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<p>This study aims to evaluate the efficacy of adjunctive steroid injection following microlaryngeal surgery (MLS) in improving voice outcomes among patients with benign&#xa0;vocal fold lesions (BVFLs).&#xa0;A prospective observational study was conducted at Sri Ramachandra Institute of&#xa0;Higher Education and Research, involving 40 patients with BVFLs divided into two&#xa0;equal groups. Group A underwent MLS with intraoperative steroid injection, while&#xa0;Group B received MLS alone. Subjective voice assessment tools included the Vocal&#xa0;Fatigue Index (VFI) and the GRBAS scale, while objective evaluation utilized&#xa0;stroboscopy and mean phonation time (MPT). Patients were followed up preoperatively&#xa0;and post-operatively at 2 months.&#xa0;Patients in both groups demonstrated improvement in voice parameters post-surgery.&#xa0;However, Group A showed a significantly greater improvement in VFI scores,&#xa0;particularly in physical symptoms and improvement with rest. GRBAS scores in Group&#xa0;A revealed a statistically significant reduction in Grade, Roughness, and Breathiness&#xa0;post-operatively. Stroboscopy indicated improved glottic closure and mucosal wave in the steroid group. MPT was also longer in Group A compared to Group B.&#xa0;Adjunctive steroid injection post-MLS offers superior voice outcomes compared to surgery alone in patients with benign vocal fold lesions. This approach may enhance post-operative recovery and voice quality, supporting its routine use in clinical practice.</p>

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A Prospective Analysis of Adjunctive Steroid Use in Micro-Laryngeal Surgery for Benign Vocal Fold Pathologies

  • 期刊论文

  • 发表日期：

    2025年10月18日

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  • Aruthy Annadurai,
  • Somu Lakshmanan,
  • Vinoth Manimaran,
  • Aishwarya Nallamuthu

摘要

This study aims to evaluate the efficacy of adjunctive steroid injection following microlaryngeal surgery (MLS) in improving voice outcomes among patients with benign vocal fold lesions (BVFLs). A prospective observational study was conducted at Sri Ramachandra Institute of Higher Education and Research, involving 40 patients with BVFLs divided into two equal groups. Group A underwent MLS with intraoperative steroid injection, while Group B received MLS alone. Subjective voice assessment tools included the Vocal Fatigue Index (VFI) and the GRBAS scale, while objective evaluation utilized stroboscopy and mean phonation time (MPT). Patients were followed up preoperatively and post-operatively at 2 months. Patients in both groups demonstrated improvement in voice parameters post-surgery. However, Group A showed a significantly greater improvement in VFI scores, particularly in physical symptoms and improvement with rest. GRBAS scores in Group A revealed a statistically significant reduction in Grade, Roughness, and Breathiness post-operatively. Stroboscopy indicated improved glottic closure and mucosal wave in the steroid group. MPT was also longer in Group A compared to Group B. Adjunctive steroid injection post-MLS offers superior voice outcomes compared to surgery alone in patients with benign vocal fold lesions. This approach may enhance post-operative recovery and voice quality, supporting its routine use in clinical practice.