A follow-up study of Reinke's edema after surgery
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概要
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This study reports on the follow-up carried out on 69 cases of Reinke's edema treated by the squeezing technique proposed by the authors' group during the period from 1985 to 1989. The results were as follows : (1) In 40 out of 69 cases (58.0%), a small open wound on the vocal folds remained immediately after surgery, while in 29 cases (42.0%) there was a large wound. According to the authors' classification, the incidence of cases with a large wound was significantly higher in Type III than in Type I and II. (2) In 54 out of 59 cases (91.5%) normal vocal fold vibration was recovered within 6 months after surgery, while the remaining 5 did not show any signs of recovery within one year after surgery. Those patients who had a small open wound of the vocal folds and stopped smoking after surgery recovered rapidly. Among the Type Ill cases the recovery period tended to be prolonged. (3) The length of time until the speaking voice could maintain stability did not exceed 8 months after surgery in almost all cases and was prolonged more than 4 months in Type III cases. (4) The incidence of recurrent edema of the vocal folds was significantly greater in patients who continued to smoke after surgery than in those who stopped smoking. (5) Most cases reported subjective satisfaction for resulting from the treatment after surgery. On the other hand, some of the Type I and II cases complained that the voice after surgery was not improved sufficiently to meet occupational needs.
- The Japan Laryngological Associationの論文
The Japan Laryngological Association | 論文
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