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Gender Differences in Vocal Fold Mass Treatment.

Heather Yeakel1, Bailey Balouch1, Joseph Schmitz1

  • 1Drexel University College of Medicine.

Journal of Voice : Official Journal of the Voice Foundation
|December 2, 2021
PubMed
Summary

Gender influences benign vocal fold mass treatment decisions. Females with vocal fold masses preferred voice therapy, while males were more likely to opt for no treatment, highlighting a need for gender-specific approaches.

Keywords:
Benign vocal fold lesionGender-related laryngeal differencesLaryngeal surgeryVoice therapy

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Area of Science:

  • Otolaryngology
  • Speech-Language Pathology
  • Vocal Health

Background:

  • Benign vocal fold masses are common conditions affecting voice quality.
  • Understanding gender-related differences in diagnosis and treatment is crucial for effective management.

Purpose of the Study:

  • To investigate gender-specific disparities in the diagnosis and treatment of benign vocal fold masses.
  • To analyze differences in patient demographics, mass characteristics, and treatment modalities between males and females.

Main Methods:

  • Retrospective review of adult patients diagnosed with vocal fold masses via strobovideolaryngoscopy.
  • Analysis of patient demographics, medical history, and examination findings.
  • Comparison of voice therapy duration and surgical prevalence between genders.

Main Results:

  • Females more frequently presented with reactive masses and pseudocysts, while males had more unspecified masses.
  • Females showed higher rates of abnormal voice parameters (shimmer, phonation time) and greater participation in voice therapy.
  • Treatment plans differed significantly, with more males choosing no treatment and similar surgical rates between genders.

Conclusions:

  • Gender is a significant predictor of voice therapy participation, with females and professional voice users being more inclined to engage.
  • While surgery rates were similar, males had higher follow-up loss. Gender-specific differences in vocal fold mass presentation and treatment adherence warrant further investigation.
  • Optimizing patient compliance through tailored therapy approaches is essential for managing benign vocal fold masses effectively.