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Related Experiment Videos

Voice therapy for vocal fold paralysis.

Susan Miller1

  • 1Voice Treatment Center, George Washington University, Washington, DC 20037, USA. smiller@mfa.gwu.edu

Otolaryngologic Clinics of North America
|April 6, 2004
PubMed
Summary
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Vocal fold paralysis management requires comprehensive assessment. While surgery and voice therapy improve function, optimal timing and patient selection need further study, especially regarding gender differences.

Area of Science:

  • Otolaryngology
  • Speech-Language Pathology
  • Voice Science

Background:

  • Vocal fold paralysis significantly impacts quality of life.
  • Management involves a multidisciplinary team including otolaryngologists and speech-language pathologists.
  • Objective assessments like videostroboscopy, acoustic, and aerodynamic measures are crucial for evaluating glottal function.

Purpose of the Study:

  • To evaluate vocal function changes after medialization surgery.
  • To compare outcomes at different post-operative intervals (1-3, 4-6, 7-12 months).
  • To explore factors influencing treatment success, including gender and therapy timing.

Main Methods:

  • A cohort of patients undergoing medialization surgery (fat injection and thyroplasty) were assessed.

Related Experiment Videos

  • Objective measures included perceptual, acoustic, aerodynamic, and videofiberscopic evaluations.
  • Assessments were conducted pre-surgery and at short, middle, and long-term post-operative intervals.

    • Main Results:

    • Most vocal parameters improved at short (1-3 months) and long-term (7-12 months) post-operative intervals, but not at the middle interval (4-6 months).
    • Women generally showed better outcomes than men.
    • Persistent difficulties in achieving high subglottal pressure for loud phonation were noted in both genders.

    Conclusions:

    • The study highlights the need for standardized, periodic assessments to track vocal function over time.
    • Further research is required to determine optimal timing for voice therapy and to identify predictors for surgical versus non-surgical interventions.
    • Investigating gender-specific outcomes and refining patient selection criteria are essential for improving vocal fold paralysis management.