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J Korean Soc Laryngol Phoniatr Logop > Volume 28(2); 2017 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2017;28(2): 96-99.
doi: https://doi.org/10.22469/jkslp.2017.28.2.96
라인케 부종에서 후두미세수술 후의 음성 결과
김민송, 송창면, 김건호, 정선민, 지용배, 태경
한양대학교 의과대학 이비인후-두경부외과학교실
Acoustic Outcomes After Laryngomicrosurgery for Reinke’s Edema
Min Song Kim, Chang Myeon Song, Keon Ho Kim, Seon Min Jung, Yong Bae Ji, Kyung Tae
Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea
Correspondence  Kyung Tae ,Tel: (02) 2290-8585, Fax: (02) 2293-3335, Email: kytae@hanyang.ac.kr
Received: 31 October 2017; Revised: November 12, 2017   Accepted: 23 November 2017.  Published online: 31 December 2017.
ABSTRACT
Background and Objectives
The management of Reinke’s edema includes usually medical treatment and voice therapy. Laryngomicrosurgery (LMS) is also necessary, especially to improve airway obstruction. However, voice outcome after LMS has not been determined well. The aim of this study was to evaluate effectiveness of LMS for Reinke’s edema and analyze the voice outcomes after LMS.
Materials and Methods
Twenty-five patients with Reinke’s edema who underwent LMS from September 2007 to December 2016 were enrolled in this study. We analyzed reflux finding score (RFS), reflux symptom index (RSI), and acoustic parameters before and after surgery.
Results
Male was 15 (60%) and female was 10 (40%), and mean age was 49.6 years. Preoperative mean value of RFS decreased significantly up to 3 months after LMS (18.3±2.2 and 10.0±2.2 at preoperative and 3 months postoperatively, respectively). The mean value of Jitter decreased significantly before and after surgery (2.71±2.81% and 1.06±1.21% before and after LMS, p=0.041). The mean value of Shimmer also decreased significantly before and after surgery (7.97±3.63% and 4.83±1.85%, respectively, p=0.006).
Conclusion
LMS is effective in the treatment of Reinke’s edema. It results in favorable acoustic outcomes and laryngoscopic findings in properly selected patients.
KEY WORDS: Reinke’s edemaAcoustic parameterJitterShimmerLaryngeal microsurgery.
중심 단어: 라인케 부종음향지표후두미세수술.
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