title: [A presentation of a practical algorithm which can be used in the management of vocal cord nodules, polyps and intraepithelial neoplasias].
abstract: OBJECTIVE
  This study aims to offer an accurate diagnosis for vocal cord nodules, polyps, and intraepithelial neoplasias through videolaryngostroboscopy (VLS) and multi-dimensional voice analysis program (MDVP) and to decide management modalities.
  
  
  METHODS
  A total of 397 patients (214 males, 183 females; mean age 46.2 years; range 17 to 71 years) with 218 nodules, 101 polyps and 78 vocal cord intraepithelial neoplasias who were admitted for treatment and follow-up in phoniatry unit of our clinic in the past five years were retrospectively analyzed in terms of VLS findings, the percent of jitter, percent of shimmer, fundamentally frequency, noise-harmonic ratio values, GRBAS [Grade of dysphonia (G), roughness (R), breathiness (B), asthenicity (A) and strain (S)] scores, and voice handicap index (VHI) obtained by MDVP.
  
  
  RESULTS
  We obtained better voice parameters with improved GRBAS and SHE scores in patients with vocal cord nodules who underwent voice training and those with polyps who were operated, while these scores worsened following diagnostic phonosurgery in the intraepithelial group.
  
  
  CONCLUSIONS
  In the initial examination, patients who are prediagnosed vocal cord nodules should have voice therapy as the first-line treatment modality and checked for the response to treatment. If laryngeal cancer is suspected, surgery should be planned according to the biopsy result and biopsy should be performed, if polyp is present.
authors.affiliation: Department of Otolaryngology, Medicine Faculty of Ege University, 35100 Bornova, İzmir, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Şahin
authors.forename: Tayfun
authors.initials: T
authors.lastname: Kirazlı
authors.forename: Kerem
authors.initials: K
authors.lastname: Öztürk
authors.forename: Mehmet Fatih
authors.initials: MF
authors.lastname: Öğüt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000465:Algorithms; D002278:Carcinoma in Situ / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010699:Phonation; D011127:Polyps / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D012189:Retrospective Studies; D014827:Vocal Cords / Q000473:pathology*; D014833:Voice Quality; D014834:Voice Training; D055815:Young Adult