One-year follow-up results of combined use of CO2 laser and cold instrumentation for reinke's edema surgery in professional voice users

The purpose of this study was to present our experience with combined use of CO2 laser and cold instrumentation for Reinke's edema surgery and to evaluate 1-year follow-up results of the technique in a series of professional voice users. Fifteen patients with Reinke's edema who underwent m...

Full description

Saved in:
Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2007-09, Vol.264 (9), p.1027-1032
Main Authors: DURSUN, Gursel, OZGURSOY, Ozan Bagis, KENIAL, Ozgur, CORUH, Isil
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Carbon Dioxide - chemistry
Cold Temperature
Female
Follow-Up Studies
Humans
Laryngeal Edema - surgery
Laryngeal Edema - therapy
Lasers
Male
Medical sciences
Microsurgery - methods
Middle Aged
Otorhinolaryngologic Surgical Procedures - methods
Otorhinolaryngology. Stomatology
Treatment Outcome
Voice
Voice Disorders - surgery
Voice Disorders - therapy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purpose of this study was to present our experience with combined use of CO2 laser and cold instrumentation for Reinke's edema surgery and to evaluate 1-year follow-up results of the technique in a series of professional voice users. Fifteen patients with Reinke's edema who underwent microlaryngoscopic surgery were included. Videolaryngostroboscopy, perceptual and acoustic voice analyses were performed before and after surgery. During the 1-year follow-up, no recurrence of Reinke's edema was encountered. Significant postoperative improvement was obtained in the quality of voice, in terms of GRBAS scores, Fo, jitter, shimmer and NHR. No evidence of laryngeal cancer was found on the histological examinations. Combined use of CO2 laser and cold instrumentation provides a reliable and safe method for Reinke's edema surgery, and cessation of smoking, voice rest and control of the laryngopharyngeal reflux contribute to the success of surgery. We consider that the removal of redundant mucosa of the vocal fold reduces the risk of the recurrence of Reinke's edema and provides better quality of voice. However, it does not imply that our method is superior to others', but this procedure constitutes an effective treatment of choice for Reinke's edema patients, including professional voice users.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-007-0309-x