Minor Structural Alterations of the Vocal Fold Cover: Vocal Quality before and after Treatment
Abstract Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment. Objective To characterize the occurrence, the...
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| Published in: | International Archives of Otorhinolaryngology Vol. 25; no. 4; pp. e522 - e529 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Thieme Revinter Publicações Ltda
01-10-2021
Fundação Otorrinolaringologia |
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| Abstract | Abstract
Introduction
Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment.
Objective
To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover.
Methods
This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptual-auditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared.
Results
The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment.
Conclusion
Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration. |
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| AbstractList | Abstract Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment. Objective To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover. Methods This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptualauditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared. Results The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment. Conclusion Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration. Abstract Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment. Objective To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover. Methods This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptual-auditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared. Results The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment. Conclusion Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration. Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment. Objective To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover. Methods This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptual-auditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared. Results The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment. Conclusion Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration. Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment. Objective To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover. Methods This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptual-auditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared. Results The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment. Conclusion Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration. Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment. Objective To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover. Methods This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptual-auditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared. Results The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment. Conclusion Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration. |
| Author | Ximenes, Coeli Regina Cardoso, Nathália Suellen Valeriano Brito, Tatiany Cíntia da Silva Gomes, Adriana de Oliveira Camargo Silva, Jullyane Florencio Pacheco da Moraes, Bruno Teixeira Vasconcelos, Daniela de Vilela, Mirella Bezerra Rodrigues |
| AuthorAffiliation | 1 Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil 4 Graduate Program in Human Communication Health, Health Sciences Center, Universidade Federal de Pernambuco, Recife, PE, Brazil 3 Otorhinolaryngology Outpatient Clinic, Clinical Hospital of Pernambuco, Recife, PE, Brazil 2 Department of Surgery, Universidade Federal de Pernambuco, Recife, PE, Brazil |
| AuthorAffiliation_xml | – name: 3 Otorhinolaryngology Outpatient Clinic, Clinical Hospital of Pernambuco, Recife, PE, Brazil – name: 4 Graduate Program in Human Communication Health, Health Sciences Center, Universidade Federal de Pernambuco, Recife, PE, Brazil – name: 2 Department of Surgery, Universidade Federal de Pernambuco, Recife, PE, Brazil – name: 1 Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil – name: Universidade Federal de Pernambuco – name: Clinical Hospital of Pernambuco |
