Broncho-Esophagology

Comparing short-term outcomes of surgery and voice therapy for patients with vocal fold polyps

Corresponding Author

Jay Agarwal MD

[email protected]

orcid.org/0000-0001-9016-7960

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Send correspondence to Jay Agarwal, MD, Department of Otolaryngology–Head and Neck Surgery, 310 14th Street, New York, NY 10003. E-mail: [email protected]Search for more papers by this author

Anni Wong MD,

Anni Wong MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

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William Karle MD,

William Karle MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

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Matthew Naunheim MD, MBA,

Matthew Naunheim MD, MBA

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

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Matthew Mori MD,

Matthew Mori MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

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Mark Courey MD,

Mark Courey MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Search for more papers by this author

Jay Agarwal MD,

Corresponding Author

Jay Agarwal MD

[email protected]

orcid.org/0000-0001-9016-7960

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Send correspondence to Jay Agarwal, MD, Department of Otolaryngology–Head and Neck Surgery, 310 14th Street, New York, NY 10003. E-mail: [email protected]Search for more papers by this author

Anni Wong MD,

Anni Wong MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Search for more papers by this author

William Karle MD,

William Karle MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Search for more papers by this author

Matthew Naunheim MD, MBA,

Matthew Naunheim MD, MBA

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Search for more papers by this author

Matthew Mori MD,

Matthew Mori MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Search for more papers by this author

Mark Courey MD,

Mark Courey MD

Department of Otolaryngology–Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A

Search for more papers by this author

First published: 02 January 2019

https://doi.org/10.1002/lary.27697

Citations: 12

The authors have no funding, financial relationships, or conflicts of interest to disclose.

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Abstract

Objectives/Hypothesis

Optimal treatment for patients with vocal fold polyps (VFPs) remains controversial. We compared the short-term outcomes of treatment with voice therapy alone (VT), surgery alone (SUR)m or voice therapy and surgery (VTS).

Study Design

Retrospective case series.

Methods

A retrospective study was performed for patients diagnosed with VFP (International Classification of Diseases, Ninth Revision code 478.4 and Tenth Revision code J38.1) between January 2010 and April 2016. Inclusion criteria were age greater than 18 years and charted evidence of treatment with voice therapy, surgery, or both. Exclusion criteria were history of laryngeal cancer or radiation above the clavicles. Outcomes measured included chart records of lesion absence, persistence or recurrence, and differences between pretreatment and post-treatment Voice Handicap Index-10 and GRBAS (G/grade, R/roughness, B/breathiness, A/asthenia, S/strain) scores.

Results

One hundred twenty patients with VFPs were identified (SUR = 23, 19.2%, VT = 29, 24.2%, VTS = 68, 56.7%). Mean follow-up was 5.5 months. There were no recurrences in 115 patients (95.8%). There was significant improvement from pre- to post-treatment VHI-10 scores in the SUR (mean improvement = 12.5, standard deviation [SD] = 12.7) and VTS (mean improvement = 12.3, SD = 10.3) groups compared to the VT (mean improvement = 2.84, SD = 11.9) group (P = .009). Pre- and post-treatment GRBAS scores did not significantly change in any group.

Conclusions

When using patient-reported outcomes measures, patients with VFPs receive the greatest short-term gains from treatment paradigms involving surgery or a combination of surgery and voice therapy. Voice therapy alone did not result in significant short-term changes. Perceptual voice characteristics did not change significantly for any group. Further research on long-term treatment outcomes for patients with VFPs is needed.

Level of Evidence

3 Laryngoscope, 129:1067–1070, 2019

BIBLIOGRAPHY

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Citing Literature

Volume129, Issue5

May 2019

Pages 1067-1070

Comparing short-term outcomes of surgery and voice therapy for patients with vocal fold polyps

Abstract

Objectives/Hypothesis

Study Design

Methods

Results

Conclusions

Level of Evidence

BIBLIOGRAPHY

Citing Literature

References

Information

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Comparing short-term outcomes of surgery and voice therapy for patients with vocal fold polyps

Abstract

Objectives/Hypothesis

Study Design

Methods

Results

Conclusions

Level of Evidence

BIBLIOGRAPHY

Citing Literature

References

Related

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