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A retrospective study of contact granuloma.

机译:接触性肉芽肿的回顾性研究。

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摘要

OBJECTIVES: This study evaluates the clinical features of contact granuloma and compares the results of voice therapy in operated versus unoperated cases. STUDY DESIGN: Retrospective review of 123 patients with contact granuloma. Thirty-six patients had undergone one or more surgeries before phoniatric consultation. After their final operation, 33 patients had recurrence. The three patients who were cured by operation were not studied further. The course of disease in the 33 patients with recurrence was compared with that of 87 patients who did not have surgery. METHODS: The hospital records were reviewed concerning age, sex, symptoms, side of granuloma, and outcome of treatment. RESULTS: The predominant symptoms were vocal fatigue, vocal discomfort, the need for excessive throat clearing, and hoarseness. The recurrence rate after operation was 92%. Twelve months after voice therapy, 35% of the operated group and 51% of the unoperated group were cured. The patients who had surgery had almost twice as many sessions of voice therapy as the unoperated group, and their mean recovery time was 17 months, compared with 8 months for the unoperated group. CONCLUSIONS: The recurrence rate after surgery was high. Surgery may prolong the recovery time. Subjective symptoms diminished during voice therapy, but we cannot confirm that it was beneficial for the healing process.
机译:目的:本研究评估接触性肉芽肿的临床特征,并比较手术和非手术患者的声音治疗结果。研究设计:回顾性研究123例接触性肉芽肿患者。三十六名患者在进行语音咨询之前接受了一项或多项手术。最终手术后,有33例患者复发。手术治愈的三名患者没有进一步研究。比较了33例复发患者和87例未进行手术的患者的病程。方法:回顾了有关年龄,性别,症状,肉芽肿的一面和治疗结果的医院记录。结果:主要症状是声音疲劳,声音不适,需要过度清理喉咙和声音嘶哑。术后复发率为92%。语音治疗后十二个月,手术组35%和未手术组51%治愈。接受过手术的患者接受语音治疗的次数几乎是未手术组的两倍,平均康复时间为17个月,而未手术组为8个月。结论:术后复发率高。手术可能会延长恢复时间。在语音治疗过程中,主观症状有所减轻,但我们无法确定它对治愈过程是否有益。

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