Nayak Gautam Kumar, Sridharan Sruthy, Devi Jahnavi, Bhattacharyya Rohit
Department of Otorhinolaryngology and Head and Neck Surgery, Gauhati Medical College Hospital, Guwahati, India.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5687-5691. doi: 10.1007/s12070-024-05065-0. Epub 2024 Sep 16.
This study aimed to examine the impact of the timing of voice therapy on vocal outcomes in patients post-surgery for benign vocal fold lesions.The study prospectively assessed 20 patients undergoing phonomicrosurgery for benign vocal fold lesions. Participants were categorized into early voice therapy (within 7 days), late voice therapy (after 7 days), and no voice therapy groups. Vocal outcomes were assessed using the Voice Handicap Index (VHI) and the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V).Early voice therapy led to significant improvements in post-operative VHI scores ( = 0.001) and CAPE-V scores ( = 0.014199), whereas delayed or no therapy showed less pronounced improvements. No significant differences were observed in preoperative VHI and CAPE-V scores among the groups.Early initiation of voice therapy post-surgery significantly improves vocal outcomes in patients with benign vocal fold lesions. These findings advocate for the integration of early voice therapy into post-operative care protocols.
本研究旨在探讨嗓音治疗时机对良性声带病变手术后患者嗓音结局的影响。该研究前瞻性评估了20例接受良性声带病变显微手术的患者。参与者被分为早期嗓音治疗组（7天内）、晚期嗓音治疗组（7天后）和无嗓音治疗组。使用嗓音障碍指数（VHI）和嗓音的共识听觉-感知评估（CAPE-V）来评估嗓音结局。早期嗓音治疗导致术后VHI评分（=0.001）和CAPE-V评分（=0.014199）显著改善，而延迟治疗或不治疗的改善则不明显。各组术前VHI和CAPE-V评分未见显著差异。手术后早期开始嗓音治疗可显著改善良性声带病变患者的嗓音结局。这些发现主张将早期嗓音治疗纳入术后护理方案。
