The effect of surgical treatment on voice quality in Reinke's edema: an evaluation with vocal performance questionnaire and acoustic voice analysis

Abstract

Objective: The aim of this study was to investigate the effect of surgical treatment of Reinke's edema on voice quality. The changes in voice quality caused by surgical treatment were evaluated by using voice performance questionnaire and acoustic voice analysis before and after surgery. Methods: Vocal Performance Questionnaire and acoustic voice analyses with the help of Dr. Speech (Drs Tiger Inc., Seattle, WA, USA) software were performed preoperatively and at one month postoperatively in 21 patients with Reinke's edema who had received surgical therapy. Results: Reinke's edema was bilateral in all patients. According to the results of vocal performance questionnaires and acoustic voice analyses, the voice quality of patients improved significantly after surgery. At the end of the six month follow-up, the recurrence was detected only in one (4.7%) patient. Conclusion: In patients with Reinke's edema, the functional properties of vocal folds and the voice quality of patients can be successfully improved by surgical treatment.

Keywords

• Reinke's edema, surgical treatment, voice quality, questionnaire, voice analyses

Reinke ödeminde cerrahi tedavinin ses kalitesi üzerine etkisi: Ses performans anketi ve akustik ses analizi ile değerlendirme

Öz

Amaç: Bu çalışmada Reinke ödeminde cerrahi tedavinin ses kalitesi üzerine etkisi araştırılmıştır. Cerrahi tedavinin ses kalitesinde meydana getirdiği değişiklikler, hastalara cerrahi öncesi ve sonrası ses performans anketi ve akustik ses analizi uygulanarak değerlendirilmiştir. Yöntem: Reinke ödemi olan ve cerrahi tedavi uygulanan 21 hastaya ameliyat öncesi ve sonrası 1. ayda ses performans anketi ve Dr. Speech (Drs Tiger Inc., Seattle, WA, ABD) bilgisayarlı ses analiz programı kullanılarak akustik ses analizi yapıldı. Bulgular: Hastaların tümünde Reinke ödemi bilateraldi. Ses performans anketi ve ses analizi sonuçlarına göre hastaların ses kalitesinde cerrahi tedavi sonrası istatistiksel olarak anlamlı derecede düzelme saptandı. Altı aylık takip sonunda sadece 1 hastada (%4.7) nüks tespit edildi. Sonuç: Reinke ödemli hastalarda vokal kordların fonksiyonel özellikleri ve hastanın ses kalitesi cerrahi tedavi ile başarılı bir şekilde iyileştirilebilmektedir.

Anahtar Kelimeler

• Reinke ödemi, cerrahi tedavi, ses kalitesi, anket, ses analizi

Kaynakça

1. Marcotullio D. Magluilo G. Pezona T. Reinke’s edema and risk factors: clinical and histopathologis aspects. Am J Otolaryngol 2002;23: 81-4.
2. Tillmann B, Rudert H, Schünke M, Werner JA. Morphological studies on the pathogenesis of Reinke’s edema. Eur Arch Otorhinolaryngol 1995;252:469-74.
3. Zeitels SM, Hillman RE, Bunting GW, Vaughn T. Reinke’s edema: phonatory mechanisms and management strategies. Ann Otol Rhinol Laryngol 1997;106:533-43.
4. Murray T, Abitbol J, Hersan R. Quantitative assessment of voice quality following laser surgery for Reinke’s edema. J Voice 1999; 13:257-64.
5. Deary IJ, Webb A, Mackenzie K,Wilson JA, Carding PN . Short self report voice semptom scales: Psychometric characteristics of the voice handicap ındex-10 and the vocal performance question- naire. Otolaryngol Head Neck Surg 2004;131:232-5.
6. Carding PN, Horsley IA, Docherty GJ. The efectiveness of voice therapy for patients with non-organic dysphonia. Clin Otolaryngol 1998;23:310-18.
7. Sataloff RT, Spiegel JR, Heuer RJ, et al. Laryngeal mini-microflap: a new technique and reassessment of the microflap saga. J Voice 1995;9:198-204.
8. Honda K, Haji T, Maruyama H. Functional results of Reinke’s edeme surgery using a microdebrider. Ann Otol Rhinol Laryngol 2010;119:32-6.

9. Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope 2004; 114:1549-56.
10. Sataloff RT. Professional voice. The science and art of clinical care. New York: Raven Press; 1991.
11. Kılıç MA, Okur E. CSL ve Dr. Speech ile ölçülen temel frekans ve perturbasyon de¤erlerinin karflılafltırılması. KBB Ihtis Derg 2001; 8:152-7.
12. Lim JY, Choi JN, Kim KM, Choi HS. Voice analysis of patients with diverse types of Reinke’s edema and clinical use of elec- troglottographic measurements. Acta Otolaryngol 2006;126:62-9.
13. Sommer C, Schults-Coulon HJ. Long-term results after micro- laryngoscopic removal of Reinke’s edema. HNO 2007;5:365-74.
14. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
15. NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
16. tion in any medium, provided the original work is properly cited.
17. Please cite this article as: Taflar S, Gürbüz MK, Kaya E, Özüdo¤ru E, Güney F, Çaklı H, ‹ncesulu A. The effect of surgical treatment on voice quality
18. in Reinke’s edema: an evaluation with vocal performance questionnaire and acoustic voice analysis. J Med Updates 2013;3(2):56-61.