Nan Huang, Xiaoxiao Li, Qingyi Ren, Yike Li, Jing Kang, Pingjiang Ge
{"title":"CO2激光内囊汽化治疗声带囊肿的手术技术。","authors":"Nan Huang, Xiaoxiao Li, Qingyi Ren, Yike Li, Jing Kang, Pingjiang Ge","doi":"10.1016/j.jvoice.2025.04.014","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Traditional surgical methods for vocal cysts, such as enucleation and marsupialization, present inherent limitations, including the risk of cyst rupture and extensive tissue damage. Our aim was to introduce a new surgical approach for treating mucous retention cysts while ensuring the preservation of intact mucosa, thus promoting rapid recovery.</p><p><strong>Methods: </strong>In this retrospective study, 15 patients diagnosed with mucous retention cysts underwent the novel surgery procedure, which involved incising the cyst capsule, vaporizing the inner capsule using a CO2 laser, and repositioning the mucosal tissue. Evaluations were conducted before and after the procedure to assess fundamental frequency (F0), jitter, shimmer, harmonic-to-noise ratio (HNR), maximum phonation time (MPT), maximum loudness phonation time (MLPT), Voice Handicap Index (VHI), and GRBAS scale parameters.</p><p><strong>Results: </strong>The voice parameters of the patients were measured before and 6 months after surgery. The statistical analysis revealed significant improvement in parameters included HNR, jitter, shimmer, MPT, MLPT, VHI, and GRBAS postoperatively compared to their preoperative values (P < 0.05).</p><p><strong>Conclusion: </strong>The surgical technique has shown promising results in enhancing the voice quality of patients with mucous retention cysts. This easily performed method allows for a rapid recovery with complete removal of the cyst's capsule, which is worth promoting.</p><p><strong>Level of evidence: </strong>Level 4.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Surgical Technique of Inner Capsule Vaporization With CO2 Laser for Vocal Fold Cysts.\",\"authors\":\"Nan Huang, Xiaoxiao Li, Qingyi Ren, Yike Li, Jing Kang, Pingjiang Ge\",\"doi\":\"10.1016/j.jvoice.2025.04.014\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Traditional surgical methods for vocal cysts, such as enucleation and marsupialization, present inherent limitations, including the risk of cyst rupture and extensive tissue damage. Our aim was to introduce a new surgical approach for treating mucous retention cysts while ensuring the preservation of intact mucosa, thus promoting rapid recovery.</p><p><strong>Methods: </strong>In this retrospective study, 15 patients diagnosed with mucous retention cysts underwent the novel surgery procedure, which involved incising the cyst capsule, vaporizing the inner capsule using a CO2 laser, and repositioning the mucosal tissue. Evaluations were conducted before and after the procedure to assess fundamental frequency (F0), jitter, shimmer, harmonic-to-noise ratio (HNR), maximum phonation time (MPT), maximum loudness phonation time (MLPT), Voice Handicap Index (VHI), and GRBAS scale parameters.</p><p><strong>Results: </strong>The voice parameters of the patients were measured before and 6 months after surgery. The statistical analysis revealed significant improvement in parameters included HNR, jitter, shimmer, MPT, MLPT, VHI, and GRBAS postoperatively compared to their preoperative values (P < 0.05).</p><p><strong>Conclusion: </strong>The surgical technique has shown promising results in enhancing the voice quality of patients with mucous retention cysts. This easily performed method allows for a rapid recovery with complete removal of the cyst's capsule, which is worth promoting.</p><p><strong>Level of evidence: </strong>Level 4.</p>\",\"PeriodicalId\":49954,\"journal\":{\"name\":\"Journal of Voice\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-05-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Voice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jvoice.2025.04.014\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Voice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jvoice.2025.04.014","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
A Surgical Technique of Inner Capsule Vaporization With CO2 Laser for Vocal Fold Cysts.
Objectives: Traditional surgical methods for vocal cysts, such as enucleation and marsupialization, present inherent limitations, including the risk of cyst rupture and extensive tissue damage. Our aim was to introduce a new surgical approach for treating mucous retention cysts while ensuring the preservation of intact mucosa, thus promoting rapid recovery.
Methods: In this retrospective study, 15 patients diagnosed with mucous retention cysts underwent the novel surgery procedure, which involved incising the cyst capsule, vaporizing the inner capsule using a CO2 laser, and repositioning the mucosal tissue. Evaluations were conducted before and after the procedure to assess fundamental frequency (F0), jitter, shimmer, harmonic-to-noise ratio (HNR), maximum phonation time (MPT), maximum loudness phonation time (MLPT), Voice Handicap Index (VHI), and GRBAS scale parameters.
Results: The voice parameters of the patients were measured before and 6 months after surgery. The statistical analysis revealed significant improvement in parameters included HNR, jitter, shimmer, MPT, MLPT, VHI, and GRBAS postoperatively compared to their preoperative values (P < 0.05).
Conclusion: The surgical technique has shown promising results in enhancing the voice quality of patients with mucous retention cysts. This easily performed method allows for a rapid recovery with complete removal of the cyst's capsule, which is worth promoting.
期刊介绍：
The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
