الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Benign vocal fold mucosal lesions such as vocal polyps, nodules, cysts, reinke`s edema are common among patients with voice disorders and can be diagnosed by laryngoscopy and stroboscope. Their effects can be objectively assessed by tools as computerized acoustic analysis and auditory perceptual evaluation using GRBAS score.
Surgical management of benign laryngeal lesions presents challenge to surgeons. Phonomicrosurgical procedure is done using the suspension microlaryngoscopy technique under general anesthesia.
The best phonomicrosurgical outcome depends on accurate diagnosis with comprehensive voice evaluation, good selection of patients with counseling, adequate pre and post-operative care and application of the best surgical technique. Patients are generally more satisfied with post-surgical results.
Phonomicrosurgery has proved its efficacy with its minimal tissue damage, minimal scarring in dysphonic patient particularly in voice professionals.
This study was done at the department of otorhinolaryngology Alexandria University and Alexandria police hospital to assess the voice outcome after performing phonomicrosurgery to patients with benign vocal fold lesions.
All patients with dysphonia due to benign vocal fold lesions then underwent phonomicrolaryngeal surgery using the suspension micro laryngoscopy technique under general anesthesia.
Vocal assessment was done before and after the microlarygeal surgery between the 3rd to 4th week following the surgery using the same tools used before the surgery (video-laryngoscope, stroboscope and acoustic analysis using computerized speech lab and auditory perceptual evaluation using GRBAS score) for vocal assessment and to assess the magnitude of voice change after surgical removal of the benign vocal fold lesions by comparing the results statistically pre and post-operative.
The study showed that phonomicrosurgery is safe and effective and this has been proved and confirmed statistically by comparing the voice outcome before and after the surgery.