Academic Journal
Perceptual, aerodynamic and acoustic outcomes of surgical technique for sulcus vocalis patients: a systematic review and meta analysis
| العنوان: | Perceptual, aerodynamic and acoustic outcomes of surgical technique for sulcus vocalis patients: a systematic review and meta analysis |
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| المؤلفون: | Maniaci, Antonino, Guarino, Pierre, Barillari, Maria Rosaria, Del Zompo, Maria Rita, Filauro, Marta, Lionello, Marco, Mannelli, Giuditta, Russo, Gennaro, Tascone, Martina, Topazio, Davide, Marco Bonali, Carlo Cavaliere, Cristoforo Fabbris, Matteo Fermi, Valeria Iannini, Niccolò Mevio, Pasquale Capasso |
| المساهمون: | Antonino, Maniaci, Pierre, Guarino, Maria Rosaria, Barillari, Maria Rita, Del Zompo, Marta, Filauro, Marco, Lionello, Giuditta, Mannelli, Gennaro, Russo, Martina, Tascone, Davide, Topazio, Bonali, Marco, Cavaliere, Carlo, Fabbris, Cristoforo, Fermi, Matteo, Iannini, Valeria, Mevio, Niccolò, Capasso, Pasquale |
| بيانات النشر: | Elsevier Inc. Philadelphia, PA 19103 Stati Uniti |
| سنة النشر: | 2023 |
| المجموعة: | Sapienza Università di Roma: CINECA IRIS |
| مصطلحات موضوعية: | acoustic analysi, aerodynamic, phonosurgery, sulcus vocali, vocal outcomes |
| الوصف: | Background: Sulcus Vocalis (SV) is a voice disorder characterized by the parallel invagination of the vocal fold epithelium that adheres to the vocal ligament. This condition disrupts the vibratory function, leading to glottal incompetence, hoarseness, and vocal impairment. Despite various proposed surgical techniques, a standardized treatment approach remains elusive. Methods: We conducted a comprehensive search across PubMed/Medline, Embase, Web of Science, Scholar, and the Cochrane Library for studies on SV treatment. The inclusion criteria comprised original studies comparing pre- and post-treatment vocal outcomes in SV patients, published in English. We excluded case reports, reviews, studies without continuous data, and patients with vocal scar/atrophy. Results: Fifteen observational studies were included (361 patients, 53.73% male, average age 41.64years). 80% of these studies employed self-reported outcomes, while 81.25% analyzed acoustic/aerodynamic data. The follow-up period varied from 4 to 44months. All techniques significantly improved Voice Handicap Index (VHI) scores (p<0.001). Dissective and combined techniques exhibited greater reductions in VHI-30/10 (p<0.001). Maximum Phonation Time (MPT) improved significantly across all techniques (p<0.001), with dissective techniques demonstrating superior MPT outcomes (p<0.001). Jitter improved significantly for dissective and injective techniques (p<0.001), as did Shimmer for all techniques (p<0.001). Notably, combined techniques displayed the most significant reductions (p<0.001). Conclusions: Surgical treatments significantly improve subjective, aerodynamic, and acoustic outcomes in SV patients. Dissective and combined dissective/injective techniques appear to yield better perceptual and phonatory outcomes compared to injective techniques alone. Further research is necessary to establish the optimal treatment approach for SV. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/38071789; info:eu-repo/semantics/altIdentifier/wos/WOS:001139561800001; volume:45; issue:2; firstpage:1; lastpage:9; numberofpages:9; journal:AMERICAN JOURNAL OF OTOLARYNGOLOGY; https://hdl.handle.net/11573/1696491; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85179485741 |
| DOI: | 10.1016/j.amjoto.2023.104131 |
| الاتاحة: | https://hdl.handle.net/11573/1696491 https://doi.org/10.1016/j.amjoto.2023.104131 |
| Rights: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.9D623E93 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.amjoto.2023.104131 |
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