Pediatric Benign Vocal Fold Lesions: A Team Approach

2009 ◽  
Vol 19 (3) ◽  
pp. 105-112 ◽  
Author(s):  
Geralyn Harvey Woodnorth ◽  
Roger C. Nuss
Keyword(s):  
Vocal Fold ◽  
Evaluation Process ◽  
Team Approach ◽  
Speech Language Pathologist ◽  
Benign Vocal Fold Lesions ◽  
Different Types ◽  
Team Evaluation ◽  
Surgical Treatments ◽  
Review Current ◽  
Vocal Fold Nodules

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.

The Evolution of Diagnosing Benign Vocal Fold Lesions: From Vague to Specific

2009 ◽  
Vol 19 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Jackie L. Gartner-Schmidt ◽  
Clark A. Rosen
Keyword(s):  
Decision Making ◽  
Multidisciplinary Team ◽  
Vocal Fold ◽  
Treatment Process ◽  
Evaluation Process ◽  
Patient Evaluation ◽  
Benign Vocal Fold Lesions ◽  
Team Evaluation ◽  
Process Decision

Abstract The evaluation and treatment process for dysphonia due to benign vocal fold lesions (BVFL) can often be a complex and confusing process for clinicians as well as patients. There is no one perfect method, and there are many different approaches to this problem. It is our goal to share our multidisciplinary team evaluation process, decision-making approach, and treatment for patients with these types of voice fold lesions. Our goal is to highlight the teamwork and cross disciplinary cooperation that optimizes patient evaluation and care.

Behavioral Treatment for Benign Vocal Fold Lesions in Children: A Systematic Review

2021 ◽  
pp. 1-17
Author(s):  
Hagar Feinstein ◽  
Katherine Verdolini Abbott
Keyword(s):  
Systematic Review ◽  
Vocal Fold ◽  
Behavioral Treatment ◽  
Treatment Method ◽  
The Body ◽  
Factors Affecting ◽  
Developmental Factors ◽  
Voice Treatment ◽  
Benign Vocal Fold Lesions ◽  
Vocal Fold Nodules

Purpose This systematic review aims to identify, classify, and evaluate existing information regarding treatment for benign vocal fold lesions in children and to identify gaps and limitations that may limit effective pediatric voice treatment. Method A literature search was performed using electronic databases (PubMed and Google Scholar) as well as reference lists from previous reviews, studies, and books. Included in the present review are studies that described behavioral treatment for children with benign vocal fold lesions presumed to be phonotraumatic (vocal fold nodules and edema). Results Twenty-one studies were eligible for inclusion in the review. Eight different research designs were used, and three intervention types were identified: direct voice intervention (voice training), indirect treatment (vocal hygiene or counseling), and comparative studies that contrasted different treatment methods. The most commonly used treatment method was eclectic direct intervention, which focused on vocal exercises or voicing patterns. Postintervention improvement was reported in all studies. In general, findings suggested an advantage of direct over indirect intervention and of longer treatment duration over short-term approaches. Conclusions The findings suggest that behavioral voice therapy may be generally effective in treating children with vocal fold nodules. Several limitations emerged in the corpus of studies reviewed including heterogeneity of research methods, missing information about outcome measures, and inappropriate statistical analyses. Thus, a need exists for further well-designed controlled studies to enhance the body of knowledge about developmental factors affecting vocal treatment outcomes, in particular, vocal fold structure as well as cognitive and linguistic development.

The Interaction of Pulmonary Physiology and Swallowing: A Juggling Act for the Physician and Speech-Language Pathologist

2009 ◽  
Vol 18 (1) ◽  
pp. 34-40
Author(s):  
Karen J. Dikeman ◽  
Marta S. Kazandjian ◽  
Elbert Tun ◽  
Panina Niyazova ◽  
Tien-Tsai Tsai ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Medical Condition ◽  
Team Approach ◽  
Care Providers ◽  
Geriatric Population ◽  
Pulmonary Physiology ◽  
Speech Language Pathologist ◽  
Ventilator Dependence ◽  
Clinical Case Studies ◽  
Single Disease Entity

Abstract Patients who are dependent upon tracheostomy and/or ventilator use present a particular challenge to health-care providers. The interaction of pulmonary physiology and deglutition is complex, as illustrated in the course of patients who are in the weaning process. Speech language pathologists (SLPs) should work closely with their physician colleagues to understand the influence of multiple medical co-morbidities on intervention. In traditional medicine, the clinician's objective is to connect a patient's many symptoms and complaints to a single disease entity. However, in caring for the ventilator dependent geriatric population, a symptom such as dysphagia typically results from the interplay of various, multi-organ symptoms, and conditions. This article strives to demonstrate the “juggling act” that the physician and SLP must balance between the patient's current medical condition, pulmonary dysfunction, and disordered swallowing. Clinical case studies illustrate the benefit of swallowing intervention on quality of life. While the care of patients with tracheostomy and ventilator dependence requires a team approach, with respiratory therapy and nursing vital members, this article emphasizes the roles of the SLP and physician.

