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  Contents > Previous page > Article detail print Order
o Issue N# 5 - 2017 o

PHONIATRICS

The effectiveness of voice therapy in the management of large, hard and/or asymmetric vocal fold nodules


Authors : Eldessouky HM, Shohdy SS, Ashry RA, Jabri WR. (Cairo)

Ref. : Rev Laryngol Otol Rhinol. 2017;138,5:203-206.

Article published in english
Downloadable PDF document english



Summary : Background: There is a clinical trend among otolaryngo­logists and phoniatrians that large, hard and/or asymmetrical vocal fold nodules are managed by microlaryngscopic removal. Others give a trial of voice therapy with uncertain outcomes. Objective: The purpose of this study is to illustrate if the voice therapy is effective in the management of large, hard and/or asymmetrical vocal fold nodules or not to save effort and time and to direct patient to optimal option of management. Methods: This study was conducted on 20 patients with large, hard and/or asymmetrical vocal fold nodules who were subjec­ted to initial voice assessment protocol. Then they recei­ved voice therapy (Smith Accent method). Voice assessment proto­col was applied after cessation of therapy and after 2 months post therapy. Results were compared together. Results: The results showed that there were significant differences in most of the measured parameters with evident improvement in most cases but there is a need for longer duration of follow up. Highly motivated cooperative candidates give better results. Conclusion: The general outcome of the results supported that voice therapy seemed to be an effective method in the manage­ment of large, hard and/or asymmetrical vocal fold nodules. However, further controlled studies using more number of patients and follow up for longer times are still needed to strongly confirm the previous results.

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