title: One-year follow-up results of combined use of CO2 laser and cold instrumentation for Reinke's edema surgery in professional voice users.
abstract: The purpose of this study was to present our experience with combined use of CO2 laser and cold instrumentation for Reinke's edema surgery and to evaluate 1-year follow-up results of the technique in a series of professional voice users. Fifteen patients with Reinke's edema who underwent microlaryngoscopic surgery were included. Videolaryngostroboscopy, perceptual and acoustic voice analyses were performed before and after surgery. During the 1-year follow-up, no recurrence of Reinke's edema was encountered. Significant postoperative improvement was obtained in the quality of voice, in terms of GRBAS scores, Fo, jitter, shimmer and NHR. No evidence of laryngeal cancer was found on the histological examinations. Combined use of CO2 laser and cold instrumentation provides a reliable and safe method for Reinke's edema surgery, and cessation of smoking, voice rest and control of the laryngopharyngeal reflux contribute to the success of surgery. We consider that the removal of redundant mucosa of the vocal fold reduces the risk of the recurrence of Reinke's edema and provides better quality of voice. However, it does not imply that our method is superior to others', but this procedure constitutes an effective treatment of choice for Reinke's edema patients, including professional voice users.
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, University of Ankara, Ankara, Turkey.
authors: Gursel
authors: G
authors: Dursun
authors: Ozan Bagis
authors: OB
authors: Ozgursoy
authors: Ozgur
authors: O
authors: Kemal
authors: Isil
authors: I
authors: Coruh
mesh_terms: D000328:Adult; D002245:Carbon Dioxide / Q000737:chemistry*; D003080:Cold Temperature; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007819:Laryngeal Edema / Q000601:surgery* / Q000628:therapy*; D007834:Lasers; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome; D014831:Voice; D014832:Voice Disorders / Q000601:surgery* / Q000628:therapy
chemical_list: D002245:Carbon Dioxide