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Vocal Cord Lesions and Hoarseness
DAVID E. HARTMAN, PHD;
CHARLES N. FORD, MD
La Crosse, Wis
Arch Otolaryngol. 1981;107(7):460.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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To the Editor.—In their article entitled "Persistent Hoarseness After Surgical Removal of Vocal Cord Lesions" in the ARCHIVES (1981; 107:148-151), Baker et al demonstrate the influence that ancillary medical conditions have on persistent hoarseness after surgical removal of vocal fold lesions. However, their comments regarding voice rest and their conclusions that surgical treatment and postoperative behavior are unimportant factors in persistent hoarseness warrant discussion.
While presurgical medical histories, including emphysema, allergy, etc, may indeed influence postoperative voice quality, the authors failed to mention, or were unaware of the fact, that phonatory disuse (voice rest) after surgery also may cause persistent hoarseness. This is reflected particularly in their second concluding statement, which suggests that the period of voice rest be extended in high-risk patients.
Within the past year, two patients with protracted hoarseness who have been told not to talk for five days to one week after surgical removal of
. . . [Full Text PDF of this Article]
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