Pre and Post Treatment Comparison of S/Z Ratio in Benign Laryngeal Lesions
Benign laryngeal lesions like vocal nodules, vocal polyp, vocal fold cysts are mostly found in patients complaining of change in voice. S/Z ratio has become the most frequently used clinical tool to assess phonatory mechanics. This study shows the pre-treatment and post-treatment comparison of S/Z r...
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Published in | Indian journal of otolaryngology, and head, and neck surgery Vol. 76; no. 2; pp. 1522 - 1525 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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01.04.2024
Springer Nature B.V |
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Abstract | Benign laryngeal lesions like vocal nodules, vocal polyp, vocal fold cysts are mostly found in patients complaining of change in voice. S/Z ratio has become the most frequently used clinical tool to assess phonatory mechanics. This study shows the pre-treatment and post-treatment comparison of S/Z ratios in patients with benign laryngeal lesions. To evaluate the outcome of microlaryngeal surgery in patients with benign laryngeal lesions using S/Z ratio as an outcome parameter. During this study, 65 patients with complaints of change in voice, with clinical evidence of benign laryngeal lesions underwent microlaryngeal surgery. Improvement in symptoms were measured preoperatively and postoperatively using S/Z ratio. This ratio was calculated by asking the patient to to maximally sustain ‘S’ and ‘Z’, repeated thrice. S/Z ratio was calculated by dividing the maximum duration for which /S/ was sustained by the maximum duration for which /Z/ was sustained. A ratio of more than 1.4 suggested a vocal cord disorder. There was statistically significant difference observed in S/Z ratio values, from pre-treatment to 6 months post-treatment, with
P
value 0.001. Pre and post treatment assessment of patients with benign vocal fold lesions showed significant improvement in S/Z ratio postoperatively. It is the simplest and a reliable objective method of voice assessment and can also be used in assessing the outcome of the treatment. |
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AbstractList | Benign laryngeal lesions like vocal nodules, vocal polyp, vocal fold cysts are mostly found in patients complaining of change in voice. S/Z ratio has become the most frequently used clinical tool to assess phonatory mechanics. This study shows the pre-treatment and post-treatment comparison of S/Z ratios in patients with benign laryngeal lesions. To evaluate the outcome of microlaryngeal surgery in patients with benign laryngeal lesions using S/Z ratio as an outcome parameter. During this study, 65 patients with complaints of change in voice, with clinical evidence of benign laryngeal lesions underwent microlaryngeal surgery. Improvement in symptoms were measured preoperatively and postoperatively using S/Z ratio. This ratio was calculated by asking the patient to to maximally sustain ‘S’ and ‘Z’, repeated thrice. S/Z ratio was calculated by dividing the maximum duration for which /S/ was sustained by the maximum duration for which /Z/ was sustained. A ratio of more than 1.4 suggested a vocal cord disorder. There was statistically significant difference observed in S/Z ratio values, from pre-treatment to 6 months post-treatment, with
P
value 0.001. Pre and post treatment assessment of patients with benign vocal fold lesions showed significant improvement in S/Z ratio postoperatively. It is the simplest and a reliable objective method of voice assessment and can also be used in assessing the outcome of the treatment. Benign laryngeal lesions like vocal nodules, vocal polyp, vocal fold cysts are mostly found in patients complaining of change in voice. S/Z ratio has become the most frequently used clinical tool to assess phonatory mechanics. This study shows the pre-treatment and post-treatment comparison of S/Z ratios in patients with benign laryngeal lesions. To evaluate the outcome of microlaryngeal surgery in patients with benign laryngeal lesions using S/Z ratio as an outcome parameter. During this study, 65 patients with complaints of change in voice, with clinical evidence of benign laryngeal lesions underwent microlaryngeal surgery. Improvement in symptoms were measured preoperatively and postoperatively using S/Z ratio. This ratio was calculated by asking the patient to to maximally sustain ‘S’ and ‘Z’, repeated thrice. S/Z ratio was calculated by dividing the maximum duration for which /S/ was sustained by the maximum duration for which /Z/ was sustained. A ratio of more than 1.4 suggested a vocal cord disorder. There was statistically significant difference observed in S/Z ratio values, from pre-treatment to 6 months post-treatment, with P value 0.001. Pre and post treatment assessment of patients with benign vocal fold lesions showed significant improvement in S/Z ratio postoperatively. It is the simplest and a reliable objective method of voice assessment and can also be used in assessing the outcome of the treatment. Benign laryngeal lesions like vocal nodules, vocal polyp, vocal fold cysts are mostly found in patients complaining of change in voice. S/Z ratio has become the