Effect of voice training in the voice rehabilitation of patients with vocal cord polyps after surgery

Lin,Li; Sun,Na; Yang,Qiuhua; Zhang,Ya; Shen,Ji; Shi,Lixin; Fang,Qin; Sun,Guangbin

doi:10.3892/etm.2014.1499

Effect of voice training in the voice rehabilitation of patients with vocal cord polyps after surgery

Authors:
- Li Lin
- Na Sun
- Qiuhua Yang
- Ya Zhang
- Ji Shen
- Lixin Shi
- Qin Fang
- Guangbin Sun
View Affiliations

Affiliations: Department of Otolaryngology, Gongli Hospital, Shanghai 200135, P.R. China, Department of Nurse Care, Gongli Hospital, Shanghai 200135, P.R. China
Published online on: January 23, 2014 https://doi.org/10.3892/etm.2014.1499
Pages: 877-880

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

The objective of the present study was to determine the effect of voice training on the vocal rehabilitation of patients with vocal cords polyps following phonomicrosurgery. A total of 60 cases of vocal cord polyps treated by laser phonomicrosurgery were randomly divided into training and control groups with 30 cases in each group. The patients were treated with laser phonomicrosurgery, routine postoperative treatment and nursing. The training group were additionally treated with vocal training, including relaxation training, breathing training, basic pronunciation training, chewing voice training and tone sandhi pronunciation training, and attention was paid to the training steps. Subjective and objective voice evaluations of the two groups were compared three months after the surgery and the differences between groups were statistically significant (P<0.05). Voice training may significantly improve the postoperative voice quality of patients with vocal cord polyps and support rehabilitation.

