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Utvärdering av kirurgisk behandling vid organiska stämbandsförändringar hos barn
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
2008 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
Evaluation of Surgical Treatment in Children with Organic Vocal Fold Lesions (English)
Abstract [en]

In Sweden surgical treatment of vocal fold lesions in children is fairly uncommon. At Falun hospital they have adapted a more generous attitude towards phonosurgery of children’s vocal folds. The purpose of the present study was to evaluate surgical treatment of organic vocal fold lesions in children and to assess the phonosurgical patient utility. The study was carried out at the Ear-, Nose- and Throat clinic, Falun hospital, Sweden. Based on case sheets, data was collected regarding the different vocal fold lesions that were surgically treated. The most frequent vocal fold abnormalities were vocal fold nodules, vocal fold cysts and sulcus/vergeture. Further on, assessment of pre- and postoperative voice recordings and stroboscopic examinations were carried out. The general tendency was that vocal fold closure and mucosal wave was estimated as normal or less abnormal following surgery in most patients. Postoperatively, hoarseness, breathiness and roughness were estimated to be significantly lower. For hyperfunction, only a tendency to lower occurrence was observed. The estimation of high pitch was similar pre- and postoperatively. A mail questionnaire showed that most patients/parents estimated a high degree of perceived voice related problems preoperatively. Most patients rated their own vocal function at the time of the study as highly functional. The majority were satisfied with the choice of undergoing surgical treatment. The conclusion was that surgical treatment may be a good option in organic vocal fold lesions in children.

Abstract [sv]

I Sverige är kirurgisk behandling vid stämbandsförändringar hos barn relativt ovanligt. Vid Falu lasarett har man en generösare inställning till fonokirurgi av barns stämband. Syftet med föreliggande studie var att utvärdera kirurgisk behandling vid organiska stämbandsförändringar hos barn för att bedöma vilket värde fonokirurgi har för patienten. Studien genomfördes vid Öron-, Näs- och Halskliniken, Falu lasarett. Journaluppgifter inhämtades angående vilka olika stämbandsförändringar som åtgärdats kirurgiskt. De vanligast förekommande stämbandsförändringarna var knottror, cystor samt sulcus/vergeture. Vidare genomfördes bedömning av pre- och postoperativa röstinspelningar och stroboskopiska undersökningar. Den generella tendensen var att stämbandsslutning och slemhinnevåg i större utsträckning skattades normal eller mindre avvikande efter operation i jämförelse med före operation. Förekomst av röstparametrarna heshet, läckage och skrovlighet bedömdes vara signifikant lägre efter kirurgi. För press kunde endast tendens till lägre förekomst observeras medan det generellt höga röstläget skattades lika före och efter operation. Genom en enkät framkom att flertalet patienter/patienters målsmän skattade förhållandevis höga värden av upplevda röstbesvär före operation. Flertalet skattade höga värden angående hur väl rösten fungerade vid studiens genomförande. Majoriteten var nöjd med valet att genomgå operation. Slutsatsen var att kirurgisk behandling kan vara ett bra behandlingsalternativ vid organiska stämbandsförändringar hos barn.

Place, publisher, year, edition, pages
2008. , 37 p.
Keyword [en]
Voice disorder, voice quality, perceptual analysis, stroboscopy, voice therapy, phonosurgery
Keyword [sv]
Röststörning, röstkvalitet, lyssnarbedömning, stroboskopi, logopedisk röstbehandling, fonokirurgi
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:liu:diva-15865ISRN: LIU-IKE/SLP-A--08/003--SEOAI: oai:DiVA.org:liu-15865DiVA: diva2:127735
Presentation
(English)
Uppsok
Medicine
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Examiners
Available from: 2008-12-19 Created: 2008-12-10 Last updated: 2010-12-10Bibliographically approved

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