The role of anti-reflux therapy in preparing patients for phonosurgical intervention

Aim of the study. Evaluation of the effect of preoperative antireflux therapy on the functional results of phonosurgical interventions performed using a 445 nm semiconductor laser. Material and Methods. 59 surgical interventions for dysphonia due to vocal fold lesions in patients with concomitant objective signs of pharyngolaryngeal reflux were performed. In each case the intervention was performed using a 445 nm semiconductor laser under direct microlaryngoscopy under general anesthesia with high-frequency ventilation. The patients of the 1st group (n=27) were prescribed a course of anti-reflux therapy 1 month before the planned intervention, the patients of the 2nd group (n=32) did not receive this therapy at the preoperative stage, both groups underwent the course of the prescribed therapy in the postoperative period. Comparative analysis was carried out according to the results of objective and subjective assessments of the voice function quality (acoustic voice analysis; VHI-10rus questionnaire). Results. There were no statistically significant differences between the two groups when comparing these results of objective and subjective changes in voice quality. Conclusions. Preventive prescription of a course of anti-reflux therapy before the planned phonosurgical intervention does not guarantee more successful restoration of vocal function. All patients with signs of pharyngolaryngeal reflux should be prescribed anti-reflux therapy in the postoperative period.