Duration of Clinical Response After In‐Office Steroid Injection for Vocal Fold Scar

Autor: Lucas G. Axiotakis, Necati Enver, Evan L. Kennedy, Kimberly A. Duncan, Michael J. Pitman
Rok vydání: 2023
Předmět:
Zdroj: The Laryngoscope.
ISSN: 1531-4995
0023-852X
Popis: To assess the duration of clinical response after in-office vocal fold steroid injection (VFSI) for vocal fold (VF) scar.Demographic and clinical data for in-office VFSI occurring from 2017 to 2020 were collected. Two Speech-Language Pathologists (SLPs) used perceptual evaluation of voice and functional scales to evaluate blinded voice and laryngovideostroboscopy (LVS) samples collected pre- and post-injection across multiple timepoints.Blinded SLP ratings were used for 30 individual VFs undergoing initial injection in 18 patients. Persistent improvement in voice past 6 months was seen in 57% of patients after VFSI. Multiple measures of voice and amplitude, percent vibrating tissue, and closed phase predominance significantly improved at various follow-up timepoints on average.Accounting for patient heterogeneity and disease progression, in-office VFSI for VF scar is associated with sustained improvement in a subset of patients. Approximately half of patients can expect to experience a lasting improvement in voice. Future studies of larger scale are required to identify patient factors associated with long-term benefit.4 Laryngoscope, 2023.
Databáze: OpenAIRE
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