The role of steroid injection for vocal folds lesions in professional voice users

Abstract Background Benign vocal fold lesions identified in professional voice users, frequently require further treatment after failure of conservative measures. The role of vocal fold steroid injection as a treatment option for select benign lesions is the focus of this study. Steroid injection ma...

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Main Authors: Mohamed Al-Ali, Jennifer Anderson
Format: Article
Language:English
Published: SAGE Publishing 2020-07-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-020-00434-5
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author Mohamed Al-Ali
Jennifer Anderson
author_facet Mohamed Al-Ali
Jennifer Anderson
author_sort Mohamed Al-Ali
collection DOAJ
description Abstract Background Benign vocal fold lesions identified in professional voice users, frequently require further treatment after failure of conservative measures. The role of vocal fold steroid injection as a treatment option for select benign lesions is the focus of this study. Steroid injection may avoid phonosurgery in some individuals thereby reducing the potential for adverse side effects associated with surgery. Objective The purpose of the study is to review the effect of steroid injection on vocal function in professional voice users associated with a benign lesion(s) using the Voice Handicap Index-10. Method This study is a retrospective review of patients (professional voice users) that underwent 1 or more steroid injection(s) between July 2014-December 2018. The Voice Handicap Index-10 was compared from pre to post treatment. Patients were identified using billing code data for laryngeal injection. Patient demographics (age, gender, profession), previous phonosurgery, date of steroid injection and follow up dates as well as VHI-10 scores were collected from the electronic medical record. Results Twenty four patients were identified. The mean Voice HandicapIndex-10 score decreased from 23.5 pre injection to 17.8 post injection which represented a reduction of 24.3%. Vocal fold steroid injection procedure in our series was associated with one complication. Conclusion Vocal fold steroid injection for benign lesions is a safe, well-tolerated procedure with an improvement in vocal function without surgical intervention. Steroid injection should be considered as a treatment option to avoid surgery in patients with select vocal fold lesions.
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spelling doaj-art-9086522ec3894db7a227665bce10b75c2025-01-02T04:59:15ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-07-014911710.1186/s40463-020-00434-5The role of steroid injection for vocal folds lesions in professional voice usersMohamed Al-Ali0Jennifer Anderson1Department of Otolaryngology-HNS Surgery, University of TorontoDepartment of Otolaryngology-Head and Neck Surgery, St. Michaels Hospital, Department of Otolaryngology-Head and Neck Surgery, University of TorontoAbstract Background Benign vocal fold lesions identified in professional voice users, frequently require further treatment after failure of conservative measures. The role of vocal fold steroid injection as a treatment option for select benign lesions is the focus of this study. Steroid injection may avoid phonosurgery in some individuals thereby reducing the potential for adverse side effects associated with surgery. Objective The purpose of the study is to review the effect of steroid injection on vocal function in professional voice users associated with a benign lesion(s) using the Voice Handicap Index-10. Method This study is a retrospective review of patients (professional voice users) that underwent 1 or more steroid injection(s) between July 2014-December 2018. The Voice Handicap Index-10 was compared from pre to post treatment. Patients were identified using billing code data for laryngeal injection. Patient demographics (age, gender, profession), previous phonosurgery, date of steroid injection and follow up dates as well as VHI-10 scores were collected from the electronic medical record. Results Twenty four patients were identified. The mean Voice HandicapIndex-10 score decreased from 23.5 pre injection to 17.8 post injection which represented a reduction of 24.3%. Vocal fold steroid injection procedure in our series was associated with one complication. Conclusion Vocal fold steroid injection for benign lesions is a safe, well-tolerated procedure with an improvement in vocal function without surgical intervention. Steroid injection should be considered as a treatment option to avoid surgery in patients with select vocal fold lesions.http://link.springer.com/article/10.1186/s40463-020-00434-5Vocal foldSteroidVHI-10
spellingShingle Mohamed Al-Ali
Jennifer Anderson
The role of steroid injection for vocal folds lesions in professional voice users
Journal of Otolaryngology - Head and Neck Surgery
Vocal fold
Steroid
VHI-10
title The role of steroid injection for vocal folds lesions in professional voice users
title_full The role of steroid injection for vocal folds lesions in professional voice users
title_fullStr The role of steroid injection for vocal folds lesions in professional voice users
title_full_unstemmed The role of steroid injection for vocal folds lesions in professional voice users
title_short The role of steroid injection for vocal folds lesions in professional voice users
title_sort role of steroid injection for vocal folds lesions in professional voice users
topic Vocal fold
Steroid
VHI-10
url http://link.springer.com/article/10.1186/s40463-020-00434-5
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