International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 4 , ISSUE 2 ( July-December, 2014 ) > List of Articles

RESEARCH ARTICLE

Does Voice Therapy Cure All Vocal Fold Nodules?

Baisakhi Bakat, Arunima Roy, Amitabha Roychoudhury, Barin Kumar Raychaudhuri

Citation Information : Bakat B, Roy A, Roychoudhury A, Raychaudhuri BK. Does Voice Therapy Cure All Vocal Fold Nodules?. Int J Phonosurg Laryngol 2014; 4 (2):55-59.

DOI: 10.5005/jp-journals-10023-1083

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Vocal nodules are known to be one of the most common benign lesions, commonly situated at the junction of anterior one third and posterior two third of vocal folds. Voice therapy is considered to be the gold standard of treatment of vocal fold nodule.

Objectives

To determine the efficacy of voice therapy in the treatment of vocal fold nodules and to identify any possible reason for failure to voice therapy in managing vocal fold nodules.

Materials and methods

A prospective study, conducted over a period of 6 months. Eighteen adult patients diagnosed with vocal fold nodules at a tertiary care hospital were subjected to 6 weeks of voice therapy. Pre and post therapy subjective (Voice Handicap Index-10) and objective (Rigid fiber optic laryngoscopy) evaluation was done. Patients with no improvement after 6 weeks of voice therapy underwent micro laryngeal surgery. All patients were followed up at 3 months and 6 months.

Results

In majority of patients, objective and subjective voice outcome parameters were significantly improved after voice therapy. Although a few cases showed no significant improvement after therapy, they recovered completely after microlaryngoscopic surgery. It was found that patients who required surgery even after voice therapy had hard nodules.

How to cite this article

Bakat B, Gupta A, Roy A, Roychoudhury A, Raychaudhuri BK. Does Voice Therapy Cure All Vocal Fold Nodules? Int J Phonosurg Laryngol 2014;4(2):55-59.


PDF Share
  1. Effect of voice therapy after phonomicrosurgery for vocal polyps: a prospective, historically controlled, clinical study. J Laryngol Otol 2013 Apr;127(12):1156-1159.
  2. Anatomie et anatamopathologie des lesions benignes des cordes vocalis. Revue Laryngologie Otology Rhinologie 1999;120: 275-280.
  3. Disorders of the voice. In: John Hibbert. Scott Brown's Otolaryngology, Head and neck Surgery. London: Hodder Arnold 2008;2:2198.
  4. In: Roychoudhuri BK, editor. Synopsis of Otorhinolaryngology. India: CBS publishers and distributers Pvt Ltd; 2013. p. 270.
  5. Medical and surgical treatment of pediatric dysphonia. Otolaryngologic clinics of North America 2000; 33(5):1111-1126.
  6. Correlation of findings on direct laryngoscopy and bronchoscopy with presence of extraoesophageal reflux disease. Laryngoscope 2000;110(9):1560-1562.
  7. Dual-probe pH monitoring for the assessment of gastroesophageal reflux in the course of chronic hoarseness in children. Turkish J Pediat 2000;42(3):186-191.
  8. Laryngopharyngeal reflux: events in patients with vocal cord nodules. Laryngoscope 1998;108(8 pt 1):1146-1149.
  9. Role of refluxed acid in pathogenesis of laryngeal disorders. Am J Med 1997;103(Suppl 5A):S100-106.
  10. Esophagopharyngeal distribution of refluxed gastric acid in patients with vocal cord nodule and chronic sinusitis: Gastroenterology 1998;114:A315.
  11. Videostroboscopic examination of the larynx. London: Whurr Publishers Ltd, 1993.
  12. Vocal nodules, microwebs and surgery. J Voice 1995;9(3):326-331.
  13. Surgical versus nonsurgical interventions for vocal cord nodules. Cochrane Database of Systematic Reviews 2012, Issue 6. Art. No.: CD001934.
  14. Available at: http://www.asha.org/public/speech/disorders/NodulesPolyps. Accessed on Nov. 10th, 2014.
  15. Microlaryngoscopy and endolaryngeal microsurgery: technique and typical findings. In: Kleinsasser O. Philadelphia: Hanley and Belfus 1990. p. 42-43.
  16. Study of the influence of psychological factors in the etiology of vocal nodules in women. J Voice 2013;27(1):127.
  17. The clinicopathologic spectrum of benign mass lesions of the vocal fold due to vocal abuse. Int J Surg Pathol 2011 Oct;19(5):583-587.
  18. MRI anatomical and morphological differences in the vocal tract between dysphonic and normal adult women. J Voice 2011 Nov;25(6):743-750.
  19. The professional voice. In: Richardson MA, Flint PW. Cummings otolaryngology head and neck surgery. Philadelphia: Mosby; 2010;1:5:p. 871.
  20. Molecular and cellular structure of vocal fold tissue. In: Titze I Red Vocal fold physiology. San deigo. Singular publishing group, 1993.
  21. Ultrastructural changes of Basement membrane zone in benign lesions of the vocal folds. Acta Otolaryngol (Stockh) 1993;113(1):98-101.
  22. Cellular physiology of the vocal folds. The otolaryngologic clinics of north America 2000 Aug;33(4):684.
  23. Ectasias and varices of the vocal fold: Clearing the striking zone. Ann Otol Rhinol Laryngol 1999;108(1):10-16.
  24. The voice handicap index (VHI): development and validation. American Journal of Speech Language Pathology 1997;6(3):66-70.
  25. Development and validation of the voice handicap index-10. Laryngoscope 2004 Sep;114(9):1549-1556.
  26. Voi SS: a patient derived voice symptom scale. J Psychosom Res 2003 May;54(5):483-489.
  27. Validation of an instrument to measure quality of life. J Voice 1999;13(4):557-559.
  28. Development and validation of the voice handicap index-10. Laryngoscope 2004 Sep;114(9):1549-1556.
  29. Subjective anxiety measurements and cortisol responses in adults who stutter. J Speech and Hearing Res 1994;37(1): 69-82.
  30. Comparison of benign lesion regression following vocal fold steroid injection and vocal hygiene education. Laryngoscope 2014;124(2):510-515.
  31. Available at: http://emedicine.medscape.com/article/866712-overview#a30. Accessed on 10th Nov, 2014.
  32. The outcome of hydration in functional dysphonia. An Otorrinolaringol Ibero Am 2002;29(4):377-391.
  33. Voice therapy outcomes in vocal fold nodules: a retrospective audit. Int J Language Communication Disorder 2001;36 Suppl:19-24.
  34. Phonosurgery of vocal fold polyps, cysts and nodules is beneficial. Dan Med J Feb 2013;60(2):A 4577.
  35. Strobovideolaryngoscopy in professional voice users: results and clinical value. J Voice 1988;1(4):359-364.
  36. Strobovideolaryngoscopy: results and clinical value. Ann Otorhinol Laryngol 1991 Sep;100(9 pt 1):725-727.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.