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Return to Vocal Performance Following Microlaryngoscopy in Singers
Hal Rives1, Christine M Clark1, Christine M Estes2
1Sean Parker Institute for the Voice, Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medical College, New York, New York, U.S.A.
The Laryngoscope
|July 11, 2023
Summary
Return to vocal performance after microlaryngoscopy for benign vocal fold lesions is successful for most singers, with an average recovery time of two months. Further research is needed to refine return-to-performance criteria.
Area of Science:
- Otolaryngology
- Laryngology
- Vocal Health
Background:
- Microlaryngoscopy is effective for vocal performers with benign vocal fold lesions.
- Limited data exists on return to performance (RTP) timelines and success rates post-surgery.
Purpose of the Study:
- To describe the experience of vocal performers undergoing microlaryngoscopy for benign vocal fold lesions.
- To propose standardized criteria for RTP in this population.
Main Methods:
- Retrospective review of adult vocalists (2006-2022) who underwent microlaryngoscopy for benign vocal fold lesions.
- Analysis of patient demographics, diagnoses, interventions, and postsurgical care relative to RTP.
- Success of RTP determined by need for medical/procedural interventions and reinjury rates.
Main Results:
- Sixty-nine vocal performers (average age 32.8 years; 59.4% female; 88.4% musical theater) were included.
- Common diagnoses included pseudocysts (53.6%) and polyps (36.2%).
- Average time to RTP was 65.0 ± 29.8 days, with low rates of post-RTP interventions (11.6% required steroids for edema).
Conclusions:
- Return to vocal performance after microlaryngoscopy for benign lesions is generally successful.
- Low rates of additional interventions suggest favorable outcomes.
- Validated instruments are needed to better assess performance readiness and potentially expedite RTP.
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