Selective Laryngeal Examination: Sensitivity of Endocrine Surgeons in Screening Voice Abnormality

2020 ◽  
Vol 34 (5) ◽  
pp. 811.e13-811.e20
Author(s):  
Syarifah N. Al-Yahya ◽  
Rohaizak Muhammad ◽  
Shahrun N.A. Suhaimi ◽  
Mawaddah Azman ◽  
Abdullah S. Mohamed ◽  
...  
2009 ◽  
Vol 45 (4) ◽  
pp. 181-184 ◽  
Author(s):  
Ivan Doran ◽  
Robert N. White

A 3-year-old, intact female golden retriever was presented with a sudden onset of inspiratory obstructive dyspnea following general anesthesia to perform a mastectomy. The cuneiform process of the left arytenoid cartilage was found to be extremely mobile on laryngeal examination. Fracture of the cuneiform process of the left arytenoid cartilage was diagnosed. A combined cricoarytenoid and thyroarytenoid caudolateralization procedure was performed on the left side, and no further dyspnea was observed during a follow-up period of 7 months. Fracture of the cuneiform process of the arytenoid cartilage has not been previously reported in dogs. The condition may respond favorably to cricoarytenoid and thyroarytenoid caudolateralization surgery.


2015 ◽  
Vol 01 (01) ◽  
pp. 055-057
Author(s):  
Anant Dinesh ◽  
Himanshu Shukla ◽  
Reetesh Ranjan ◽  
Surender Dabas

AbstractAtypical carcinoid tumor of the larynx is a particularly rare occurrence. Here, we report a patient with a laryngeal neuroendocrine tumor (NET) who was treated with transoral robotic surgery-supraglottic laryngectomy (TORS-SL). A 73-year-old male patient, a known smoker, presented with throat pain and hoarseness for 1 month. Endoscopic laryngeal examination and magnetic resonance imaging revealed a left supraglottic mass. The results of histopathologic examination and immunohistochemical analysis were consistent with atypical carcinoid tumor of the larynx. A TORS-SL was performed. There was no recurrence during a follow-up period of 18 months. NETs of the larynx are a very heterogeneous group of tumors in terms of pathological features and biological behavior. The histological diagnosis is the most important step in the management of these tumors. Tumor histology is an important determinant of prognosis. TORS-SL is a promising, minimally invasive, endoscopic surgical alternative for the treatment of supraglottic tumors with good functional and clinical outcomes as seen in this case.


2011 ◽  
Vol 36 (2) ◽  
pp. 303-309 ◽  
Author(s):  
Inn-Chul Nam ◽  
Ja-Sung Bae ◽  
Mi-Ran Shim ◽  
Yeon-Shin Hwang ◽  
Min-Sik Kim ◽  
...  

Head & Neck ◽  
2016 ◽  
Vol 38 (6) ◽  
pp. 811-819 ◽  
Author(s):  
Catherine F. Sinclair ◽  
Jeffrey M. Bumpous ◽  
Bryan R. Haugen ◽  
Andres Chala ◽  
Daniel Meltzer ◽  
...  

2021 ◽  
Vol VOLUME 9 (ISSUE 1) ◽  
pp. 40-42
Author(s):  
S Jayendiran

INTRODUCTION: The neurofibroma is a nonmalignant new growth of neuroectodermal origin. neurofibromas appear at the end of a nerve, often in the skin, producing small nonencapsulated nodules which may have pigmentation in the overlying skin. Neurofibromatosis with laryngeal involvement presents with dyspnea, followed by hoarseness, stridor, dysphagia, and voice change. most common sites involved in the larynx are the arytenoids and the aryepiglottic folds. CASE REPORT: 65-year-old female with previously diagnosed of neurofibromatosis since 10 years of age manifested by multiple cutaneous nodules The patient had symptoms of dysphagia, hoarseness of voice for past 2 months. Direct laryngeal examination using flexible endoscope showed a edematousulceroproliferative growth in the laryngeal surface of epiglottis and fullness in the left pyriform fossa. Hisopathological examination revealed squamous cell carcinoma from epiglottis and fibromatosis changes from pyriform fossa. CONCLUSION: All neurofibromatosis patient and their family members should under go regular oral and laryngeal examination to rule out complications at the earliest.


2020 ◽  
Vol 12 (1) ◽  
pp. 1-7
Author(s):  
Baraka M ◽  
Hossam ElDessouky ◽  
Ahmed Amer Khamees ◽  
Ayman Ali Abd ElFattah ◽  
Eman Ezzat ◽  
...  

Background/Aims: The widespread use of inhaled corticosteroids (ICS) for the treatment of obstructive lung disease may be associated with both systemic and local side effects. These local side effects; including voice problems, oropharyngeal candidiasis, throat clearing, sense of fullness, pharyngitis, and cough, are generally viewed as minor complications of therapy in what is called steroid inhaler laryngitis (SIL). Few studies have been performed to specifically evaluate local side effects of ICS. However, they can be clinically significant, affect patient's quality of life, hinder compliance with therapy, and mask symptoms of more serious disease. The aim of this study is to examine the effect of ICS on the larynx and subsequent voice changes, and highlighting if these voice problems related to the type of inhaled corticosteroids in order to determine the importance of regular laryngeal examination in those patients. Methods: 40patients with bronchial asthma and 40 patients with COPD admitted to Chest department in Menoufia and Zagazig University Hospitals during the period from March 2017 to March 2019 were included in the study. They were divided according to the type of cortisone used into four groups; group (I): beclomethasone dipropionate (BDP) users, group (II): budesonide (BUD) users, group (III): Ciclesonide users and group (IV): fluticasone propionate (FP) users. They were evaluated as regards videolaryngoscopic examination and acoustic analysis Results: The age of the patients with bronchial asthma ranged from 29 to 42years and the age of the patients with COPD ranged from 31 to 43years. There was a statistically significant difference among the four groups of cortisone inhalation regarding laryngoscopic findings; as presence of congestion (diffuse and local), mucus spills on VF and glottis gap were all higher in frequency among the group of patients used fluticasone FP, while least signs found among ciclesonide users. Also, average pitch, Jitter, H/N ratio and MPT were more worsen in fluticasone group when compared with Ciclesonide group. Conclusion: obstructive lung disease patients may suffer from voice problems related to the type of inhaled corticosteroids that could be fade when therapy is stopped. So, regular laryngeal examination in those patients is important.


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