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A Systematic Review on Surgical Treatments for Sulcus Vocalis and Vocal Fold Scar
Objectives/Hypothesis Vocal fold sulcus and scars are benign vocal fold lesions that present as a challenge to the laryngologist. A number of different surgical techniques have been proposed, aiming at restoring the lamina propria (LP), closing the glottal gap, or both. This study aimed to provide a...
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| Published in: | The Laryngoscope 2022-04, Vol.132 (4), p.822-830 |
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| Main Authors: | , , , |
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| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c4235-61ab46efcef1002c0d7945971a068f6296d4369b8378caee3547cab3a7e3de263 |
| container_end_page | 830 |
| container_issue | 4 |
| container_start_page | 822 |
| container_title | The Laryngoscope |
| container_volume | 132 |
| creator | Medeiros, Nuno Castro, Maria Eugénia Morais Lith‐Bijl, Julie Titske Desuter, Gauthier René Raymond |
| description | Objectives/Hypothesis
Vocal fold sulcus and scars are benign vocal fold lesions that present as a challenge to the laryngologist. A number of different surgical techniques have been proposed, aiming at restoring the lamina propria (LP), closing the glottal gap, or both. This study aimed to provide a systematic review of surgical treatment for sulcus and scar and to propose a new classification for these techniques.
Study Design
A literature search using MEDLINE and Google Scholar through August 2020.
Methods
Data on study design were retrieved and outcomes were classified as acoustic, aerodynamic, self‐reported, perceptual, and stroboscopic. Methodological quality was assessed using the MINORs criteria. Each technique was classified as direct, indirect, or combined.
Results
Our search included 31 studies with a total of 617 patients. Direct techniques included dissection, graft interposition, or LP regeneration/scar degradation while indirect techniques aimed for glottal gap closure. Only one article performed a comparison between different types of techniques and only eight studied the five types of outcomes. No superiority of any technique was noted in our analysis. Self‐reported outcomes were the most frequently improved.
Conclusions
There seems to not exist a one‐fits‐all treatment for this clinical picture and no clear decision‐making pattern. A recent trend toward sequential approaches, starting with less invasive procedures, can be observed. Laryngoscope, 132:822–830, 2022 |
| doi_str_mv | 10.1002/lary.29665 |
| format | article |
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Vocal fold sulcus and scars are benign vocal fold lesions that present as a challenge to the laryngologist. A number of different surgical techniques have been proposed, aiming at restoring the lamina propria (LP), closing the glottal gap, or both. This study aimed to provide a systematic review of surgical treatment for sulcus and scar and to propose a new classification for these techniques.
Study Design
A literature search using MEDLINE and Google Scholar through August 2020.
Methods
Data on study design were retrieved and outcomes were classified as acoustic, aerodynamic, self‐reported, perceptual, and stroboscopic. Methodological quality was assessed using the MINORs criteria. Each technique was classified as direct, indirect, or combined.
Results
Our search included 31 studies with a total of 617 patients. Direct techniques included dissection, graft interposition, or LP regeneration/scar degradation while indirect techniques aimed for glottal gap closure. Only one article performed a comparison between different types of techniques and only eight studied the five types of outcomes. No superiority of any technique was noted in our analysis. Self‐reported outcomes were the most frequently improved.
