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Tracking outcomes after phonosurgery for sulcus vocalis: a case report
Nathan V Welham1, Bernard Rousseau, Charles N Ford
1Department of Surgery, Division of Otolaryngology, University of Wisconsin-Madison, Madison, Wisconsin, USA. welham@waisman.wisc.edu
Journal of Voice : Official Journal of the Voice Foundation
|January 27, 2004
Summary
Tracking vocal function outcomes after phonosurgery is crucial for assessing treatment stability. Different vocal function measures reach stability at varying times, highlighting the need for extended patient follow-up.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Voice Science
Background:
- Determining optimal follow-up duration for surgical outcomes is challenging.
- Understanding vocal recovery patterns post-phonosurgery is essential for clinical practice and research.
- Sulcus vocalis treatment efficacy requires comprehensive outcome assessment.
Observation:
- Vocal function data (acoustic, perceptual, videostroboscopic, aerodynamic, psychosocial) were collected pre- and post-phonosurgery.
- Daily data collection during the first month provided detailed insight into immediate postoperative voice changes.
- Vocal function indices showed improvement but reached stability at different time points.
Findings:
- Phonosurgery for sulcus vocalis generally leads to improved vocal function across multiple domains.
- The time to stability varies significantly among different vocal function measures.
- Immediate postoperative voice changes require careful monitoring for accurate recovery assessment.
Implications:
- Extended patient follow-up is necessary to capture complete vocal recovery and stability.
- Standardized follow-up protocols should consider the differential timing of outcome measure stabilization.
- Accurate assessment of phonosurgery efficacy relies on achieving outcome stability.

