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Vocal fold microsurgery in singers

R W Bastian1

  • 1Department of Otolaryngology-Head & Neck Surgery, Loyola University, Chicago, Illinois, USA.

Journal of Voice : Official Journal of the Voice Foundation
|December 1, 1996
PubMed
Summary
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Vocal fold microsurgery offers excellent results for singers with benign mucosal lesions unresponsive to conservative treatment. This study shows a low complication rate and successful return to singing post-operation.

Area of Science:

  • Otolaryngology
  • Laryngology
  • Singing Voice Science

Background:

  • Benign vocal fold mucosal lesions often cause persistent vocal impairment in singers.
  • Medical treatment and voice therapy may not fully restore vocal function for some professional singers.

Purpose of the Study:

  • To evaluate the efficacy and safety of vocal fold microsurgery for singers with persistent vocal impairment.
  • To analyze surgical outcomes, including auditory-perceptual ratings, videostroboscopic findings, return to singing, and patient satisfaction.

Main Methods:

  • Microsurgery was performed on 62 singers with benign vocal fold mucosal lesions.
  • Detailed patient selection, surgical techniques, and postoperative care protocols were employed.
  • Pre- and post-operative voice assessments, videostroboscopy, and patient questionnaires were utilized.

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Main Results:

  • Excellent surgical outcomes were achieved overall.
  • A very low incidence of adverse effects and no complications were reported.
  • Significant improvement in singing voice impairment was observed post-surgery.

Conclusions:

  • Vocal fold microsurgery is a safe and effective treatment option for singers with benign mucosal lesions unresponsive to non-surgical management.
  • The procedure facilitates a successful return to public singing with high patient satisfaction.