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Vocal fold hemorrhage: Factors predicting recurrence
Author(s) -
Len Christen J.,
Murry Thomas,
Sulica Lucian
Publication year - 2014
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24242
Subject(s) - medicine , retrospective cohort study , varix , vocal folds , logistic regression , cohort , surgery , laryngology , paresis , varices , larynx , cirrhosis
Objectives/Hypothesis Vocal fold hemorrhage is an acute phonotraumatic injury treated with voice rest; recurrence is a generally accepted indication for surgical intervention. This study aims to identify factors predictive of recurrence based on outcomes of a large clinical series. Study Design Retrospective cohort. Methods Retrospective review of cases of vocal fold hemorrhage presenting to a university laryngology service. Demographic information was compiled. Videostroboscopic exams were evaluated for hemorrhage extent, presence of varix, mucosal lesion, and/or vocal fold paresis. Vocal fold hemorrhage recurrence was the main outcome measure. Follow‐up telephone survey was used to complement clinical data. Results Forty‐seven instances of vocal fold hemorrhage were evaluated (25M:22F; 32 professional voice users). Twelve of the 47 (26%) patients experienced recurrence. Only the presence of varix demonstrated significant association with recurrence ( P = 0.0089) on multivariate logistic regression. Conclusion Vocal fold hemorrhage recurred in approximately 26% of patients. Varix was a predictor of recurrence, with 48% of those with varix experiencing recurrence. Monitoring, behavioral management and/or surgical intervention may be indicated to treat patients with such characteristics. Level of Evidence 4. Laryngoscope , 124:227–232, 2014