Parálisis de cuerda vocal unilateralestudio de la calidad vocal después del tratamiento logopédico

  1. Busto Crespo, O. 1
  2. Uzcanga Lacabe, M. 2
  3. Abad Marco, A. 2
  4. Berasategui, I. 2
  5. García, L. 2
  6. Aguilera Albesa, S. 2
  7. Fernández González, S. 3
  1. 1 Servicio Navarro de Salud
  2. 2 Complejo Hospitalario de Navarra. Servicio Navarro de Salud
  3. 3 Dpto ORL. Clínica Universidad de Navarra
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Revue:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Année de publication: 2016

Volumen: 39

Número: 1

Pages: 69-75

Type: Article

DOI: 10.4321/S1137-6627/2016000100008 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Anales del sistema sanitario de Navarra

Résumé

Background. To describe demographic factors and voice quality parameters of patients with unilateral vocal fold paralysis (UVFP) after a voice therapy protocol.Methods. Forty-seven patients with a diagnosis of UVFP by video-laryngoscopy were included. Voice therapy was applied to all patients during 15 sessions that were structured in three progressive stages. The objective was to train patients in vocal techniques, phonic-breathing coordination, blow control, vocal exercises for glottic closure and vocal setting. Glottal closure, Voice Handicap Index-10 for perception of voice impairment and GRBAS scale were used before and after the speech therapy.Results. The average age was 51 years (range 20-80), 60% women. Surgery was the most frequent cause (72%), and 40% had a profession related to voice use. Median time from diagnosis to treatment was 5 months (2-12). After voice therapy, 80% had complete glottal closure, previously this had been 34% (p<0.001), the score of VHI-10 decreased from 24.24 to 16.09 points (p<0.001) and GRBAS values improved in all the qualities of voice (p<0.001). Only 8.5% of the patients required surgical intervention after treatment.Conclusions. Voice therapy is effective as first line therapy in patients with UVFP, reserving medialization with non-absorbable material or thyroplasty surgery for those with a poor outcome. However, it is necessary to reduce the time it takes the patient to reach the Voice Unit after laryngoscopic diagnosis.Keywords. Unilateral vocal fold paralysis. Voice therapy.

La source de données: Dialnet