Abstract
Short and long-term results of microsurgical treatment with the mini-microflap technique in patients with Reinke's edema (RE) were assessed based on the phonatory and ventilatory functions of the larynx. To assess the short and long-term results of microsurgical treatment with the mini-microflap technique in patients with RE based on the phonatory and ventilatory functions of the larynx. Twenty patients diagnosed with advanced stage of RE confirmed with laryngovideostroboscopy (LVS) were enrolled in the study. Phonatory function disturbances were additionally assessed on the basis of Maximum Phonation Time (MPT) measurement, Voice Handicap Index (VHI) and Voice-Related Quality of Life (V-ROOL) questionnaires. Ventilatory function was assessed using spirometry. The aforementioned complex examinations were conducted prior to surgery and 1, 6 and 9 months following the surgery. Good postsurgical results were obtained in subjective and objective evaluation, which assessed the phonatory function and ventilatory parameters. Post-surgery increase in MPT, VHI and VQROL was noticed in all patients in 3 check points (p < 0.001). The results demonstrate postsurgical improvement for some LVS parameters, including assessment of glottis closure (p < 0.003) observed 6 months after the surgery. An improvement in most of the ventilation parameters was observed also 6 months after surgery (p < 0.001). For the spirometry flow parameter PEF, significant improvement was noted in each check point (p1 < 0.004, p6 < 0.001, p9 < 0.001). The study revealed a correlation between phonatory parameter - MPT and PEF observed 1 month after the procedure (p = 0.026), confirming the interdependence of ventilatory efficiency and phonatory condition of larynx. Mini-microflap surgery brings satisfactory clinical effect in patients with advanced stages of RE by optimization of phonatory and ventilatory functions of the larynx.
Highlights
Reinke’s edema (RE) belongs to a group of benign masses of vocal folds (BVFM) deteriorating both phonatory and ventilatory function of the larynx.[1–3] Precisely, RE is classified as a disease of the lamina propria, and as its name indicates, superficial lamina propria, referred to as Reinke’s space of the vocal fold layer, is affected by this disorder.[4]
Phonatory function disturbances were assessed on the basis of Maximum Phonation Time (MPT) measurement, Voice Handicap Index (VHI) and Voice-Related Quality of Life (V-ROOL) questionnaires
Post-surgery increase in MPT, VHI and VQROL was noticed in all patients in 3 check points (p < 0.001)
Summary
Reinke’s edema (RE) belongs to a group of benign masses of vocal folds (BVFM) deteriorating both phonatory and ventilatory function of the larynx.[1–3] Precisely, RE is classified as a disease of the lamina propria, and as its name indicates, superficial lamina propria, referred to as Reinke’s space of the vocal fold layer, is affected by this disorder.[4]. Reinke’s edema (RE) belongs to a group of benign masses of vocal folds (BVFM) deteriorating both phonatory and ventilatory function of the larynx.[1–3]. Four clinical stages can be distinguished, depending both on the extent of lesions on vocal folds and on glottis area narrowing caused by swollen folds.[8]. In more advanced stages of RE, due to the narrowing of the glottis area, ventilatory capacity can be compromised, which is typically observed as gradually aggravating respiratory problems.[12]. In the case of large, bilateral RE, stridor can be noticed, caused by chronic edematous hypertrophy of vocal folds obstructing the glottis, especially its posterior part responsible for the respiratory function of larynx.[13]. Short and long-term results of microsurgical treatment with the mini-microflap technique in patients with Reinke’s edema (RE) were assessed based on the phonatory and ventilatory functions of the larynx
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