| Author_xml | – sequence: 1 givenname: Tatiany Cíntia da Silva surname: Brito fullname: Brito, Tatiany Cíntia da Silva organization: Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil – sequence: 2 givenname: Jullyane Florencio Pacheco da surname: Silva fullname: Silva, Jullyane Florencio Pacheco da organization: Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil – sequence: 3 givenname: Bruno Teixeira surname: Moraes fullname: Moraes, Bruno Teixeira organization: Otorhinolaryngology Outpatient Clinic, Clinical Hospital of Pernambuco, Recife, PE, Brazil – sequence: 4 givenname: Mirella Bezerra Rodrigues surname: Vilela fullname: Vilela, Mirella Bezerra Rodrigues organization: Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil – sequence: 5 givenname: Coeli Regina surname: Ximenes fullname: Ximenes, Coeli Regina organization: Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil – sequence: 6 givenname: Daniela de surname: Vasconcelos fullname: Vasconcelos, Daniela de organization: Otorhinolaryngology Outpatient Clinic, Clinical Hospital of Pernambuco, Recife, PE, Brazil – sequence: 7 givenname: Nathália Suellen Valeriano surname: Cardoso fullname: Cardoso, Nathália Suellen Valeriano organization: Graduate Program in Human Communication Health, Health Sciences Center, Universidade Federal de Pernambuco, Recife, PE, Brazil – sequence: 8 givenname: Adriana de Oliveira Camargo surname: Gomes fullname: Gomes, Adriana de Oliveira Camargo email: acamargogomes@gmail.com organization: Department of Speech Therapy, Federal University of Pernambuco, Av. Prof. Artur de Sá, s/n, Cidade Universitária |
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| Cites_doi | 10.1007/s00405-014-3181-5 10.1016/j.otc.2019.03.016 10.1016/S0892-1997(05)80241-3 10.1016/j.otc.2012.09.001 10.4067/s0718-48162017000300239 10.34631/sporl.368 10.1007/s00405-018-5218-7 10.1016/j.siny.2016.03.003 10.1007/s00405-012-2058-8 10.5604/00306657.1182613 10.1177/0194599818804768 10.1007/s00405-018-5040-2 10.1016/j.jvoice.2010.09.004 10.1590/2317-1782/20152014167 10.1177/00034894850940S601 10.1007/s00405-019-05623-1 10.1177/000348949610500304 10.1159/000095000 10.1016/j.jvoice.2015.03.016 10.1016/j.anl.2012.08.003 10.1159/000475552 10.1016/j.jvoice.2009.06.008 10.1055/s-0039-1688457 10.1016/j.jvoice.2015.09.017 10.1055/s-0034-1372512 10.1016/j.jvoice.2017.02.006 10.1177/0003489417753224 10.1016/j.anl.2017.08.003 10.1016/j.jvoice.2015.12.005 |
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Estevão, R; Sousa, A – volume: 276 start-page: 3165 issue: 11 year: 2019 end-page: 3171 article-title: The association of sulcus vocalis and benign vocal cord lesions: intraoperative findings publication-title: Eur Arch Otorhinolaryngol contributor: fullname: Sünter, AV; Kırgezen, T; Yiğit, Ö; Çakır, M – volume: 127 start-page: 223 issue: 04 year: 2018 end-page: 228 article-title: Temporalis fascia transplantation for sulcus vocalis and vocal fold scar: long-term outcomes publication-title: Ann Otol Rhinol Laryngol contributor: fullname: Karle, WE; Helman, SN; Cooper, A; Zhang, Y; Pitman, MJ – year: 2018 publication-title: Microcirurgia de laringe no tratamento de crianças disfônicas: Quando e por que indicar. contributor: fullname: Siqueira, DB – volume: 272 start-page: 131 issue: 01 year: 2015 end-page: 136 article-title: Videolaryngostroboscopy versus microlaryngoscopy for the diagnosis of benign vocal cord lesions: a prospective clinical study publication-title: Eur Arch Otorhinolaryngol contributor: fullname: Akbulut, S; Altintas, H; Oguz, H – volume: 45 start-page: 661 issue: 04 year: 2018 end-page: 666 article-title: Is voice therapy effective for the treatment of dysphonic patients with benign vocal fold lesions? publication-title: Auris Nasus Larynx contributor: fullname: Ogawa, M; Inohara, H – volume: 18 start-page: 294 issue: 03 year: 2014 end-page: 302 article-title: Improvement of vocal pathologies diagnosis using high-speed videolaryngoscopy publication-title: Int Arch Otorhinolaryngol contributor: fullname: Tsuji, DH; Hachiya, A; Dajer, ME; Ishikawa, CC; Takahashi, MT; Montagnoli, AN – start-page: 247 year: 2013 end-page: 294 publication-title: Behlau VozM.. o livro do especialista contributor: fullname: Behlau, M; Azevedo, R; Pontes, P; Brasil, O – volume: 30 start-page: 761 issue: 06 year: 2016 end-page: 761 article-title: Voice disorders: etiology and diagnosis publication-title: J Voice contributor: fullname: Martins, RH; do Amaral, HA; Tavares, EL; Martins, MG; Gonçalves, TM; Dias, NH – volume: 108 start-page: 391 year: 1987 end-page: 392 article-title: Sulcus glottidis. 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Introduction
Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and... Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of... Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade... Abstract Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the... |
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| SubjectTerms | microsurgery Original Research OTORHINOLARYNGOLOGY speech therapy vocal folds voice disorders voice quality |
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| Title | Minor Structural Alterations of the Vocal Fold Cover: Vocal Quality before and after Treatment |
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