New Opportunities in the Treatment of Dysphonia
A. Beranová; J. Betka
Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha, přednosta prof. MUDr. J. Betka, DrSc.
Otorinolaryng. a Foniat. /Prague/, , 2003, No. 2, pp. 75-79.
New Opportunities in the Treatment of DysphoniaS u m m a r y:
The objective of this prospective randomized pilot study was to compare modalitiesof treatment of dysphonia. Eighteen patients with dysphonia persisting for more than two weeksattending successively the voice unit were divided at random into two groups. Group A was giveninstructions as regards vocal hygiene by an ENT specialist, group B was treated by pharmacotherapy.Group C, patients with persistent dysphonia had been treated at the beginning of the studypharmacologically already for 3 - 6 months. The patients were examined within a one-month intervalby means of videostroboscopy of the vocal cords, phonetogram and quality of life in relation to theirvoice. The difference in the area of the phonetogram before and after treatment was significant ingroups A and B (p = 0.03) but not in group C (p = 0.09). In the total score in the quality of lifequestionnaire there was an obvious trend of improvement after both types of treatment. The t-testwas significant in group A (p ~ 0.01 - 0.03) but not in group B (p ~ 0.08 - 0.10). Pharmacotherapy andrecommendations regarding vocal hygiene provided by an otolanrygologist (phoniatrist) can beconsidered an effective tool in the treatment of dysphonia.
dysphonia, phonetrography, quality of life, videostroboscopy.
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