New Opportunities in the Treatment of Dysphonia

České info

Nové možnosti v léčbě dysfonie

Cílem této studie bylo porovnat modality léčby benigních lézí hlasivek. 18 nemocnýchs perzistující dysfonií bylo rozděleno randomizací do dvou skupin. Skupina A dostala instrukceohledně hlasové hygieny od otorinolaryngologa, skupina B byla léčena farmakoterapií. Další skupinaC nemocných s perzistující dysfonií byla léčena v době začátku studie již 3 - 6 měsíců farmakologicky.Pacienti byli vyšetření v intervalu jednoho měsíce pomocí videostroboskopie hlasivek,fonetogramu a dotazníku o kvalitě života vztaženého ke hlasu. Statistická analýza výsledků hovořípro to, že by bylo možno jak farmakoterapii tak i doporučení ohledně hlasové hygieny považovat zazajímavé a snad i perspektivní klinické nástroje v léčbě dysfonie, výsledky je však nutno ověřitv rozsáhlejší studii.

Klíčová slova:
dysfonie, fonetografie, kvalita života, videostroboskopie.

Authors: A. Beranová; J. Betka
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha, přednosta prof. MUDr. J. Betka, DrSc.
Published in: Otorinolaryngol Foniatr, , 2003, No. 2, pp. 75-79.
Category:

Overview

New Opportunities in the Treatment of DysphoniaS u m m a r y:
The objective of this prospective randomized pilot study was to compare modalitiesof treatment of dysphonia. Eighteen patients with dysphonia persisting for more than two weeksattending successively the voice unit were divided at random into two groups. Group A was giveninstructions as regards vocal hygiene by an ENT specialist, group B was treated by pharmacotherapy.Group C, patients with persistent dysphonia had been treated at the beginning of the studypharmacologically already for 3 - 6 months. The patients were examined within a one-month intervalby means of videostroboscopy of the vocal cords, phonetogram and quality of life in relation to theirvoice. The difference in the area of the phonetogram before and after treatment was significant ingroups A and B (p = 0.03) but not in group C (p = 0.09). In the total score in the quality of lifequestionnaire there was an obvious trend of improvement after both types of treatment. The t-testwas significant in group A (p ~ 0.01 - 0.03) but not in group B (p ~ 0.08 - 0.10). Pharmacotherapy andrecommendations regarding vocal hygiene provided by an otolanrygologist (phoniatrist) can beconsidered an effective tool in the treatment of dysphonia.

Key words:
dysphonia, phonetrography, quality of life, videostroboscopy.

Full text is not available online.

If interested in a scan of this journal, contact NTO ČLS JEP.

Labels

Audiology Paediatric ENT ENT (Otorhinolaryngology)

Contribution to the Surgical Treatmentof Toxic Autonomous Thyroid Adenoma

Cholesteatoma behind an Intact EarDrum - Inborn or Acquired?

Experience with the Use of aVentilationTube STIPULA in theTreatmentof Otitis Media Chronica Secretoria at the ENT Department of the Masaryk Hospital in Ústí nadLabem during a 17-year Period

Prominent Ears - a Contribution to the Surgical Technique According to Mustardé andFurnas

Rhinomanometry - Introduction into Problem, Presentationof Findings

Risks of Adrenalin Use in Endonasal Operations

Regression of a Bilateral Warthin Tumourafter Aspiration Thin Needle Biopsy

Ganglioneuroma withMalignant Transformation

Haemangioma of Paranasal Sinuses

Kimura Disease

Article was published in

Otorhinolaryngology and Phoniatrics

2003 Issue 2