View Figures

View References

1	Vaughan CW, Blaugrund SM, Gould WJ, Hirano M and Osoff R: Surgical management of voice disorders. J Voice. 2:176–181. 1988. View Article : Google Scholar
2	Gartner-Schmidt JL, Roth DF, Zullo TG and Rosen CA: Quantifying component parts of indirect and direct voice therapy related to different voice disorders. J Voice. 27:210–216. 2013. View Article : Google Scholar : PubMed/NCBI
3	Schindler A, Mozzanica F, Ginocchio D, Maruzzi P, Atac M and Ottaviani F: Vocal improvement after voice therapy in the treatment of benign vocal fold lesions. Acta Otorhinolaryngol Ital. 32:304–308. 2012.PubMed/NCBI
4	Valadez V, Ysunza A, Ocharan-Hernandez E, Garrido-Bustamante N, Sanchez-Valerio A and Pamplona MC: Voice parameters and videonasolaryngoscopy in children with vocal nodules: a longitudinal study, before and after voice therapy. Int J Pediatr Otorhinolaryngol. 76:1361–1365. 2012. View Article : Google Scholar : PubMed/NCBI
5	Solomon NP, Helou LB, Henry LR, et al: Utility of the voice handicap index as an indicator of postthyroidectomy voice dysfunction. J Voice. 27:348–354. 2013. View Article : Google Scholar : PubMed/NCBI
6	Hirano M: Psycho-acoustic evaluation of voice: GRBAS Scale for evaluating the hoarse voice. Clinical Examination of Voice New York: Springer-Verlag; pp. 81–84. 1981
7	Vinney LA and Turkstra LS: The role of self-regulation in voice therapy. J Voice. 27:390.e1–390.e11. 2013. View Article : Google Scholar : PubMed/NCBI
8	Goessler UR: Traditional transcutaneous approaches in head and neck surgery. GMS Curr Top Otorhinolaryngol Head Neck Surg. 11:Doc062012.PubMed/NCBI
9	Hartnick CJ: Management of complex pediatric voice disorders. Laryngoscope. 122(Suppl 4): S87–S88. 2012. View Article : Google Scholar : PubMed/NCBI
10	Haben CM: Voice rest and phonotrauma in singers. Med Probl Perform Art. 27:165–168. 2012.PubMed/NCBI
11	Berg EE, Hapner E, Klein A and Johns MM III: Voice therapy improves quality of life in age-related dysphonia: a case-control study. J Voice. 22:70–74. 2007. View Article : Google Scholar : PubMed/NCBI
12	Tomifuji M, Araki K, Niwa K, et al: Comparison of voice quality after laser cordectomy with that after radiotherapy or chemoradiotherapy for early glottic carcinoma. ORL J Otorhinolaryngol Relat Spec. 75:18–26. 2013. View Article : Google Scholar : PubMed/NCBI
13	Lombard LE and Steinhauer KM: A novel treatment for hypophonic voice: Twang therapy. J Voice. 21:294–299. 2007. View Article : Google Scholar : PubMed/NCBI
14	Kim YH, Lee SH, Park CW and Cho JH: Nasalance change after sinonasal surgery: analysis of voice after septoturbinoplasty and endoscopic sinus surgery. Am J Rhinol Allergy. 27:67–70. 2013. View Article : Google Scholar : PubMed/NCBI
15	Yılmaz T: Sulcus vocalis: excision, primary suture and medialization laryngoplasty: personal experience with 44 cases. Eur Arch Otorhinolaryngol. 269:2381–2389. 2012.PubMed/NCBI
16	Godino-Llorente JI, Osma-Ruiz V, Sáenz-Lechón N, Cobeta-Marco I, González-Herranz R and Ramírez-Calvo C: Acoustic analysis of voice using WPCVox: a comparative study with Multi Dimensional Voice Program. Eur Arch Otorhinolaryngol. 265:465–476. 2008. View Article : Google Scholar : PubMed/NCBI
17	Rohde SL, Wright CT, Muckala JC, Wiggleton J, Rousseau B and Netterville JL: Voice quality after recurrent laryngeal nerve resection and immediate reconstruction. Otolaryngol Head Neck Surg. 147:733–736. 2012. View Article : Google Scholar : PubMed/NCBI
18	Cho KJ, Nam IC, Hwang YS, et al: Analysis of factors influencing voice quality and therapeutic approaches in vocal polyp patients. Eur Arch Otorhinolaryngol. 268:1321–1327. 2011. View Article : Google Scholar : PubMed/NCBI
19	Ohlsson AC, Andersson EM, Södersten M, Simberg S and Barregård L: Prevalence of voice symptoms and risk factors in teacher students. J Voice. 26:629–634. 2012. View Article : Google Scholar : PubMed/NCBI
20	Ruddy BH, Lewis V and Sapienza CM: The role of the speech-language pathologist in the schools for the treatment of voice disorders: working within the framework of the Individuals with Disabilities Education Improvement Act. Semin Speech Lang. 34:55–62. 2013. View Article : Google Scholar : PubMed/NCBI
21	Majdinasab F, Karkheiran S, Moradi N, Shahidi GA and Salehi M: Relation between Voice Handicap Index (VHI) and disease severity in Iranian patients with Parkinson’s disease. Med J Islam Repub Iran. 26:157–163. 2012.PubMed/NCBI
22	Martins RH, Tavares EL, Fabro AT, Martins MG and Dias NH: Mucosal bridge of the vocal fold: difficulties in the diagnosis and treatment. J Voice. 26:127–131. 2012. View Article : Google Scholar : PubMed/NCBI
23	Tezcaner CZ, Karatayli Ozgursoy S, Sati I and Dursun G: Changes after voice therapy in objective and subjective voice measurements of pediatric patients with vocal nodules. Eur Arch Otorhinolaryngol. 266:1923–1927. 2009. View Article : Google Scholar : PubMed/NCBI
24	Nemr K, Simões-Zenari M, Cordeiro GF, et al: GRBAS and Cape-V scales: high reliability and consensus when applied at different times. J Voice. 26:812.e17–e22. 2012. View Article : Google Scholar : PubMed/NCBI
25	Wiskirska-Woźnica B, Leszczyńska M, Swidziński, Czerniejewska H, Jackowska J and Witold S: Voice estimation in patients after reconstructive subtotal laryngectomy. Head Neck Oncol. 3:462011.PubMed/NCBI
26	Park JO, Shim MR, Hwang YS, et al: Combination of voice therapy and antireflux therapy rapidly recovers voice-related symptoms in laryngopharyngeal reflux patients. Otolaryngol Head Neck Surg. 146:92–97. 2012. View Article : Google Scholar : PubMed/NCBI