A Study of the Causative Factors in Vocal Fold Hemorrhages

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J Korean Soc Laryngol Phoniatr Logop > Volume 11(2); 2000 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2000;11(2): 161-166.

성대 점막하출혈의 발생 요인에 관한 연구

문고정, 정덕희, 안철민

대진의료원 분당제생병원 이비인후과, 음성언어연구실

A Study of the Causative Factors in Vocal Fold Hemorrhages

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ABSTRACT

Background and Objectives
: Vocal fold hemorrhage occur by blood accumulation in Reinke's space by vocal trauma. It is mostly asymptomatic, but in some cases it may cause severe dysphonia. It is often seen in patients who use their voice professionally. However, recent changes of life style affected the phonation in general population. We studied to know what are the causes and what are the major factors to affect the vocal fold hemorrhages.
Materials and Method
s : 19 subjects were evaluated by using of questionaire and laryngoscopic examinations. We evaluated the factors to lead the change in voice directly, underlying causes, occupations and laryngeal findings.
Results
: The direct causes of the vocal fold hemorrhages were clearing throat, talking, coughing and singing. Reflux laryngitis and upper respiratory infection were the underlying diseases. Vocal fold hemorrhages were developed during the menstruation in 5 patients. Accompanying functional voice disorders were seen in 13 patients, such as, vocal fold nodule, nodule with varix, vocal polyp, Reinke's edema. Patients with reflux laryngitis had the habits of clearing throat as the direct cause of the vocal fold hemorrhages and had hyperkinetic functional voice disorders. Voice abuse was the direct cause of the vocal fold hemorrhages in patients who was in the period of the menstruation. The most common site of the hemorrhage was at the membranous portion of the vocal folds.
Conclusion
s : Authors thought the forceful laryngeal activity was the cause of the vocal fold hemorrhages. And reflux laryngitis and menstruation was the risk factors of the vocal fold hemorrhages.

KEY WORDS： Vocal fold hemorrhages;Reflux laryngitis;Menstruation;Forceful laryngeal activity;

중심 단어： 성대 점막하출혈;역류성 후두염;생리;과기능성 음성 장애;