Outcome of Intralesional Steroid Injection for Benign Vocal Cord Lesions

Abstract

Aims and Objectives: The study aims to find out the outcome of intralesional steroid injection in benign lesions of vocal cords.
Methods: This prospective, longitudinal, interventional comparative hospital-based study was conducted at Otorhinolaryngology and Head & Neck Surgery Department of Bir hospital, National Academy of Medical Sciences, Kathmandu, Nepal from March 2022 to March 2023. The pre and post treatment status documented and compared with videolaryngoscopy, voice handicap index (VHI)-10 and maximum phonation (MPT)time after 1 month. Thirty patients fulfilled the inclusion criteria.
Results: Sixteen out of 30 patients showed improvement on videolaryngoscopy, mean VHI-10 reduced and mean MPT increased. The results were statistically not significant(P>0.05).
Conclusion: In selected patients, those who are resistant to conventional voice therapy and those who are unfit for general anaesthesia, intralesional steroid injection is a good alternative non-surgical for the management of patients with benign vocal cord lesion.
Keywords: Benign vocal cord lesion, intralesional steroid, Maximum Phonation Time, Voice Handicap Index-10