Vokal Kord Polipli Hastalarda Operasyonun Kord Vibrasyonu Üzerine Etkisi: Retrospektif Videolaringostroboskopi Çalışması

Year 2019, Volume: 9 Issue: 1, 59 - 63, 19.03.2019

Mehmet Özgür Pınarbaşlı , Ali Alaiye Şükrü Turan , Ahmet Halit Aydın Tankut Uzun , Ercan Kaya , Melek Kezban Gürbüz

Abstract

Amaç: Vokal
kord polipleri larenkste sık görülen benign lezyonlardır ve tedavileri
cerrahidir. Bu lezyonlar genellikle vokal kordun serbest kenarında gelişirler
ve vokal kordların vibrasyonunda irregülarite ile birlikte inkomplet glottik
kapanma oluştururlar. Bu çalışmada, endolaringeal soğuk bıçak mikrocerrahi
yöntemi ile tedavi edilen vokal kord polipli hastalarda; uygulanan operasyonun
vokal kord vibrasyonu üzerine etkisinin araştırılması amaçlanmıştır.

Yöntem: Çalışmaya
2014 - 2016 yılları arasında kliniğimizde
endolaringeal mikrocerrahi yöntemi ile tedavi edilen, postoperatif patoloji
sonucu vokal kord polibi olarak raporlanan ve düzenli olarak kontrollere gelen
olgular dâhil edildi. İlk olarak Hirano ve Bless tarafından tanımlanan ve
Gürbüz ve ark. yaptığı çalışmada modifiye edilerek güvenilirliği yapılmış olan
skala kullanılarak olguların preoperatif ve postoperatif ikinci aydaki
görüntüleri istatistiksel olarak karşılaştırıldı.

Bulgular: Çalışmamıza
dâhil edilen 25 olgunun 10’u (%40) kadın, 15’i (%60) erkek idi. Vokal kord
polipleri olguların hepsinde tek taraflı olup, 12 (% 48) olguda
vokal kordun ön 1/3 ünde,  9 (%36) olguda
orta 1/3 de saptandı. Bozuk olan vokal kord vibratuar fonksiyonlarının
postoperatif dönemde, preoperatif döneme göre istatistiksel olarak anlamlı
derecede düzelme gösterdiği saptandı (p ˂ 0,05).

Sonuç: Vokal
kord polibi saptanan olgularda başarılı endolaringeal soğuk bıçak mikrocerrahi
eksizyonu ile vokal kordların bozulmuş olan vibratuar özellikleri
düzeltilebilmektedir. 

Keywords

Endolaringeal mikrocerrahi, Polip, Videolaringostroboskopi, vokal kord

Effect of Surgery on Cord Vibration in Patient with Vocal Cord Polyps: Retrospective Videolaryngostroboscopy Study

Abstract

Objectives: Vocal cord polyps are benign lesions of the larynx that
are frequently seen and are treated surgically. These lesions generally develop
in the free edge of the vocal cords, and form an incomplete glottal closure
accompanied by irregular vibration of the vocal cords. In this study, the aim
is to investigate the effect of surgery on vocal cord vibration in patients
with vocal cord polyps who are treated with the endolaryngeal cold knife
microsurgery.

Method: Patients
treated with endolaryngeal microsurgery at our clinic between 2014 and 2016,
who were reported as vocal cord polyps by postoperative pathology result, and
who regularly coming for follow-up examinations were included in the study.
Using a scale which was first described by Hirano and Bless and modified and
confirmed to be reliable in a study performed by Gürbüz et al., the
preoperative and postoperative second month images of the patients were
statistically compared.

Results: 10 of the 25 patients
included in our study were female (40%) and 15 were male (60%). In all
patients, vocal cord polyps were unilateral, and were located in anterior 1/3
of the vocal cord in 12 patients (48%), and in medial 1/3 of the vocal cord in
9 patients (36%). It was determined that impaired vocal cord vibratory
functions showed statistically significant recovery in the postoperative period
compared to the preoperative period (p<0.05).

Conclusion: Successful endolaryngeal cold knife microsurgery excision can correct
impaired vibratory functions of vocal cords in patients with vocal cord polyps. 

Keywords

Endolaryngeal microsurgery, Polyp, Videolaryngostroboscopy, vokal cord

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