성대 폴립 환자에서 음성위생교육의 효과

윤영선; 김상우; 백정환; 정하신; 손영익

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자료유형: 학술저널

저자정보: 윤영선 김상우 백정환 정하신 손영익

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제7호

발행연도: 2006.1

수록면: 728 - 732 (5page)

이용수

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연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

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Background and Objectives：Surgical removal is generally known as the gold standard treatment of vocal polyp. However, the authors have not infrequently observed marked reduction or complete disappearance of the vocal polyps when vocal hygiene education was provided as a part of preoperative routine preparation. The aim of this study was to assess the effect of vocal hygiene education and to define the factors that can predict which patients with vocal polyp will get benefits from it. Subjects and Method：We reviewed the medical records of 190 patients with vocal polyp, and selected 88 patients who had received vocal hygiene education and completed a series of follow-up evaluation at 3 months later. According to the change of polyp size, patients were grouped into two：improvement and no improvement group. Eight factors (age, gender, duration of hoarseness, initial polyp size, hemorrhagic change of vocal polyp, degree of occupational voice abuse, smoking, and presence of reflux symptoms) were compared between the two groups. Results：When given the vocal hygiene education, 19% of overall 190 patients and 41% of 88 patients who were followed up belonged to the improvement group. Univariate analyses showed that female patients, shorter duration of hoarseness, smaller polyp size, less occupational voice abuse, and no smoking are the meaningful favorable predictive factors. Multivariate analyses demonstrated that female patients with a small polyp and no symptoms of reflux have the largest possibility of getting improved. Conclusion：Vocal hygiene education should be providedas a first line of treatment for patients with vocal polyp, especially when a female patient without reflux symptom has a small polyp. (Korean J Otolaryngol 2006;49:728-32)

#성대폴립·음성위생교육·치료효과·예측인자. #Voice disorders·Hygiene·Treatment outcome·Vocal polyp.

참고문헌 (7)

참고문헌 신청

/ 1991 / Disorders of Laryngeal Function : 2257 ~ 72

/ 1994 / Effect of hydration treatmentson laryngeal nodules and polyps and related voice measures 8 : 30 ~ 47

/ 1998 / National center for voice and speech’s guide to vocology : 27 ~ 32

/ 1999 / The frequency of hard glottal attacks in patients with muscletension dysphonia, unilateral benign masses and bilateral benignmasses 14 : 240 ~ 246

/ 2003 / Update on the etiology, diagnosis, and treatment of vocalfold nodules, polyps, and cysts 11 : 456 ~ 461

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