Abstract:Abstract:ObjectiveTo observe the effect of ABCLOVE voice therapy program for dysphonia in patients with unilateral vocal cord polyp.Methods32 patients suffering from unilateral vocal cord polyp with dysphonia were selected in our department from Dec 2015 to March 2017. All patients received ABCLOVE voice therapy program once a week for 6 times. Before and after voice training, they were asked to take subjective and objective evaluations via laryngoscopy, voice handicap index scale (VHI scale) and computer voice acoustic analyzer. Parameters including RAP, the maximum phonation time (MPT), base audio range and size of polyp were used to evaluate the outcomes of ABCLOVE voice therapy program.ResultsAfter the voice rehabilitation training with ABCLOVE voice therapy, all patients had improved voice quality with a total effective rate of 100% and cure rate of 86.3%. ① After treatment, electronic laryngoscopy showed that vocal cord polyps disappeared in 9 cases, size of polyps got decreased in 11 and remained unchanged in 12. For those with residual or unchanged polyps, surgical treatment was avoided due to significant remission of hoarseness to the extent that could meet the daily acoustic demand. ② The VHI (F, P, E and TVH) scores after voice therapy were lower than those before treatment (all P<0.05). ③ Results of voice analysis showed that RAP was decreased (P<0.01), MPT was significantly lengthened (P<0.01), base audio range (Hz) and intensity (dB) were significantly improved (both P<0.05) after treatment.ConclusionsABCLOVE voice therapy program can be effectively used for individualized treatment of dysphonia caused by laryngeal inflammatory diseases such as vocal cord polyps. Thereby, the quality of voice can be improved, and the unnecessary routine operation can be avoided, the suffering and the treatment cost of patients can be lessened.