most frequently used clinical tool to assess phonatory mechanics. This study shows the pre-treatment and post-treatment comparison of S/Z ratios in patients with benign laryngeal lesions. To evaluate the outcome of microlaryngeal surgery in patients with benign laryngeal lesions using S/Z ratio as an outcome parameter. During this study, 65 patients with complaints of change in voice, with clinical evidence of benign laryngeal lesions underwent microlaryngeal surgery. Improvement in symptoms were measured preoperatively and postoperatively using S/Z ratio. This ratio was calculated by asking the patient to to maximally sustain 'S' and 'Z', repeated thrice. S/Z ratio was calculated by dividing the maximum duration for which /S/ was sustained by the maximum duration for which /Z/ was sustained. A ratio of more than 1.4 suggested a vocal cord disorder. There was statistically significant difference observed in S/Z ratio values, from pre-treatment to 6 months post-treatment, with value 0.001. Pre and post treatment assessment of patients with benign vocal fold lesions showed significant improvement in S/Z ratio postoperatively. It is the simplest and a reliable objective method of voice assessment and can also be used in assessing the outcome of the treatment. |
Author | Prashanth, K. B. Mathew, Riya Ann Puneeth, P. J. Manjunatha, H. A. |
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Cites_doi | 10.1044/0161-1461.1303.197 10.1044/jshd.4502.239 10.1044/0161-1461.2302.163 10.1201/9780203731017 10.1044/jshd.4602.147 10.1044/0161-1461.1904.418 10.1016/0021-9924(91)90017-D |
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Keywords | Benign laryngeal lesions Phonatory mechanics Microlaryngeal surgery S/Z ratio |
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References | Watkinson, Clarke (CR8) 2018 Larson, Mueller, Summers (CR7) 1991; 24 CR2 Hufnagle, Hufnagle (CR5) 1988; 19 Sorenson, Parker (CR3) 1992; 23 Rastatter, Hyman (CR4) 1982; 13 Tait, Michel, Carpenter (CR6) 1980; 45 Eckel, Boone (CR1) 1981; 46 J Hufnagle (4351_CR5) 1988; 19 JC Watkinson (4351_CR8) 2018 FC Eckel (4351_CR1) 1981; 46 GW Larson (4351_CR7) 1991; 24 4351_CR2 DN Sorenson (4351_CR3) 1992; 23 NA Tait (4351_CR6) 1980; 45 MP Rastatter (4351_CR4) 1982; 13 |
References_xml | – volume: 13 start-page: 197 year: 1982 end-page: 199 ident: CR4 article-title: Maximum phoneme duration of /s/ and /z/ by children with vocal nodules publication-title: Lang Speech Hear Serv Sch doi: 10.1044/0161-1461.1303.197 contributor: fullname: Hyman – volume: 45 start-page: 239 year: 1980 end-page: 246 ident: CR6 article-title: Maximum duration of sustained /s/ and /z/ in children publication-title: J Speech Hear Disord doi: 10.1044/jshd.4502.239 contributor: fullname: Carpenter – volume: 23 start-page: 163 year: 1992 end-page: 168 ident: CR3 article-title: The voiced/voiceless phonation time in children with and without laryngeal pathology publication-title: Lang Speech Hear Sch doi: 10.1044/0161-1461.2302.163 contributor: fullname: Parker – ident: CR2 – year: 2018 ident: CR8 publication-title: Scott-Brown’s otorhinolaryngology head and neck surgery doi: 10.1201/9780203731017 contributor: fullname: Clarke – volume: 46 start-page: 147 issue: 2 year: 1981 end-page: 149 ident: CR1 article-title: The S/Z ratio as an indicator of laryngeal pathology publication-title: J Speech Hear Disord doi: 10.1044/jshd.4602.147 contributor: fullname: Boone – volume: 19 start-page: 418 year: 1988 end-page: 422 ident: CR5 article-title: s/z ratio in dysphonic children with and without vocal nodules publication-title: Lang Speech Hear Serv Sch doi: 10.1044/0161-1461.1904.418 contributor: fullname: Hufnagle – volume: 24 start-page: 135 year: 1991 end-page: 140 ident: CR7 article-title: The effects of procedural variations on the s/z ratios of adults publication-title: J Commun Disord doi: 10.1016/0021-9924(91)90017-D contributor: fullname: Summers – volume: 13 start-page: 197 year: 1982 ident: 4351_CR4 publication-title: Lang Speech Hear Serv Sch doi: 10.1044/0161-1461.1303.197 contributor: fullname: MP Rastatter – volume: 19 start-page: 418 year: 1988 ident: 4351_CR5 publication-title: Lang Speech Hear Serv Sch doi: 10.1044/0161-1461.1904.418 contributor: fullname: J Hufnagle – volume-title: Scott-Brown’s otorhinolaryngology head and neck surgery year: 2018 ident: 4351_CR8 doi: 10.1201/9780203731017 contributor: fullname: JC Watkinson – volume: 45 start-page: 239 year: 1980 ident: 4351_CR6 publication-title: J Speech Hear Disord doi: 10.1044/jshd.4502.239 contributor: fullname: NA Tait – volume: 23 start-page: 163 year: 1992 ident: 4351_CR3 publication-title: Lang Speech Hear Sch doi: 10.1044/0161-1461.2302.163 contributor: fullname: DN Sorenson – volume: 24 start-page: 135 year: 1991 ident: 4351_CR7 publication-title: J Commun Disord doi: 10.1016/0021-9924(91)90017-D contributor: fullname: GW Larson – volume: 46 start-page: 147 issue: 2 year: 1981 ident: 4351_CR1 publication-title: J Speech Hear Disord doi: 10.1044/jshd.4602.147 contributor: fullname: FC Eckel – ident: 4351_CR2 |
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Title | Pre and Post Treatment Comparison of S/Z Ratio in Benign Laryngeal Lesions |
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