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J Korean Soc Laryngol Phoniatr Logop > Volume 32(1); 2021 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2021;32(1): 24-28.
doi: https://doi.org/10.22469/jkslp.2021.32.1.24
성대 용종의 예후 인자와 음성 위생법 치료 효과 분석
최나연1 , 김동규2 , 이길준2
1제주대학교 의과대학 이비인후-두경부외과학교실
2경북대학교 의과대학 이비인후-두경부외과학교실
Analysis for Risk Factors and Effect of Vocal Hygiene Education in Patients of Vocal Polyp
Nayeon Choi1 , Dong Gyu Kim2 , GilJoon Lee2
1Department of Otorhinolaryngology-Head and Neck Surgery, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Kyungpook National University School of Medicine, Daegu, Korea
Correspondence  GilJoon Lee ,Tel: +82-53-200-2166, Fax: +82-53-200-2027, Email: giljoon.lee@gmail.com
Received: 19 November 2020; Revised: December 5, 2020   Accepted: 17 December 2020.  Published online: 28 April 2021.
Background and Objectives
s Vocal polyp is one of the most common benign diseases of vocal fold caused by overuse of voice. Laryngeal microsurgery is the first treatment of choice for vocal polyp. However, surgery has many risks such as side effects of general anesthesia, injury of tooth and psychological burden. And we often experience reduction of vocal polyps without surgical procedure. The purpose of study is to evaluate the effect of non-surgical treatment such as vocal hygiene education and proton pump inhibitor (PPI) in patients with vocal polyp.
Materials and Method
We performed retrospective study for seventy-three patients of vocal polyp who treated with non-surgical modalities such as vocal hygiene education and PPI over three months. Treatment outcomes and risk factors such as age, sex, polyp size, position, symptom duration, presence of laryngopharyngeal reflux (LPR) symptoms, smoking history, voice abuse history and vocal hygiene education were evaluated by comparison between polyp size improved group and non-improved group.
5.5% of enrolled patients showed complete response and 23.3% showed partial response without surgery. Polyp size improved group significantly carried out more practice of vocal hygiene education treatment than the non-improved group (p=0.040). And the presence of LPR symptoms [hazard ratio (HR) 3.368, confidence interval (CI) 1.055–10.754, p=0.040] and not performing of vocal hygiene education (HR 3.664, 95% CI 1.078–12.468, p=0.038).
Vocal hygiene education can be a useful treatment option when making a decision to treat with vocal polyp.
KEY WORDS: Vocal polyp; Vocal hygiene; Proton pump inhibitor
중심 단어: 성대 용종, 음성 위생, 양성자 펌프 억제제
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