Conclusions
There seems to not exist a one‐fits‐all treatment for this clinical picture and no clear decision‐making pattern. A recent trend toward sequential approaches, starting with less invasive procedures, can be observed. Laryngoscope, 132:822–830, 2022</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.29665</identifier><identifier>PMID: 34057225</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Acoustics ; Cicatrix - etiology ; Cicatrix - pathology ; Cicatrix - surgery ; glottal gap ; Humans ; Laryngeal Muscles - pathology ; Laryngoscopy ; Larynx ; mucosal wave ; Stroboscopy ; Sulcus vocalis ; Surgical techniques ; Systematic review ; Throat surgery ; Vocal Cords - pathology ; Vocal Cords - surgery ; vocal scar</subject><ispartof>The Laryngoscope, 2022-04, Vol.132 (4), p.822-830</ispartof><rights>2021 The American Laryngological, Rhinological and Otological Society, Inc..</rights><rights>2022 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4235-61ab46efcef1002c0d7945971a068f6296d4369b8378caee3547cab3a7e3de263</citedby><cites>FETCH-LOGICAL-c4235-61ab46efcef1002c0d7945971a068f6296d4369b8378caee3547cab3a7e3de263</cites><orcidid>0000-0002-5303-5878 ; 0000-0003-3127-9406</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34057225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Medeiros, Nuno</creatorcontrib><creatorcontrib>Castro, Maria Eugénia Morais</creatorcontrib><creatorcontrib>Lith‐Bijl, Julie Titske</creatorcontrib><creatorcontrib>Desuter, Gauthier René Raymond</creatorcontrib><title>A Systematic Review on Surgical Treatments for Sulcus Vocalis and Vocal Fold Scar</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
Vocal fold sulcus and scars are benign vocal fold lesions that present as a challenge to the laryngologist. A number of different surgical techniques have been proposed, aiming at restoring the lamina propria (LP), closing the glottal gap, or both. This study aimed to provide a systematic review of surgical treatment for sulcus and scar and to propose a new classification for these techniques.
Study Design
A literature search using MEDLINE and Google Scholar through August 2020.
Methods
Data on study design were retrieved and outcomes were classified as acoustic, aerodynamic, self‐reported, perceptual, and stroboscopic. Methodological quality was assessed using the MINORs criteria. Each technique was classified as direct, indirect, or combined.
Results
Our search included 31 studies with a total of 617 patients. Direct techniques included dissection, graft interposition, or LP regeneration/scar degradation while indirect techniques aimed for glottal gap closure. Only one article performed a comparison between different types of techniques and only eight studied the five types of outcomes. No superiority of any technique was noted in our analysis. Self‐reported outcomes were the most frequently improved.
Conclusions
There seems to not exist a one‐fits‐all treatment for this clinical picture and no clear decision‐making pattern. A recent trend toward sequential approaches, starting with less invasive procedures, can be observed. Laryngoscope, 132:822–830, 2022</description><subject>Acoustics</subject><subject>Cicatrix - etiology</subject><subject>Cicatrix - pathology</subject><subject>Cicatrix - surgery</subject><subject>glottal gap</subject><subject>Humans</subject><subject>Laryngeal Muscles - pathology</subject><subject>Laryngoscopy</subject><subject>Larynx</subject><subject>mucosal wave</subject><subject>Stroboscopy</subject><subject>Sulcus vocalis</subject><subject>Surgical techniques</subject><subject>Systematic review</subject><subject>Throat surgery</subject><subject>Vocal Cords - pathology</subject><subject>Vocal Cords - surgery</subject><subject>vocal scar</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kE1Lw0AQhhdRbK1e_AGy4EWE1P3I5uNYilWhILZV9LRsNhNJyUfdTSz9925M9eDB0wwzDw8zL0LnlIwpIeymUGY3ZnEQiAM0pIJTz49jcYiGbsm9SLDXATqxdk0IDbkgx2jAfSJCxsQQPU3wcmcbKFWTa7yAzxy2uK7wsjXvuVYFXhlQTQlVY3FWGzcvdGvxS-12ucWqSvsez-oixUutzCk6ylRh4WxfR-h5drua3nvzx7uH6WTuaZ9x4QVUJX4AmYase0KTNIx9EYdUkSDKAvdO6vMgTiIeRloBcOGHWiVchcBTYAEfoaveuzH1Rwu2kWVuNRSFqqBurWSCC0oEZcyhl3_Qdd2ayl0nnShifshpJ7zuKW1qaw1kcmPy0mUrKZHdjbILWn4H7eCLvbJNSkh_0Z9kHUB7YJsXsPtHJeeTxVsv_QKJX4bt</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Medeiros, Nuno</creator><creator>Castro, Maria