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KMID : 0384020040150020112
Journal of the Korean Society of Logopedics and Phoniatrics
2004 Volume.15 No. 2 p.112 ~ p.117
A Study of the Lesional Grade Discrimination Model for Vocal Fold Nodules and Polyps
Park Soo-Jung

Sim Hyun-Sub
Chung Sung-Min
Kim Han-Su
Park Ae-Kyung
Abstract
Background and Objectives : This study is purposed to investigate the statistically significant discrimination model for predicting vocal fold nodule and polyp¡¯s lesional grade, with patients¡¯ background data and objective voice evaluation parameters.

Materials and Method : The retrospective research was carried out at the Ewha Womans University Hospital. 122 patients¡¯ voice examination data had been selected, and lesion screening (Grade I, II, and III) was conducted by 2 ENT specialists, with each patient¡¯s vocal fold pictures achieved during the laryngoscopy examination.

Results : The Lesional Grade Discrimination Model with which the lesional grade of vocal fold nodules and polyps could be predicted was derived by the ordinal logistic regression analysis (using SPSS 10.0). With this model the lesional grades of 73 out of 122 patients(59.8%) were correctly predicted to their formerly screened ones.

Conclusion : This model applied the multivariate approach, which statistically combined these currently used parameters, Jitter, Shimmer, MFR, MPT, and patient¡¯s background data such as gender and dysphonia period. It might explain the status of benign lesion of vocal folds, and furthermore expect the physiological function of vocal folds.
KEYWORD
Vocal folds nodules, Polyps, Lesional grade discrimination model, Objective voice evaluation, Ordinal logistic regression analysis
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