SURGERY OR VOICE THERAPY FOR TREATMENT OF VOCAL FOLD LESION: A RANDOMIZED CONTROL TRIAL

Dr Nisarg Mehta; Dr Ankur Barot

Volume : IX, Issue : VI, June - 2020

SURGERY OR VOICE THERAPY FOR TREATMENT OF VOCAL FOLD LESION: A RANDOMIZED CONTROL TRIAL

Dr Nisarg Mehta, Dr Ankur Barot

Abstract :

Objective: This study is aimed to compare the efficacy of vocal microsurgery and voice therapy in patients with small and medium size benign vocal cord lesion. Methods : A total of 20 patients with benign vocal cold lesion underwent 2 months of voice therapy (VT group); another 20 patients with benign vocal fold lesion underwent vocal microsurgery (VM group). All subjects were assessed using laryngostroboscopy, voice handicap index, and multi dimensional voice program, and the efficacy of vocal training and vocal microsurgery were compared. Results: The improvements of VHI, amplitude, mucosal wave, phase symmetry, non viating portion, glottis closure, jitter, shimmer, NHR ratio in surgery group were better than that in the voice therapy group. The cure rate of surgery was much better than voice therapy in small and medium size benign vocal cord lesion. Conclusion: Although both surgery and voice therapy could effectively improve the voice quality of patients with benign vocal cords lesion, the cure rate was much better in surgery group proved its effectiveness for Vocal cord lesion.