Table of Contents Table of Contents
Previous Page  4 / 8 Next Page
Information
Show Menu
Previous Page 4 / 8 Next Page
Page Background

Page 17

Otolaryngology 2019

Otolaryngology Online Journal | ISSN: 2250-0359 | Volume 9

July 18-19, 2019 | Valencia, Spain

OF EXCELLENCE

IN INTERNATIONAL

MEETINGS

alliedacademies.com

YEARS

OTOLARYNGOLOGY: ENT SURGERY

8

th

Global Summit on

PHONOMICROSURGERY FOR RECALCITRANT VOCAL FOLD LESIONS

Matthew S Broadhurst

Queensland Voice Centre, Australia

Background:

The human vocal folds undergo a tremendous amount of soft tissue trauma. As such, they are

susceptible to phonotraumatic lesions including nodules, cyst and polyp. These lesions arise from an acute

event and can persist with varying degrees of hoarseness and impact on the individual’s occupation, produc-

tivity and social interactions. Achieving precise phonomicrosurgical resection in conjunction with carefully di-

rected speech therapy provides patients with the highest chance of successful long term vocal rehabilitation.

Methods:

Consecutive patients presenting from 2008 to 2016 with phonotraumatic lesions were included. All

patients had pre- surgery high-definition videostroboscopy and completed the voice handicap index (VHI),

singing voice handicap index (SVHI) when appropriate and voice-related quality of life (VR-QOL). Minimum

patient follow-up was six months. Outcome measures were recurrence, requirement for revision surgery, im-

provement in the VHI, SVHI, VR-QOL and post-surgery videostroboscopy.

Results:

280 patients were included (169 female). Complete data was available on 182 patients with the major-

ity comprising teachers and singers. The VHI was substantially elevated pre-surgery and significantly lowered

by subepithelial resection. Videostroboscopy showed substantial improvement in surface pliability and glottal

closure following surgery. There were two recurrences and one patient subsequently developed a unilateral

vocal fold polyp 18 months after initial surgery for nodules.

Conclusion:

Phonomicrosurgery with speech therapy can enable optimal vocal rehabilitation in patients with

phonotraumatic lesions. Surgery can definitively restore vocal fold pliability and glottal closure translating to

significantly improve if not normal phonation with long term success and negligible recurrence.

Matthew S Broadhurst, Otolaryngology Online Journal 2019, Volume 9

Matthew Broadhurst is a fellowship trained laryngeal and upper airway surgeon specialising in laryngeal surgery, voice restoration

and obstructive sleep apnoea. He returned to Brisbane, Australia from Boston, Massachusetts in 2007 having worked for two years

at Harvard Medical School and Massachusetts General Hospital. He was the first fellowship trained laryngeal surgeon in Australia

and now has a large tertiary referral practice in voice and larynx disorders and sleep apnoea. In his practice, he utilizes state of the

art techniques in surgery to the airway and is actively involved in clinical research and education both nationally and internationally.

His areas of special interest and research include KTP laser for dysplasia and glottic cancer, short and long term management of

vocal fold paralysis, phonotraumatic lesions in professional voice users and laryngeal papilloma.

mattbroadhurst@mac.com

BIOGRAPHY