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Vocal cord polyps: clinical and surgical aspects

Introduction: Vocal fold polyp is a commom benign lesion of the larynx which can be treated in various ways. This article intends to show how clinical and surgical work can be applied in the event of the vocal fold polyp. Study design: Clinical retrospective. Material and Method: A retrospective research analysing patients was carried out from February 2000 to July 2001 (18 months) by the Department of Larynx at the Faculdade de Medicina do ABC. A complete analysis of the results, as well as therapeutical techiniques applied and the results referred in the medical literature was done. Results: A number of 108 patients underwent the study. Polyp was found to be the most prevalent lesion (29,62%; n=32) among both male and female and the main symptom found was dysphonia (100%). Around 56,25% of the patients were smokers and approximately 25% related vocal abuse. A number of 26 (twenty-six) patients (81,25%) underwent microlaryngeal surgery with a suspension laryngoscope, general anesthesia, postsurgical voice and drugs therapy, whenever needed. As a result, 95% of the patients showed some improvement on their voice, within 60 days after surgery. Conclusions: Although surgical excision of the vocal polyp can be carried out in many ways, therapeutical success depends on the surgeron's skills and standards of postoperative care, such as voice and drugs therapy.

polyp; vocal cord; treatment


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