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J Korean Soc Laryngol Phoniatr Logop > Volume 27(1); 2016 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2016;27(1): 25-29.
성대구증 및 성대 반흔 환자에서 주사후두성형술의 효과
우주현, 백민관, 김동영, 박형민, 안상희, 문광하, 차흥억
가천대학교 의과대학 길병원 이비인후-두경부외과학교실
Injection Laryngoplasty for The Treatment of Vocal Fold Scar, and Sulcus
Joo Hyun Woo, Min Kwan Baek, Dong Young Kim, Hyoung-Min Park, Sanghee An, Kwang Ha Moon, Heung Eog Cha
Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center, Incheon, Korea
Correspondence  Heung Eog Cha ,Tel: (032)460-3324, Fax: (032)467-9044, Email: c1453@gilhospital.com
Received: 26 November 2015;  Accepted: 31 December 2015.  Published online: 30 June 2016.
ABSTRACT
Background and Objectives
The clinical reports for the treatment of vocal fold scar and sulcus vocalis are limited, also there is no best one for the treatment of them. This study is to evaluate the effect of Injection laryngoplasty (IL) for the treatment of vocal fold scar and sulcus vocalis.
Materials and Methods
from January 2013 to May 2015, the Nineteen patients who were diagnosed as vocal fold scar, sulcus and atrophy, and underwent IL, were engaged in this study. Clinical information and voice parameters were analyzed by retrospective chart review. Pre and post voice parameters were compared.
Results
Subgroups of diagnosis were classified into sulcus vocalis for 12 patients, vocal fold scar for 5, and atrophy for 2. IL was performed under local anesthesia through cricothyroid membrane except one patient. Atesense®, Radiessess®, and Rofilan® were used as injected materials in 9, 9, and 1 patients respectively. Maximal phonation time (p=0.0124), dynamic range (p=0.0028), pitch range (p=0.0141), voice handicap index (p=0.028), glottal closure (p=0.0229), and mucosal wave (p=0.0132) had significant improvement for post-IL voice assessment than Pre-IL. While GRBAS, Mean flow rate, Jitter, Shimmer, Harmony to Noise ratio didn’t have improvement.
Conclusion
IL is a feasible option for the treatment of glottis incompetence with normally mobile vocal folds such as sulcus vocalis and vocal fold scar.
KEY WORDS: Sulcus vocalisVocal atrophyScarInjection laryngoplasty
중심 단어: 성대구증성대위축반흔주사후두성형술
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