The authors have no funding, financial relationships, or conflicts of interest to disclose.
Long-term results of surgical treatment of vocal fold nodules
Article first published online: 11 JUN 2013
© 2012 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 123, Issue 8, pages 1926–1930, August 2013
How to Cite
Béquignon, E., Bach, C., Fugain, C., Guilleré, L., Blumen, M., Chabolle, F. and Wagner, I. (2013), Long-term results of surgical treatment of vocal fold nodules. The Laryngoscope, 123: 1926–1930. doi: 10.1002/lary.23768
- Issue published online: 19 JUL 2013
- Article first published online: 11 JUN 2013
- Manuscript Accepted: 13 SEP 2012
- vocal fold nodules;
- Voice Handicap Index;
To evaluate the long-term outcome of patients with vocal fold nodules treated by surgery alone, or by a combination of surgery and voice therapy and to identify factors associated with long-term recurrent dysphonia.
All patients who had undergone surgery for vocal fold nodules in a tertiary care hospital between 1996 and 2006 were contacted. After giving their consent, they were evaluated by videostroboscopic examination of vocal fold nodules and by a subjective questionnaire including the Voice Handicap Index (VHI).
Sixty-two out of 90 patients (69%) (60 women, 2 men with a mean age of 33 years) answered the questionnaire at a mean interval of 9.5 years after surgery. Recurrent dysphonia was observed in 19 patients (30%) at a mean interval of 5.2 years after surgery and new benign vocal fold lesions (nodules or Reinke's edema) were observed in 11 patients (18%). Absence of postoperative voice therapy was significantly associated with a higher recurrence rate (P = 0.02) (56% of recurrent dysphonia without voice therapy versus 22% with voice therapy).
Postoperative voice therapy decreases the risk of recurrence. Vocal fold nodules can recur over a period of 5 years, consequently requiring follow-up for at least 5 years in clinical practice and in future prospective studies.
Level of Evidence
2b (Individual retrospective cohort study). Laryngoscope, 123:1926–1930, 2013