The Optimal Therapeutic Option in Voice Therapy to Treat Vocal Fold Polyp

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  • Mato Shogo
    Department of Rehabilitation, Kyorin University Hospital Obirin University Graduate School of Gerontology
  • Miyamoto Makoto
    Department of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine
  • Watanabe Itaru
    Department of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine
  • Nakagawa Hideki
    Department of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine Department of Otolaryngology, Seibo International Catholic Hospital
  • Saito Koichiro
    Department of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine

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  • 声帯ポリープに対する効果的な音声治療の方法に関する検討

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Abstract

<p>While conservative treatment is recommended as the first line of treatment for vocal fold lesions, including vocal fold polyps and nodules, the optimal therapeutic option in voice therapy to treat these lesions has not yet been established. In this study, we retrospectively assessed the therapeutic impact of voice therapy on vocal fold polyps to determine the ideal therapeutic option in voice therapy to achieve sufficient vocal outcome for the patients. Twenty-seven patients who underwent voice therapy as first-line treatment for vocal fold polyp between June 2017 and September 2020 were incorporated in this study. Either vocal hygiene instruction alone (VH group) or vocal training additional to vocal hygiene instruction (VT group) was performed in these patients. The therapeutic option was determined after discussion with each patient concerning the details of both therapies. No significant difference in polyp size change was observed between the groups. However, significantly better improvement in glottic closure was observed in the VT group compared with the VH group. Our study suggested that a combination of vocal hygiene instruction and vocal training could provide better vocal outcome than vocal hygiene instruction alone, among conservative therapeutic options for patients with vocal fold polyps.</p>

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