TREATMENT MANAGEMENT AND RESPONSE OF VOCAL CORD NODULES IN TERTIARY CARE HOSPITAL

Abstract

Background: Vocal fold nodules (VFNs), are localized, benign, superficial growths on the medial surface of the true vocal folds (TVFs) that are commonly believed to result from phonotrauma. Nodules are bilateral with a classic location at the junction of the anterior and middle third of the vocal fold (ie, the midpoint of the membranous vocal fold). AIMS: Correlation between response of treatment (as evident by post-treatment and post follow up GRBAS score), in each group. MATERIAL AND METHODS: Outpatient department and Indoor wards of Department of ENT and Head Neck surgery, R. G Kar Medical College. Patients attending ENT OPD of R G Kar Medical College during the Study period were the study population. Sample size was atleast 50 Patients. RESULT: In group-A, the mean Pre Rx GRBAS (mean±s.d.) of the patients was 11.4118 ± 2.0018. In group-B, the mean Pre Rx GRBAS (mean±s.d.) of the patients was 11.1818 ± 2.5794.Distribution of mean Pre Rx GRBAS vs. group was not statistically significant (p=0.7499). CONCLUSION: Vocal fold nodule is one of the most frequent benign laryngeal lesions, influencing the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions.