◽

Vol 19 (3) ◽

pp. 105-112 ◽

Cited By ~ 3

Author(s):

Geralyn Harvey Woodnorth ◽

Roger C. Nuss

Keyword(s):

Vocal Fold ◽

Evaluation Process ◽

Team Approach ◽

Speech Language Pathologist ◽

Benign Vocal Fold Lesions ◽

Different Types ◽

Team Evaluation ◽

Surgical Treatments ◽

Review Current ◽

Vocal Fold Nodules

Abstract Many children with dysphonia present with benign vocal fold lesions, including bilateral vocal fold nodules, cysts, vocal fold varices, and scarring. Evaluation and treatment of these children are best undertaken in a thoughtful and coordinated manner involving both the speech-language pathologist and the otolaryngologist. The goals of this article are (a) to describe the team evaluation process based on a “whole system” approach; (b) to discuss etiological factors and diagnosis; and (c) to review current medical, behavioral, and surgical treatments for children with different types of dysphonia.

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Predominant Vertical Location of Benign Vocal Fold Lesions by Sex and Music Genre: Implication for Pathogenesis

The Laryngoscope ◽

10.1002/lary.29378 ◽

2021 ◽

Author(s):

Mayu Hirosaki ◽

Takeharu Kanazawa ◽

Daigo Komazawa ◽

Ujimoto Konomi ◽

Yu Sakaguchi ◽

...

Keyword(s):

Vocal Fold ◽

Benign Vocal Fold Lesions ◽

Vertical Location ◽

Music Genre

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Manual versus Automatic Classification of Laryngeal Lesions based on Vascular Patterns in CE+NBI Images

Current Directions in Biomedical Engineering ◽

10.1515/cdbme-2020-3018 ◽

2020 ◽

Vol 6 (3) ◽

pp. 70-73

Author(s):

Nazila Esmaeili ◽

Alfredo Illanes ◽

Axel Boese ◽

Nikolaos Davaris ◽

Christoph Arens ◽

...

Keyword(s):

Vocal Fold ◽

Narrow Band ◽

Narrow Band Imaging ◽

Automatic Classification ◽

Vascular Pattern ◽

Objective Interpretation ◽

Laryngeal Lesions ◽

Malignant Lesions ◽

Manual Classification

AbstractLongitudinal and perpendicular changes in the blood vessels of the vocal fold have been related to the advancement from benign to malignant laryngeal cancer stages. The combination of Contact Endoscopy (CE) and Narrow Band Imaging (NBI) provides intraoperative realtime visualization of vascular pattern in Larynx. The evaluation of these vascular patterns in CE+NBI images is a subjective process leading to differentiation difficulty and subjectivity between benign and malignant lesions. The main objective of this work is to compare multi-observer classification versus automatic classification of laryngeal lesions. Six clinicians visually classified CE+NBI images into benign and malignant lesions. For the automatic classification of CE+NBI images, we used an algorithm based on characterizing the level of the vessel’s disorder. The results of the manual classification showed that there is no objective interpretation, leading to difficulties to visually distinguish between benign and malignant lesions. The results of the automatic classification of CE+NBI images on the other hand showed the capability of the algorithm to solve these issues. Based on the observed results we believe that, the automatic approach could be a valuable tool to assist clinicians to classifying laryngeal lesions.

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