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273064

Comparison between Laryngeal Microsurgery versus Laryngeal Microsurgery with Corticosteroid Injection in the Management of Patients with Minimal Associated Pathological Lesions

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Last updated: 03 Jan 2025

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Abstract

Background:Minimal Associated Pathological Lesions (MAPLs) are non-neoplastic, non-inflammatory, traumatic lesions of the vocal fold that occupy a position somewhere between the organic benign and non-organic groups and might have been predisposed by long-standing non-organic vocal dysfunction. Methods:This Prospective randomized study was carried out on 30 consecutive candidates with MAPLs. They were categorized into two main groups according to their management, Group A, managed by laryngeal microsurgery (LMS), and Group B, managed by LMS and corticosteroid injection. Under each main group, there were three subgroups according to their primary lesions a subgroup of vocal fold polyps, a subgroup of vocal fold nodules, and another subgroup of vocal fold cysts.All patients were exposed tosubjective evaluation by a scale of modified GRBAS (grade, roughness, breathiness, asthenia, strain) and objective evaluation by acoustic parameter and aerodynamically by maximum phonation time (MPT).Results: Theacoustic, and aerodynamic parameters, as well as the modified GRBAS scale, showed a significant difference between pre-and post-operative in both groups in the three types of vocal folds (polyp, cyst, and nodules) indicating the effectiveness of both lines of management. The obtained results of the modified GRBAS scale and acoustic and aerodynamic parameters in vocal fold nodules showed a significant variation in the result of both groups pre-operative and post-operative. Conclusions: Steroid injection with laryngeal microsurgery used for the treatment of MAPLs may not cause significant improvement regarding the modified GRBAS scale, acoustic analysis, and aerodynamic measures in short-term assessment over laryngeal microsurgery.  

DOI

10.21608/ejhm.2022.273064

Keywords

laryngeal microsurgery, GRBAS scale, acoustic parameter, maximum phonation time, vocal fold

Authors

First Name

Effat Ebrahim

Last Name

Ellessy

MiddleName

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Email

effatebrahim92@gmail.com

City

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Orcid

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First Name

Mohamed Nasser

Last Name

El Sheikh

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohammed El Sayed

Last Name

Darwish

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Shaima Mohammed

Last Name

Serag

MiddleName

-

Affiliation

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Email

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City

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Orcid

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-12-06

Publish Date

2022-10-01

Page Start

7,195

Page End

7,201

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 89_Issue 2_Pages 7195-7201.pdf

PDF . 259.3kB

Link

https://ejhm.journals.ekb.eg/article_273064.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=273064

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162

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison between Laryngeal Microsurgery versus Laryngeal Microsurgery with Corticosteroid Injection in the Management of Patients with Minimal Associated Pathological Lesions

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Article

Created At

22 Jan 2023