NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ U LÀNH TÍNH DÂY THANH TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2023 - 2025

Abstract

Background: Benign vocal cord tumors commonly cause hoarseness and loss of voice. Endoscopic surgery to treat benign vocal cord tumors is a complex surgery, the purpose of which is to remove the tumor while still ensuring vocal function without causing future complications. Objectives: To describe the clinical and paraclinical characteristics and evaluation of treatment outcomes by endoscopic surgery for benign vocal cord tumors. Materials and methods: A crosssectional study on 48 patients diagnosed with benign vocal cord tumors at Can Tho Central General Hospital from June 2023 to January 2025. Results: Among the 48 patients studied, the most common age group was 30-50 years old. The reason why patients came to the hospital the most was hoarseness, accounting for 89.58%. Moderate hoarseness had the highest rate at 68.75%. The tumor location on the vocal cord was mainly in the anterior 1/3, accounting for 62.5%, and the majority was located on the two sides of vocal cord, accounting for 47.92%. According to histopathology, 100% of patients had intact vocal cord basement membranes and vocal cord nodules were the majority of benign vocal cord tumors, with 47.92%. The level of hoarseness resolved 1 month after surgery accounted for 83.33% and 3 months after surgery accounted for 93.75%. There was only 1 case of papilloma recurrence after 3 months of surgery. Most of the cases had no complications during surgery, accounting for 93.75%. Conclusions: The surgical results were rated as very good, accounting for 91.67%. There was only 1 case of patient with vocal cord papilloma recurrence after 3 months.