Evidence map›Paper›PMID 42812590›Full record

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Steroid Injection in Patients With Benign Vocal Fold Lesions: A Meta-Analysis and Meta-Regression.

Yousef M Al-Shammari, Bisher Albesher, Sarah M Murad, Dhari Altaher, Nourah H AlGhurair, Ahmad S Alawadhi, Hasan Alshemari

Abstract readReview
In one paragraph

Review in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yousef M Al-ShammariOphthalmology Department AlBahar Ophthalmology Center, Ibn Sina Hospital, Ministry of Health Kuwait City Kuwait.ORCID https://orcid.org/0009-0005-3796-5337
Bisher AlbesherOtolaryngology (ENT) Department Jaber Al-Ahmad Hospital, Ministry of Health Kuwait City Kuwait.
Sarah M MuradGeneral Surgery Department Mubarak Al-Kabeer Hospital, Ministry of Health Jabriya Kuwait.
Dhari AltaherGeneral Surgery Department Al-Jahra Hospital, Ministry of Health Al Jahra Kuwait.
Nourah H AlGhurairKuwait Board of Otolaryngology (ORL), Kuwait Institute for Medical Specializations (KIMS) Kuwait City Kuwait.
Ahmad S AlawadhiFaculty of Medicine Jordan University of Science and Technology Irbid Jordan.
Hasan AlshemariHead of Otolaryngology Department Alorf Hospital Al Jahra Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aims to assess the efficacy and safety of steroid injections in patients with benign vocal fold lesions. Data Sources: PubMed, Scopus, and Embase were searched from January 2000 through December 2025 using predefined terms for benign vocal fold pathology and steroid injection. Review Methods: We conducted a PRISMA-guided systematic review and meta-analysis of studies evaluating steroid injections for benign vocal fold lesions. Study selection and data extraction were performed independently by two reviewers. Study quality was assessed using NIH (cohort studies), JBI (case series), and RoB 2 (RCTs). Random-effects meta-analysis (DerSimonian-Laird) was performed in OpenMeta[Analyst], with Freeman-Tukey double arcsine transformation for proportional outcomes. Results: Fourteen studies were included. Posttreatment VHI pooled mean was 17.585 (95% CI 10.61-24.55; Conclusion: Steroid injection was associated with high clinical improvement and low complication rates. However, VHI demonstrated substantial heterogeneity and inconsistent statistical significance across studies, limiting the robustness and generalizability of pooled quality-of-life estimates. These findings support steroid injection as a minimally invasive option in selected patients but highlight the need for standardized protocols and higher-quality comparative trials to better define its effect on patient-reported voice outcomes.

Indexed as

benign vocal fold lesionsintralesional steroid injectionmaximum phonation timemeta‐analysisVoice Handicap Index

Identifiers

PMID42812590
PMCPMC13621230

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.