Osong Public Health and Research Perspectives

Korea Disease Control and Prevention Agency (질병관리청)
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Effects of Injection Laryngoplasty with Hyaluronic Acid in Patients with Vocal Fold Paralysis

  • Kim, Geun-Hyo (Department of Otorhinolaryngology-Head and Neck Surgery and Biomedical Research Institute, Pusan National University Hospital) ;
  • Lee, Jae-Seok (Department of Otolaryngology, Gyeongsang National University Hospital) ;
  • Lee, Chang-Yoon (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences) ;
  • Lee, Yeon-Woo (Department of Otorhinolaryngology-Head and Neck Surgery and Biomedical Research Institute, Pusan National University Hospital) ;
  • Bae, In-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital) ;
  • Park, Hee-June (Department of Speech Rehabilitation, Choonhae College of Health Sciences) ;
  • Lee, Byung-Joo (Department of Otorhinolaryngology-Head and Neck Surgery and Biomedical Research Institute, Pusan National University Hospital) ;
  • Kwon, Soon-Bok (Department of Humanities, Language and Information, Pusan National University)
  • Received : 2018.09.27
  • Accepted : 2018.11.29
  • Published : 2018.12.30
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Abstract

Objectives: The purpose of this study was to explore the effects of injection laryngoplasty (IL) with hyaluronic acid in patients with vocal fold paralysis (VFP). Methods: A total of 50 patients with VFP participated in this study. Pre- and post-IL assessments were performed, which included analyzing the sustained vowel /a/ phonation, and the patient reading 1 Korean sentence from the "Walk" passage that comprised 25 syllables in 10 words. To investigate the effect of IL on vocal fold function, acoustic analysis (acoustic voice quality index, cepstral peak prominence, maximum phonation time, speaking fundamental frequency) was conducted and auditory-perceptual (grade and overall severity), visual judgment (gap), and self-questionnaire (voice handicap index-10) assessments were performed. Results: The patients with VFP showed statistically significant differences between pre-and post-IL assessments for acoustic and auditory-perception, visual judgment, and self-questionnaire assessments. Conclusion: The patients with VFP showed positive change in vocal fold function between pre- and post-IL measurements. The findings showed that IL with hyaluronic acid is an effective method to improve vocal fold function in patients with VFP.

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Cited by

  1. Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis? vol.278, pp.10, 2018, https://doi.org/10.1007/s00405-021-06925-z