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Optimizing Management Strategies for Vocal Cord Nodules: A Systematic Review
Mohammed H Baali1, Mohammad H Shaheen2, Meshal F Khan3
1Otolaryngology - Head and Neck Surgery Department, King Abdulaziz Specialist Hospital, Taif, SAU.
Cureus
|January 20, 2025
Summary
Vocal cord nodules (VCNs) management varies. Voice therapy is preferred but slow; surgery offers faster results for mature nodules. A new algorithm considers patient factors for optimal VCN treatment decisions.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
Background:
- Vocal cord nodules (VCNs) present diverse therapeutic challenges.
- Optimal management strategies for VCNs remain a subject of debate.
Purpose of the Study:
- To review common VCN management strategies and outcomes.
- To enhance clinical decision-making for VCN treatment.
Main Methods:
- Systematic literature search of PubMed, Web of Science, and Scopus.
- Inclusion of original articles on VCN interventions (therapy, medication, surgery) through April 2024.
- Data extraction and analysis by two independent reviewers.
Main Results:
- Voice therapy is the primary non-invasive approach but requires extended treatment duration.
- Surgery provides immediate VCN improvement but requires post-operative therapy to prevent recurrence.
- Surgery is more effective than voice therapy for hard or mature nodules.
Conclusions:
- Patient age, VCN duration, morphology, and therapy compliance are key prognostic factors.
- A proposed algorithm integrates these factors to guide VCN management.
- A methodical approach considering prognostic factors is crucial for effective VCN treatment.
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