{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T09:01:39Z","timestamp":1775120499738,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,2]],"date-time":"2019-01-02T00:00:00Z","timestamp":1546387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Optimal treatment for patients with vocal fold polyps (VFPs) remains controversial. We compared the short\u2010term outcomes of treatment with voice therapy alone (VT), surgery alone (SUR)m or voice therapy and surgery (VTS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was performed for patients diagnosed with VFP (<jats:italic>International Classification of Diseases, Ninth Revision<\/jats:italic> code 478.4 and <jats:italic>Tenth Revision<\/jats:italic> code J38.1) between January 2010 and April 2016. Inclusion criteria were age greater than 18 years and charted evidence of treatment with voice therapy, surgery, or both. Exclusion criteria were history of laryngeal cancer or radiation above the clavicles. Outcomes measured included chart records of lesion absence, persistence or recurrence, and differences between pretreatment and post\u2010treatment Voice Handicap Index\u201010 and GRBAS (G\/grade, R\/roughness, B\/breathiness, A\/asthenia, S\/strain) scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred twenty patients with VFPs were identified (SUR\u2009=\u200923, 19.2%, VT\u2009=\u200929, 24.2%, VTS\u2009=\u200968, 56.7%). Mean follow\u2010up was 5.5 months. There were no recurrences in 115 patients (95.8%). There was significant improvement from pre\u2010 to post\u2010treatment VHI\u201010 scores in the SUR (mean improvement\u2009=\u200912.5, standard deviation [SD]\u2009=\u200912.7) and VTS (mean improvement\u2009=\u200912.3, SD\u2009=\u200910.3) groups compared to the VT (mean improvement\u2009=\u20092.84, SD\u2009=\u200911.9) group (<jats:italic>P<\/jats:italic>\u2009=\u2009.009). Pre\u2010 and post\u2010treatment GRBAS scores did not significantly change in any group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When using patient\u2010reported outcomes measures, patients with VFPs receive the greatest short\u2010term gains from treatment paradigms involving surgery or a combination of surgery and voice therapy. Voice therapy alone did not result in significant short\u2010term changes. Perceptual voice characteristics did not change significantly for any group. Further research on long\u2010term treatment outcomes for patients with VFPs is needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 129:1067\u20131070, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27697","type":"journal-article","created":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T07:28:55Z","timestamp":1546500535000},"page":"1067-1070","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Comparing short\u2010term outcomes of surgery and voice therapy for patients with vocal fold polyps"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9016-7960","authenticated-orcid":false,"given":"Jay","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anni","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Karle","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Naunheim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Courey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(83)80003-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113002454"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.12.009"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2016.02.014"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24112"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.07.005"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.043"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(00)80017-X"},{"key":"e_1_2_6_10_1","first-page":"279","article-title":"Implementation of the European Laryngological Society (ELS) basic protocol for assessing voice 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