title: Phonosurgery of vocal fold polyps, cysts and nodules is beneficial.
abstract: BACKGROUND
  This study reports our experience with microscopic phonosurgery (PS) of benign lesions of the vocal folds.
  
  
  METHODS
  During the five-year period from 2003 to 2007, a total of 97 patients had PS for vocal fold polyps (n = 63), vocal fold cysts (n = 17), vocal fold nodules (n = 12) or vocal fold oedema (n = 5). Their average age was 41 years; 62% were women and 69% were smokers. Post-operative voice therapy was given to 45 patients. Post-operative clinical evaluation was available for data analysis in 89 patients (92%). Voice quality was assessed using the Multi-Dimensional Voice Program (MDVP), video-stroboscopy and self-reported assessment. The median follow-up time was 3.9 months.
  
  
  RESULTS
  Post-operative voice quality was reported as unaffected in 85%, improved but moderately affected in 13%, and severely affected in one patient with a cyst and vocal fold sulcus. Unaffected voice quality was obtained in 91% of patients not receiving voice therapy and in 77% of patients receiving voice therapy. All lesions except one polyp in the anterior commissure were completely removed. MDVP was performed both pre- and post-operatively in 22% of patients. The effect was a significant improvement of jitter (p = 0.013), shimmer (p = 0.001) and Soft Phonation Index (p = 0.013).
  
  
  CONCLUSIONS
  PS is a quick and effective treatment with uncommon and transient post-operative complications. Objective assessment of the voice pre- and post-operatively should be used consistently and applied in controlled studies evaluating the additional impact of pre- and post-operative voice therapy.
  
  
  BACKGROUND
  not relevant.
  
  
  BACKGROUND
  not relevant.
authors: Biomedicinsk Institut, Københavns Universitet, 2200 Copenhagen N, Denmark. janebjen@sund.ku.dk
authors: Jane Bjerg
authors: JB
authors: Jensen
authors: Niels
authors: N
authors: Rasmussen
mesh_terms: D000328:Adult; D003560:Cysts / Q000534:rehabilitation / Q000601:surgery*; D004487:Edema / Q000601:surgery*; D005260:Female; D006801:Humans; D007818:Laryngeal Diseases / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D010699:Phonation; D011127:Polyps / Q000534:rehabilitation / Q000601:surgery*; D011184:Postoperative Period; D057234:Preoperative Period; D012907:Smoking; D014833:Voice Quality; D014834:Voice Training