Eugénia Morais</creator><creator>Lith‐Bijl, Julie Titske</creator><creator>Desuter, Gauthier René Raymond</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5303-5878</orcidid><orcidid>https://orcid.org/0000-0003-3127-9406</orcidid></search><sort><creationdate>202204</creationdate><title>A Systematic Review on Surgical Treatments for Sulcus Vocalis and Vocal Fold Scar</title><author>Medeiros, Nuno ; Castro, Maria Eugénia Morais ; Lith‐Bijl, Julie Titske ; Desuter, Gauthier René Raymond</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4235-61ab46efcef1002c0d7945971a068f6296d4369b8378caee3547cab3a7e3de263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acoustics</topic><topic>Cicatrix - etiology</topic><topic>Cicatrix - pathology</topic><topic>Cicatrix - surgery</topic><topic>glottal gap</topic><topic>Humans</topic><topic>Laryngeal Muscles - pathology</topic><topic>Laryngoscopy</topic><topic>Larynx</topic><topic>mucosal wave</topic><topic>Stroboscopy</topic><topic>Sulcus vocalis</topic><topic>Surgical techniques</topic><topic>Systematic review</topic><topic>Throat surgery</topic><topic>Vocal Cords - pathology</topic><topic>Vocal Cords - surgery</topic><topic>vocal scar</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Medeiros, Nuno</creatorcontrib><creatorcontrib>Castro, Maria Eugénia Morais</creatorcontrib><creatorcontrib>Lith‐Bijl, Julie Titske</creatorcontrib><creatorcontrib>Desuter, Gauthier René Raymond</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Medeiros, Nuno</au><au>Castro, Maria Eugénia Morais</au><au>Lith‐Bijl, Julie Titske</au><au>Desuter, Gauthier René Raymond</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Systematic Review on Surgical Treatments for Sulcus Vocalis and Vocal Fold Scar</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2022-04</date><risdate>2022</risdate><volume>132</volume><issue>4</issue><spage>822</spage><epage>830</epage><pages>822-830</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
Vocal fold sulcus and scars are benign vocal fold lesions that present as a challenge to the laryngologist. A number of different surgical techniques have been proposed, aiming at restoring the lamina propria (LP), closing the glottal gap, or both. This study aimed to provide a systematic review of surgical treatment for sulcus and scar and to propose a new classification for these techniques.
Study Design
A literature search using MEDLINE and Google Scholar through August 2020.
Methods
Data on study design were retrieved and outcomes were classified as acoustic, aerodynamic, self‐reported, perceptual, and stroboscopic. Methodological quality was assessed using the MINORs criteria. Each technique was classified as direct, indirect, or combined.
Results
Our search included 31 studies with a total of 617 patients. Direct techniques included dissection, graft interposition, or LP regeneration/scar degradation while indirect techniques aimed for glottal gap closure. Only one article performed a comparison between different types of techniques and only eight studied the five types of outcomes. No superiority of any technique was noted in our analysis. Self‐reported outcomes were the most frequently improved.
Conclusions
There seems to not exist a one‐fits‐all treatment for this clinical picture and no clear decision‐making pattern. A recent trend toward sequential approaches, starting with less invasive procedures, can be observed. Laryngoscope, 132:822–830, 2022</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>34057225</pmid><doi>10.1002/lary.29665</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5303-5878</orcidid><orcidid>https://orcid.org/0000-0003-3127-9406</orcidid></addata></record> |
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| ispartof | The Laryngoscope, 2022-04, Vol.132 (4), p.822-830 |
| issn | 0023-852X 1531-4995 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Acoustics Cicatrix - etiology Cicatrix - pathology Cicatrix - surgery glottal gap Humans Laryngeal Muscles - pathology Laryngoscopy Larynx mucosal wave Stroboscopy Sulcus vocalis Surgical techniques Systematic review Throat surgery Vocal Cords - pathology Vocal Cords - surgery vocal scar |
| title | A Systematic Review on Surgical Treatments for Sulcus Vocalis and Vocal Fold Scar |
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