Vocal Therapy in Lieu of Surgery for Contact Granuloma: A Case Report

1974 ◽  
Vol 39 (4) ◽  
pp. 478-485 ◽  
Author(s):  
Carole S. Bloch ◽  
Wilbur James Gould
Keyword(s):  
Case Report ◽  
Initial Therapy ◽  
Psychological Support ◽  
Aerodynamic Parameters ◽  
Objective Quantification

A case in which resolution of a contact granuloma of the larynx is attained with a regimen of vocal therapy and psychological support and in which regression of the granuloma is demonstrated objectively by comparison of pre- and posttherapeutic laryngoscopic and vocal-aerodynamic parameters is presented. It is concluded that surgery should probably never be used as initial therapy for contact granuloma of the larynx, regardless of its presumed state of evolution; instead, a course of intensive vocal therapy should be tried. A corollary to this conclusion is that competent vocal therapy has a considerable psychological content, since its basic aim is to alter the patient’s image of what an efficient voice should be. It is also concluded that pre- and posttherapeutic objective quantification of the granuloma and of the several aerodynamic parameters in phonation can furnish not only a reliable guide to therapy, but also a powerful argument in favor of vocal therapy in these cases.

scholarly journals Utility of Botulinum Injections in Stiff-Person Syndrome

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
L. M. Conners ◽  
A. Betcher ◽  
A. Shahinian ◽  
P. Janda
Keyword(s):  
Case Report ◽  
Adverse Reactions ◽  
Intravenous Immunoglobulins ◽  
Initial Therapy ◽  
High Dose ◽  
B Cell Depletion ◽  
Stiff Person Syndrome ◽  
Review Of The Literature ◽  
Systemic Treatments ◽  
Muscle Spasms

Stiff-person syndrome (SPS) is an uncommon neurological disorder characterized by significant rigidity and muscle spasms primarily affecting the truncal and proximal musculature. Furthermore, a wide-based gait with functional impairment is generally seen. High-dose benzodiazepines or baclofen are widely considered the optimal initial therapy; however, major adverse effects often preclude adequate dosing. Refractory cases may be treated with intravenous immunoglobulins (IVIG), plasma exchange, or B-cell depletion with rituximab, although these are also associated with major, sometimes fatal, adverse reactions. Several reports have validated the safety and utility of botulinum injections in this setting, yet botulinum remains markedly underutilized in this cohort. Below, a case report and review of the literature show botulinum can decrease pain and stiffness, improve gait and balance, and decrease dependence on powerful systemic treatments in this group.

scholarly journals Self-Inflicted Gingival Injury Due to Habitual Fingernail Scratching: A Case Report with a 1-Year Follow Up

2009 ◽  
Vol 03 (02) ◽  
pp. 150-154 ◽  
Author(s):  
Alparslan Dilsiz ◽  
Tugba Aydin
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
Psychological Support ◽  
Physical Injury ◽  
Root Coverage ◽  
Periodontal Health ◽  
Gingival Bleeding ◽  
Traumatic Lesions ◽  
Oral Hygiene Instruction

ABSTRACTInjuries to oral soft-tissues can occur due to accidental, iatrogenic, and factitious traumas. Traumatic lesions, whether chemical, physical, or thermal in nature, are among the most common in the mouth. A type of physical injury to the gingival tissues is self-inflicted. Sometimes the lesions are termed gingivitis artefacta. Self-inflicted gingival injuries in children and adolescents can occur as a result of accidental trauma, premeditated infliction, or chronic habits such as fingernail biting, digit sucking, or sucking on objects such as pens, pencils or pacifiers. The purpose of this case report was to illustrate the destructive nature of the habit and to describe the successful treatment of this case. A 14-year-old girl with moderate pain, gingival bleeding and recession in the anterior mandibulary region was admitted to periodontology clinic. Upon questioning, the patient readily admitted traumatizing her gingiva with her fingernail. Treatment consisted of oral hygiene instruction, mechanical debridement, psychological support and surgical periodontal treatment. Postoperatively, complete root coverage, gains in clinical attachment levels, and highly significant increases in the width of keratinized gingiva were observed. This case report shows that it is possible to treat gingival injury and maintain the periodontal health of a patient with destructive habit. Patient compliance, regular dental follow-ups, and psychological support may be useful in stabilizing the periodontal condition of these patients. Dentists must be aware that self-inflicted gingival injury, although thought to be uncommon, is quite widespread. (Eur J Dent 2009;3:150-155)

scholarly journals Initial Therapy of Advanced Anaplastic Thyroid Cancer via Targeting VEGFR-2: A Case Report

2019 ◽  
Vol Volume 12 ◽  
pp. 10495-10500 ◽  
Author(s):  
Lin Cheng ◽  
Qiong Jiao ◽  
Yuchen Jin ◽  
Hao Fu ◽  
Huizhen Zhang ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Case Report ◽  
Anaplastic Thyroid Cancer ◽  
Initial Therapy

Interdisciplinary approach to temporomandibular disorder: a case report (Part 1: the initial therapy)

