CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(04): e619-e625
DOI: 10.1055/s-0044-1787168
Original Research

Accuracy of Diagnosis of Benign Vocal Fold Lesions among Ear, Nose, and Throat Residents

Mohamed Mesfer Alessa
1   Department of Otolaryngology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
,
Sultan Bin Obaid
1   Department of Otolaryngology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
,
Faisal Aldayel
1   Department of Otolaryngology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
,
Rakan Almetary
1   Department of Otolaryngology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
,
Khaled Alhussinan
1   Department of Otolaryngology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
2   Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia
,
Hassan Assiri
2   Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia
,
3   Department of Otolaryngology, Research Group of Voice, Swallowing and Communication Disorders, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
› Institutsangaben
Funding The authors declare that the present study was funded by the Deanship of Scientific Research at King Saud University (research group number RGP-VPP-295).

Abstract

Introduction Benign vocal fold lesions (BVFLs) disrupt the superficial lamina propria, impacting vocal fold pliability. Investigating the diagnostic competency of ear, nose, and throat (ENT) residents in identifying BVFLs, we hypothesize that factors such as residency year, subspecialty focus, and training center influence diagnostic accuracy.

Objectives To assess the accuracy of diagnosis of BVFLs among ENT residents and to correlate diagnostic accuracy with the year of residency.

Methods An observational cross-sectional study included all ENT residents in Saudi Arabia. It was performed in August and September 2021 using a self-administered online questionnaire that assessed demographic variables and included three images with open-ended questions on diagnosing vocal fold lesions.

Results A total of 61 ENT residents (62.3% male) were included in this study. The images of vocal fold cyst, vocal fold polyp, and vocal fold nodule were correctly diagnosed by 60.7%, 88.5%, and 91.8% of residents, respectively. There was a correlation between the year of residency and the accuracy of diagnosing a vocal fold cyst (p = 0.029). Residents interested in laryngology correctly diagnosed all three lesions more frequently than other residents.

Conclusion The ability of residents to diagnose vocal fold cysts was moderate. In particular, the senior residents were able to diagnose polyps and nodules with excellent accuracy.

Ethics Approval

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Institutional Review Board of the College of Medicine, King Saud University, approved this study (number E-21-6071).


Consent to Participate

The informed consent form stated that participation was voluntary, that the data were collected for research purposes only, self-identifying information such as name, university number, and phone number would not be collected, and that confidentiality and privacy would be maintained during all the phases of the study.


Author Contributions

Study conception, design and material preparation were performed by Sultan Bin Obaid, Mohammed M. Alessa, and Mohamed Farahat. Data collection was supervised by Sultan Bin Obaid and Khaled Alhussinan. Statistical analysis was performed by Mohammed M. Alessa. Writing of the first draft of the manuscript, managing the analyses of the study, and managing the literature searches was performed by Mohamed Alessa, Rakan Almetary, and Sultan Bin Obaid. All authors commented on previous versions of the manuscript. Review and editing were performed by Mohamed Farahat. All authors read and approved the final manuscript. The study was supervised by Mohamed Farahat.




Publikationsverlauf

Eingereicht: 09. Dezember 2023

Angenommen: 15. April 2024

Artikel online veröffentlicht:
05. Juli 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Hirano M. Morphological structure of the vocal cord as a vibrator and its variations. Folia Phoniatr (Basel) 1974; 26 (02) 89-94
  • 2 Hirano M, Kakita Y, Ohmaru K, Kurita S. Structure and mechanical properties of the vocal fold. Speech and Language. 1982; 7: 271-297 . Doi: 10.1016/B978-0-12-608607-2.50015-7
  • 3 Naunheim MR, Carroll TL. Benign vocal fold lesions: update on nomenclature, cause, diagnosis, and treatment. Curr Opin Otolaryngol Head Neck Surg 2017; 25 (06) 453-458 . Doi: 10.1097/MOO.0000000000000408
  • 4 Malik P, Yadav SPS, Sen R. et al. The clinicopathological study of benign lesions of vocal cords. Indian J Otolaryngol Head Neck Surg 2019; 71 (Suppl. 01) 212-220
  • 5 Wang L, Tan JJ, Wu T. et al. Association between laryngeal pepsin levels and the presence of vocal fold polyps. Otolaryngol Head Neck Surg 2017; 156 (01) 144-151
  • 6 Lechien JR, Saussez S, Nacci A. et al. Association between laryngopharyngeal reflux and benign vocal folds lesions: A systematic review. Laryngoscope 2019; 129 (09) E329-E341 . Doi: 10.1002/lary.27932
  • 7 Kunduk M, McWhorter AJ. True vocal fold nodules: the role of differential diagnosis. Curr Opin Otolaryngol Head Neck Surg 2009; 17 (06) 449-452 . Doi: 10.1097/MOO.0b013e3283328b6d
  • 8 Dippold S, Nusseck M, Richter B, Echternach M. The use of narrow band imaging for the detection of benign lesions of the larynx. Eur Arch Otorhinolaryngol 2017; 274 (02) 919-923
  • 9 Poels PJ, de Jong FI, Schutte HK. Consistency of the preoperative and intraoperative diagnosis of benign vocal fold lesions. J Voice 2003; 17 (03) 425-433 . Doi: 10.1067/S0892-1997(03)00010-9
  • 10 Lee YS, Lee DH, Jeong G-E. et al. Treatment efficacy of voice therapy for vocal fold polyps and factors predictive of its efficacy. J Voice 2017; 31 (01) 120.e9-120.e13 . Doi: 10.1016/j.jvoice.2016.02.014
  • 11 Sulica L, Behrman A. Management of benign vocal fold lesions: a survey of current opinion and practice. Ann Otol Rhinol Laryngol 2003; 112 (10) 827-833
  • 12 Bohlender J. Diagnostic and therapeutic pitfalls in benign vocal fold diseases. GMS Curr Top Otorhinolaryngol Head Neck Surg 2013; 12: Doc01 . Doi: 10.3205/cto000093
  • 13 Hernando M, Cobeta I, Lara A, García F, Gamboa FJ. Vocal pathologies of difficult diagnosis. J Voice 2008; 22 (05) 607-610 . Doi: 10.1016/j.jvoice.2006.12.011
  • 14 Cipriani NA, Martin DE, Corey JP. et al. The clinicopathologic spectrum of benign mass lesions of the vocal fold due to vocal abuse. Int J Surg Pathol 2011; 19 (05) 583-587
  • 15 Dikkers FG, Nikkels PG. Benign lesions of the vocal folds. Clinical and histopathological aspects. Ann Otol Rhinol Laryngol 1995; 104: 698-703
  • 16 Brook CD, Platt MP, Russell K, Grillone GA, Aliphas A, Noordzij JP. Time to competency, reliability of flexible transnasal laryngoscopy by training level: a pilot study. Otolaryngol Head Neck Surg 2015; 152 (05) 843-850
  • 17 Ishman SL, Brown DJ, Boss EF. et al. Development and pilot testing of an operative competency assessment tool for pediatric direct laryngoscopy and rigid bronchoscopy. Laryngoscope 2010; 120 (11) 2294-2300 . Doi: 10.1002/lary.21067
  • 18 Hegde MC, Kamath MP, Bhojwani K, Peter R, Babu PR. Benign lesions of larynx-A clinical study. Indian J Otolaryngol Head Neck Surg 2005; 57 (01) 35-38 . Doi: 10.100/BF02907624