scholarly journals A Comprehensive Voice Analysis in Benign Vocal Fold Lesions Treated by Cold Knife Endolaryngeal Surgery Using Subjective, Objective and Video-Stroboscopic Parameters

2019 ◽  
Vol 71 (S1) ◽  
pp. 905-911
Author(s):  
Anshu Singh ◽  
Aparaajita Upadhyay ◽  
Anubhav Shrivastava ◽  
R. K. Mundra
Author(s):  
Sanjeev Mishra ◽  
Aishwarya Ullal ◽  
Shiv Kumar Rathaur

<p class="abstract"><strong>Background:</strong> This study focuses on therapeutic possibilities in managing benign superficial vocal fold lesions with video assisted cold knife endolaryngeal phonosurgery.</p><p class="abstract"><strong>Methods: </strong>Fifty patients with benign vocal fold lesions presented to us between September 2013 and October 2015 who failed conservative therapy were subjected to video assisted cold knife endolaryngeal phonosurgery. The pre and postoperative results were evaluated based on voice rating by visual analogue scale and GRBAS scale.</p><p class="abstract"><strong>Results</strong>: Encouraging results were achieved with cold knife endolaryngeal surgery as 96.3% of patients were symptom free without any recurrence after single operation. Most of them have achieved &gt;90% of voice outcome by 1 month postoperatively based on voice assessment and laryngoscopic evaluation.</p><p class="abstract"><strong>Conclusions:</strong> Using a telescope with high definition video system for performing phonosurgery is economic, enables the surgeon to acquire static images and video sequences. Cold knife endoscopic laryngeal surgery is possibly a better option for addressing BVFLs.</p>


2021 ◽  
pp. 178-183
Author(s):  
A. A. Krivopalov ◽  
P. A. Shamkina ◽  
Ju. E. Stepanova ◽  
E. E. Koren ◽  
T. V. Gotovyakhina

Introduction. Today the high prevalence of benign vocal fold lesions is shown (up to 55-70%). The possibilities of surgical management of this pathology are very extensive. Laser technologies are becoming more and more popular among high-tech treatment methods. However the comprehensive postoperative management of these patients is equally important.The aim of the study was to assess the features of the postoperative period in patients undergoing the endolaryngeal surgery using a semiconductor laser with a wavelength of 445 nm.Material and methods. On the basis of Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech from February to June 2021 20 patients with benign vocal fold lesions 6 women and 14 men from 24 to 67 years old were examined and treated. All the patients underwent endolaryngeal surgery with direct microlaryngoscopy using a new semiconductor 445 nm laser in an inert gas atmosphere (intraoperative helium supply). After surgical treatment, the patients observed vocal rest, received antiinflammatory, antibacterial therapy, inhalations, as well as the drug Homeovox® according to the standard scheme.Conclusion. Endolaryngeal surgery with the removing of benign vocal fold lesions using a semiconductor laser with a wavelength of 445 nm has been proven to be safe and effective. According to the results of video laryngostroboscopy, acoustic analysis of the voice (the questionnaire “Voice handicap index-30”) it was noted that the laryngeal functions were restored in a short time. The inclusion of Homeovox® in the complex postoperative treatment had a favorable effect on the restoration of the phonatory function.


2021 ◽  
Vol 11 (1) ◽  
pp. 16-20
Author(s):  
Neha Raghuwanshi ◽  
Aparaajita Mundra ◽  
Neeraj K Dubey ◽  
Surbhi Godha ◽  
Rajkumar Mundra

2009 ◽  
Vol 19 (3) ◽  
pp. 105-112 ◽  
Author(s):  
Geralyn Harvey Woodnorth ◽  
Roger C. Nuss

Abstract Many children with dysphonia present with benign vocal fold lesions, including bilateral vocal fold nodules, cysts, vocal fold varices, and scarring. Evaluation and treatment of these children are best undertaken in a thoughtful and coordinated manner involving both the speech-language pathologist and the otolaryngologist. The goals of this article are (a) to describe the team evaluation process based on a “whole system” approach; (b) to discuss etiological factors and diagnosis; and (c) to review current medical, behavioral, and surgical treatments for children with different types of dysphonia.


2021 ◽  
Author(s):  
Mayu Hirosaki ◽  
Takeharu Kanazawa ◽  
Daigo Komazawa ◽  
Ujimoto Konomi ◽  
Yu Sakaguchi ◽  
...  

Author(s):  
Yetkin Zeki Yılmaz ◽  
Müge Uğurlar ◽  
Begüm Bahar Yılmaz ◽  
Züleyha Dilek Gülmez ◽  
Hasan Ahmet Özdoğan ◽  
...  

2014 ◽  
Vol 125 (1) ◽  
pp. 191-196 ◽  
Author(s):  
Alisa Zhukhovitskaya ◽  
Danielle Battaglia ◽  
Sid M. Khosla ◽  
Thomas Murry ◽  
Lucian Sulica

Author(s):  
Cholada Seepuaham ◽  
Jeamjai Jeeraumporn ◽  
Sumalee Dechongkit ◽  
Montip Tiensuwan

Objective: To compare vocal function between females with benign vocal fold lesions, and females with normal voices by use of electroglottograph (EGG), also in addition to determining which EGG parameters were significantly correlated with the perceptual degree of dysphonia. Material and Methods: EGG data were obtained from 32 females with benign vocal fold lesions and 32 females with normal voices. The EGG parameter values were analyzed from their productions of four sustained vowels (/a:/, /u:/, /i:/, and /æ:/). Results: The two perturbation measures of EGG signals, EGG-jitter and EGG-shimmer of females with benign vocal fold lesions were significantly higher than those of normal females at a p-value<0.01 for all four vowels. EGG-SDF0 of females with benign vocal fold lesions were significantly higher than those of normal females at a p-value<0.01 for /i:/, and /æ:/. EGG-F0 of females with benign vocal fold lesions were significantly lower than those of normal females at a p-value<0.01 for /u:/, /i:/, and /æ:/. The differences in contact quotient were non-significant on all four sustained vowels between the two groups. In addition, EGG-SDF0 was found to be significantly correlated with the perceptual degree of dysphonia for four sustained vowels. Conclusion: The results of this study showed the differences between vocal function of females with benign vocal lesions and females with normal voices, using EGG parameters. Furthermore, EGG-SDF0 could be used as an indicator for the degree of severity of dysphonia in females with benign vocal fold lesions.


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