Utility of voice therapy in the management of vocal fold polyps and cysts

Abstract

Objective: To evaluate the efficacy of voice therapy in the management of vocal fold polyps and cysts.

Study design and setting: Retrospective review of vocal fold cysts and polyps undergoing voice therapy in a tertiary care center. Symptom resolution or persistence resulting in surgical intervention was the main outcome measure.

Results: Fifty-seven patients were identified, of which 49.1% achieved symptom resolution with voice therapy alone. Patients with complete glottal closure and muscle tension dysphonia did not have a better response than those with incomplete glottal closure and without muscle tension dysphonia (P = 0.1, chi(2), respectively). Patients with translucent polyps more commonly responded to voice therapy than fibrotic, hyaline, or hemorrhagic polyps, 81.8% versus 15.4% and 25.0% response rate, respectively (P = 0.002, chi(2)).

Conclusions: Voice therapy is an effective treatment modality for vocal fold polyps and cysts.

Significance: A multidisciplinary approach including a trial of voice therapy is warranted.