Fahim Ramez Sabry, Ghita Alaa El Din Fathi, Abdelmonem Ahmed, Youssef Rabie Sayed
Faculty of Medicine, Beni-Suef University, Egypt.
Military Medical Academy, Egypt.
J Voice. 2021 Nov;35(6):906-912. doi: 10.1016/j.jvoice.2020.02.012. Epub 2020 Apr 6.
The aim of this study is to compare the relatively new CO laser microlaryngeal surgery and conventional cold dissection method in treatment of minimal associated pathological lesions of vocal folds. Eighty patients aged 20-70 years old were randomly divided into two groups, group A (40 patients) was treated by the conventional method and group B (40 patients) was treated with CO laser microlaryngeal surgery. Assessment procedures included GRBAS scale, stroboscopic examination, and Arabic version of voice handicap index. Results stated that improvement of quality of voice after surgery in both techniques had no significant difference. The significant difference was in operative time and bleeding because laser had less time and bleeding. Both techniques had no recurrence within 3-months follow-up.
本研究旨在比较相对较新的CO激光显微喉手术与传统冷剥离方法治疗声带微小相关病理病变的效果。80例年龄在20至70岁之间的患者被随机分为两组，A组（40例患者）采用传统方法治疗，B组（40例患者）采用CO激光显微喉手术治疗。评估程序包括GRBAS量表、频闪喉镜检查以及阿拉伯语版嗓音障碍指数。结果表明，两种技术术后嗓音质量的改善无显著差异。显著差异在于手术时间和出血量，因为激光手术的时间和出血量较少。在3个月的随访期内，两种技术均无复发情况。
