A CLINICAL STUDY ON MANAGEMENT OF BENIGN VOCAL CORD NODULES WITH SPECIAL REFERENCE TO NON SURGICAL VERSUS SURGICAL INTERVENTION

DR.RAMKESH MEENA; DR.SUNIL SAMDHANI

Volume : VI, Issue : I, January - 2017

A CLINICAL STUDY ON MANAGEMENT OF BENIGN VOCAL CORD NODULES WITH SPECIAL REFERENCE TO NON SURGICAL VERSUS SURGICAL INTERVENTION

Dr. Ramkesh Meena, Dr. Sunil Samdhani

Abstract :

BACKGROUND: –Benign vocal cord tumours are non–cancerous growths of abnormal tissue on the vocal folds. They include "singer‘s" nodules, isolated polyps, polypoid degeneration cysts, leukoplakia or keratosis, intubation granuloma. Nodules are not cancerous, they are usually not life threatening. These are vocal nodule vocal polyp vocal cyst. treatnent can be coservative or surgical,One of the techniques includes micro laryngeal surgery which has opened wide horizons and has offered a wide variety of procedural options.. Diagnostic, scientific and technological advances have been paralleled in recent years by increasing sophistication and precision in laryngeal surgery

METHODS: in Department of Otorhinolaryngology and Head & Neck Surgery, SMS Medical college and hospital jaipur.. Total of 80 patients who presented to our out patient department with complaint of change of voice between the period of May 2012 to November 2013 were evaluated in this study. They were investigated and managed appropriately. Follow up at the interval of 2weeks, 4weeks and 6months was done with subjective analysis of voice.

RESULTS: In this study total 80 patient were included. All pt were given conservative management and speech therapy. 46 out of 80 got improvement by this modality of treatment and remaining 34 patient undergoing for surgery .30 patient out of 34 got improvement but remaining 4 did not get benefit(Worse the voice) because in 2 patient either residual or fiosis and in 2 patient may be due to failure to follow proper speech instruction

CONCLUSION: The study reveals that Vocal cord nodules are commonly occurs in middle age group 31–45yr have female preponderance which are commonly persent bilaterally and commonly occurs in hindu population.Most common cause of vocal cord nodules are voice abuse/misuse.Smoking,GERD,post nasal drip and medication are other aggerivating factors.Almost all patient of vocal cord nodules present with changes in voice and commonly found in teachers, students, housewife ,vandors singers etc.Most of case of vocal cord nodules responded to conservative management and that did not respond to conservative treatment were treated by surgery(MLS).