Vascular lesions of the vocal fold

Goekcan K. M., Dursun G.

EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, cilt.266, sa.4, ss.527-533, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 266 Sayı: 4
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1007/s00405-008-0792-8
  • Dergi Adı: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.527-533
  • Anahtar Kelimeler: Vocal cords, Hemorrhage, Varicose veins, Vocal cords/surgery, Laser surgery/methods, MICROVASCULAR LESIONS
  • Ankara Üniversitesi Adresli: Evet

Özet

The aim of the study was to present symptoms, laryngological findings, clinical course, management modalities, and consequences of vascular lesions of vocal fold. This study examined 162 patients, the majority professional voice users, with vascular lesions regarding their presenting symptoms, laryngological findings, clinical courses and treatment results. The most common complaint was sudden hoarseness with hemorrhagic polyp. Microlaryngoscopic surgery was performed in 108 cases and the main indication of surgery was the presence of vocal fold mass or development of vocal polyp during clinical course. Cold microsurgery was utilized for removal of vocal fold masses and feeding vessels cauterized using low power, pulsed CO(2) laser. Acoustic analysis of patients revealed a significant improvement of jitter, shimmer and harmonics/noise ratio values after treatment. Depending on our clinical findings, we propose treatment algorithm where voice rest and behavioral therapy is the integral part and indications of surgery are individualized for each patient.