Ann Clin Otolaryngol | Volume 2, Issue 1 | Research Article | Open Access
Yusuke Shoji1*, Ryoji Tokashiki1,2, Humimasa Toyomura1, Hiroyuki Hiramatsu1 and Kiyoaki Tsukahara1
1Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University, Japan
2Department of Otolaryngology, Shinjuku Voice Clinic, Japan
*Correspondance to: Yusuke Shoji
Fulltext PDFBackground: To treat vocal fold cysts, complete enucleation during laryngomicrosurgery is recommended. However, wounds remaining following dissection may result in scarring and protracted sclerosis of the vocal fold mucosa. Wide-opening of the lateral part of the cyst is considered to be less damaging to the vocal fold mucosa. In this study, we investigated short-term voice improvement and long-term recurrence rates of vocal fold cysts removed using a ‘wideopening’ method with a double-bend needle under topical anesthesia.
Materials and Methods: In total, 48 patients who underwent wide-opening surgery using a 23 G double-bend needle under topical anesthesia for vocal fold cysts were enrolled. To evaluate shortterm voice improvement, patients’ preoperative and 1 month postoperative Maximum Phonation Time (MPT), pitch range, shimmer, jitter, and Voice Handicap Index (VHI) were compared. Longterm cyst recurrence was investigated via endoscopy.
Results: Significant improvements were observed between the preoperative and 1 month postoperative assessments for every parameter evaluated (P <0.01). We observed no cases of postoperative exacerbation of VHI or cyst recurrence upon endoscopic examination during patient follow-up.
Conclusion: Outpatient vocal fold cyst surgery under topical anesthesia is a simple and useful technique, with a high completion rate. This type of surgery results in minimal invasion of the vocal folds, increased short-term voice improvement, and low recurrence rates.
Shoji Y, Tokashiki R, Toyomura H, Hiramatsu H, Tsukahara K. Outpatient Vocal Fold Cyst Surgery under Topical Anesthesia. Ann Clin Otolaryngol. 2017;2(1):1010.