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Microsuture after benign vocal fold lesion removal: a randomized trial
1Department of Otolaryngology Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey. tyilmaz@hacettepe.edu.tr
American Journal of Otolaryngology
|July 31, 2012
Summary
Microsuturing vocal fold defects after lesion removal speeds recovery and improves early voice function. While final outcomes are similar, this technique benefits professional voice users by enabling a faster return to vocal tasks.
Area of Science:
- Otolaryngology
- Laryngology
- Microsurgery
Background:
- Benign vocal fold lesions create mucosal defects that heal by secondary intention, potentially leading to scarring.
- Microsuturing offers primary wound healing, potentially improving recovery and reducing scarring, but its clinical benefit requires determination.
Purpose of the Study:
- To evaluate the effectiveness of microsuturing vocal fold mucosal defects after benign lesion removal.
- To compare recovery speed and voice outcomes between microsutured and non-sutured defects.
Main Methods:
- Prospective, randomized, controlled study involving 40 adults with vocal fold lesions.
- Patients underwent preoperative voice handicap index (VHI)-30, acoustic analysis, and videolaryngostroboscopy (VLS).
- Participants were randomized to microsuturing (n=20) or control (n=20) groups, with follow-up at 1, 2, and 4 weeks.
Main Results:
- Microsuturing significantly improved VHI and acoustic parameters at 1 week post-surgery (P < .05).
- Normal VLS was achieved significantly earlier in the microsutured group (P < .05).
- No significant differences in VHI or acoustic parameters were observed at 2 or 4 weeks.
Conclusions:
- Microsuturing benign vocal fold lesions is safe and effective, accelerating recovery.
- While final clinical outcomes are similar, microsuturing aids professional voice users by facilitating an earlier return to function.
