Clinical Analysis of Persistent and Recurrent Postoperative Dysphonia

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J Korean Soc Laryngol Phoniatr Logop > Volume 8(2); 1997 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 1997;8(2): 225-231.

후두미세수술후 지속적인 음성장애환자에 대한 임상적 고찰

김명상, 표화영, 최홍식, 김영호, 김광문

연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소

Clinical Analysis of Persistent and Recurrent Postoperative Dysphonia

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ABSTRACT

The persistent and recurrent dysphonia after microlaryngeal surgery was noted in tweleve patients. We reviewed the results of laryngostroboscopy, psychoacoustic evaluation, aerodynamic study and acoustic analysis according to the treatment modality. The causes of persistent dysphonia were attributed to vocal cord scarring, recurrent mass lesion, residual mass lesion, persistent inflammation, and hyperfunctional voice disorder. We noticed the better vocal function in the group treated with voice therapy or surgical therapy than the group treated with voice rest and medication. Therefore, we concluded that vocal function can be improved with the use of active, multidisciplinary approach which includes voice therapy, medical treatment and selected surgical resection according to the laryngeal lesions.

KEY WORDS： Dysphonia;Microlaryngeal surgery;Voice;Laryngostroboscopy;