Head and Neck Oncology Service, Candiolo Cancer Institute, FPO IRCCS, Candiolo, Turin, Italy.
Head and Neck Oncology Service, Candiolo Cancer Institute, FPO IRCCS, Candiolo, Turin, Italy; Oncology Dept., University of Turin, Turin, Italy.
J Voice. 2023 Jul;37(4):636.e21-636.e26. doi: 10.1016/j.jvoice.2021.03.006. Epub 2021 Mar 15.
During the Italian lockdown for Covid-19 emergency, due to stay-at-home orders, many people experienced an unusual period of voice rest. The present case series aims at reporting the spontaneous regression of some vocal fold polyps during the Italian lockdown for SARS-CoV2 pandemic.
Five patients with voice complaints presenting to a tertiary referral center and diagnosed with vocal fold polyps before the lockdown were included. Because of the lockdown restrictive measures, planned elective surgical procedures were suspended. The patients were re-assessed immediately after lockdown. Multidimensional voice assessments were conducted before and after the lockdown period through laryngostroboscopies, perceptual voice evaluations, electroacoustic analysis and self assessments.
The patients included in the present case series experienced a complete or nearly complete remission of symptoms. Videolaryngostroboscopies documented a complete or nearly complete regression of the polyps. Voices considerably improved both perceptually and electroacoustically. Self assessments showed a reduction of voice-related complaints.
The present study suggests that daily vocal load reduction may play a critical role in the conservative management of vocal fold polyps.
在意大利因新冠疫情而封锁期间，由于居家令的要求，许多人经历了一段不寻常的声带休息期。本病例系列旨在报告在意大利因 SARS-CoV2 大流行而封锁期间，一些声带息肉的自发消退。
纳入了 5 名因嗓音问题就诊于三级转诊中心并在封锁前被诊断为声带息肉的患者。由于封锁限制措施，计划的择期手术被暂停。封锁解除后立即对患者进行重新评估。通过频闪喉镜、感知嗓音评估、电声分析和自我评估，在封锁前后进行多维嗓音评估。
本病例系列中的患者经历了症状的完全或几乎完全缓解。视频频闪喉镜检查记录了息肉的完全或几乎完全消退。嗓音在感知和电声方面都有显著改善。自我评估显示嗓音相关投诉减少。
本研究表明，日常声带负荷减少可能在声带息肉的保守治疗中发挥关键作用。
