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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(04): e522-e529
DOI: 10.1055/s-0040-1719121
Original Research

Minor Structural Alterations of the Vocal Fold Cover: Vocal Quality before and after Treatment

Tatiany Cíntia da Silva Brito
1   Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil
,
Jullyane Florencio Pacheco da Silva
1   Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil
,
Bruno Teixeira Moraes
2   Department of Surgery, Universidade Federal de Pernambuco, Recife, PE, Brazil
3   Otorhinolaryngology Outpatient Clinic, Clinical Hospital of Pernambuco, Recife, PE, Brazil
,
Mirella Bezerra Rodrigues Vilela
1   Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil
,
Coeli Regina Ximenes
1   Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil
,
Daniela de Vasconcelos
3   Otorhinolaryngology Outpatient Clinic, Clinical Hospital of Pernambuco, Recife, PE, Brazil
,
Nathália Suellen Valeriano Cardoso
4   Graduate Program in Human Communication Health, Health Sciences Center, Universidade Federal de Pernambuco, Recife, PE, Brazil
,
Adriana de Oliveira Camargo Gomes
1   Department of Speech Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil
4   Graduate Program in Human Communication Health, Health Sciences Center, Universidade Federal de Pernambuco, Recife, PE, Brazil
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Abstract

Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment.

Objective To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover.

Methods This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptual-auditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared.

Results The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment.

Conclusion Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration.

Keywords

vocal folds - voice disorders - speech therapy - voice quality - microsurgery


Publikationsverlauf

Eingereicht: 24. April 2020

Angenommen: 24. September 2020

Artikel online veröffentlicht:
08. Dezember 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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