2010 ◽  
Vol 3 (2) ◽  
pp. 129-139
Author(s):  
G. Slavicek ◽  
M. Soikher ◽  
M. Soikher ◽  
I. Röthele ◽  
R. Selke ◽  
...  
Keyword(s):  
Case Report ◽  
Temporomandibular Disorder ◽  
Interdisciplinary Approach ◽  
Initial Therapy

Acute Disseminated Encephalomyelitis (ADEM) in Adult Women, Is it Unpreceded by Infection History?: A Case Report

2021 ◽  
Vol 8 (10) ◽  
pp. 21-27
Author(s):  
Kenia` Izzawa ◽  
Putri Irsalina ◽  
Yudha Haryono
Keyword(s):  
Case Report ◽  
Intravenous Immunoglobulin ◽  
Acute Disseminated Encephalomyelitis ◽  
Initial Therapy ◽  
Adult Women ◽  
Previous Infection ◽  
History Of ◽  
The Central Nervous System ◽  
Children And Young Adults ◽  
Whole Spine

Background: Acute disseminated encephalomyelitis (ADEM) is a demielination disease of the central nervous system (CNS) in response to previous infection or immunizations that occur acute, monofasic. ADEM generally occurs in children and young adults, rarely in middle-aged or elderly. Case report: We present a woman 46 years old with chief complaint of headache since 7 months ago, weakness of both legs, sudden loss of vision in both eyes since 3 days after weakness of both legs. There was no history of infection or previous vaccination. Brain and whole spine MRI were performed. Initial therapy methylprednisolone does not show improvement, then continued with administration of intravenous immunoglobulin. After 6 months, clinical improvements were obtained and no new lesions of the imaging. Conclusion: In this case report it is presented a case of ADEM in adult without a history of infection who recovered after intravenous immunoglobulin. Then that is still the current question, whether ADEM in the adult can be occur without preceded infection history? Keywords: ADEM, adult woman, history of infection.

scholarly journals CONDYLOMA LATA IN A 21-YEAR-OLD MALE TREATED WITH DOXYCYCLINE: A CASE REPORT

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Hendra Minarto
Keyword(s):  
Human Immunodeficiency Virus ◽  
Risk Factor ◽  
Case Report ◽  
Hiv Transmission ◽  
Treponema Pallidum ◽  
Initial Therapy ◽  
Secondary Syphilis ◽  
Immunodeficiency Virus ◽  
The World

Abstrak: Kondiloma lata merupakan salah satu manifestasi sifilis sekunder yang disebabkan oleh Treponema pallidum. Manifestasi klinis kondiloma lata berupa papul-papul berwarna putih atau keabuan pada daerah tubuh yang hangat dan lembab. Sifilis memerlukan perhatian serius karena penyakit ini merupakan salah satu faktor risiko transmisi human immunodeficiency virus (HIV) di seluruh dunia. Kami melaporkan satu kasus kondiloma lata pada seorang laki-laki berusia 21 tahun di daerah penis, skrotum, perineal, dan perianal sejak 2 bulan lalu, yang diterapi dengan doksisiklin 2 x 100 mg selama 30 hari. Pada pemeriksaan serologik awal didapatkan hasil reaktif untuk tes VDRL (1/256), tes RPR (1/512) dan tes TPHA (1/5120). Perbaikan signifikan terlihat setelah 30 hari terapi doksisiklin dimana semua lesi menghilang. Pemeriksaan serologik 3 bulan setelah awal terapi menunjukkan penurunan titer sebanyak empat kali lipat untuk tes VDRL (1/64), tes RPR (1/128), dan enam kali lipat untuk tes TPHA (1/640). Simpulan: Telah dilaporkan kasus kondiloma lata dengan diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik, dan serologik. Terapi doksisiklin selama 30 hari memberikan hasil yang memuaskan. Pemeriksaan serologik harus dilakukan pada bulan ke-6 dan 12 untuk monitoring keberhasilan terapi. Kata kunci: kondiloma lata, sifilis sekunder, Treponema pallidum, doksisiklin   Abstract: Condyloma lata is one manifestation of secondary syphilis caused by Treponema pallidum. It is described clinically as multiple whitish or gray papules found in warm and moist areas. Syphilis requires serious attention since it still remains a risk factor of human immunodeficiency virus (HIV) transmission all around the world. We reported a case of a 21-year-old male suffered from condyloma lata on his penile, scrotal, perineal, and perianal regions for 2 months and treated with 30 days course of 100 mg doxycyline two times daily. Early serologic examinations revealed reactive values of VDRL test (1/256), RPR test (1/512), and TPHA test (1:5120). Significant improvement was observed after 30 days course of doxycyline therapy where all lesions have resolved. Further serologic examinations as follow up showed a fourfold titre decrease of VDRL test (1/64), RPR test (1/128) and sixfold titre decrease of TPHA test (1/640) 3 months after the initial therapy. Conclusion: The diagnosis of condyloma lata in this case was established based on anamnesis, physical examination, and serologic findings. Treatment with doxycycline gave satisfactory result. Serologic examination as follow up needs to be performed at 6 and 12-months after the initial treatment to monitor the success of therapy. Keywords: condyloma lata, secondary syphilis, Treponema pallidum, doxycycline.

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