At a glance
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Intralesional Steroid Injection Versus Accent Method of Voice Therapy in Management of Vocal Nodules: A Randomized Controlled Trial
In Brief
A Phase 4 clinical trial evaluating triamcinolone acetonide injection and Smith Accent method of voice therapy for Vocal Nodules in Adults. Completed, enrolled 50 participants across 1 site.
Detailed Summary
Vocal nodules represent 16 % of benign vocal fold lesions.They are caused by chronic voice abuse or misuse and often occur in children and adult females. The resultant dysphonia leads to personal, social and occupational problems. The first line of treatment is voice rest and voice therapy. The Accent method is a holistic technique for behavior readjustment voice therapy which targets various voice parameters as loudness, pitch and timbre. However, voice rest and voice therapy are sometimes difficult to be carried out in patients with voice-related occupations. So, complete resolution may not be possible in all patients. When voice therapy is inefficient, resection is performed by laryngeal microsurgery under general anesthesia. However, the role of surgery is much restricted.
Study Details
Timeline
Interventions
0.1- 0.3 mm percutaneous intralesional injection
regular sessions of smith accent voice therapy (about 24 sessions, twice session / week) for 3 months