Predominant Vertical Location of Benign Vocal Fold Lesions by Sex and Music Genre: Implication for Pathogenesis

2021 ◽  
Author(s):  
Mayu Hirosaki ◽  
Takeharu Kanazawa ◽  
Daigo Komazawa ◽  
Ujimoto Konomi ◽  
Yu Sakaguchi ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Benign Vocal Fold Lesions ◽  
Vertical Location ◽  
Music Genre

The Comparison of Narrow Band Imaging, White Light Laryngoscopy and Videolaryngostroboscopy in the Evaluation of Benign Vocal Fold Lesions

2021 ◽  
Author(s):  
Yetkin Zeki Yılmaz ◽  
Müge Uğurlar ◽  
Begüm Bahar Yılmaz ◽  
Züleyha Dilek Gülmez ◽  
Hasan Ahmet Özdoğan ◽  
...  
Keyword(s):  
White Light ◽  
Vocal Fold ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Benign Vocal Fold Lesions

Benign Laryngeal Lesions

2022 ◽  
Author(s):  
Jeffrey Straub ◽  
Brandon Kim
Keyword(s):  
Laser Therapy ◽  
Vocal Fold ◽  
Clinical Presentation ◽  
Benign Tumors ◽  
Vocal Hygiene ◽  
Laryngeal Lesions ◽  
Benign Laryngeal Lesions ◽  
Vocal Fold Nodules

Benign laryngeal lesions represent a diverse set of pathologies whose clinical presentation may range from no symptoms to dyspnea and/or dysphonia. Flexible fiberoptic laryngoscopy and videolaryngostroboscopy are important in distinguishingdifferent types of lesions, and management and treatment are dependent on the identification of these lesions, as they have different etiologies. Some lesions such as vocal fold nodules and polyps are primarily phonotraumatic and may benefit fromspeech therapy and vocal hygiene as initial approaches. Vocal fold cysts and benign tumors may benefit from microlaryngeal approaches, while capillary ectasias, polypoid corditis, laryngoceles, saccular cysts, and papilloma may benefit from laser therapy. Vocal fold granulomas may arise from various etiologies such as intubation, traumatic behaviors, or reflux. Polypoid corditis arises from smoking. This review is intended to provide an overview of the variety of lesions that encompass non-malignant laryngeal lesions that is both suitable for junior and senior residents. This review contains 12 figures, 5 tables, and 64 references Keywords: Benign laryngeal lesions, Laryngocele, Polyp, Cyst, Polypoid Corditis, Papilloma

Gender and age in benign vocal fold lesions

2014 ◽  
Vol 125 (1) ◽  
pp. 191-196 ◽  
Author(s):  
Alisa Zhukhovitskaya ◽  
Danielle Battaglia ◽  
Sid M. Khosla ◽  
Thomas Murry ◽  
Lucian Sulica
Keyword(s):  
Vocal Fold ◽  
Benign Vocal Fold Lesions ◽  
Gender And Age

scholarly journals Multidimensional acoustic analysis of pathological voice

2009 ◽  
Vol 137 (5-6) ◽  
pp. 234-238
Author(s):  
Mirjana Petrovic-Lazic ◽  
Snezana Babac ◽  
Zoran Ivankovic ◽  
Rade Kosanovic
Keyword(s):  
Vocal Fold ◽  
Acoustic Analysis ◽  
Control Group ◽  
Acoustic Parameters ◽  
Vocal Rehabilitation ◽  
Voice Treatment ◽  
Before And After ◽  
The Voice ◽  
Vocal Fold Nodules ◽  
Pathological Voice

Introduction. There are subjective and objective ways to examine the effects of vocal therapy in voice disorders. The most precise and objective check-up is the use of computer voice analysis. Objective. The aim of the research was to perform a detailed analysis of acoustic structure of the vowel A before and after voice treatment in patients with vocal fold nodules in order to obtain objective verification of the vocal rehabilitation success. Methods. We examined 30 female patients, aged 34.6?6.69 years, with vocal fold nodules. Acoustic parameters of voice were compared with the control group consisting of 21 subjects without voice pathology. In all persons the vowel A was recorded and analyzed before and after a month of vocal therapy. The success of the vocal therapy was tracked using computer analysis of vocal structure. Signal, noise and tremor parameters were processed. Results. Of the analyzed vowel A parameters: STD, PER, JITA, JITT, RAP, vFO, ShdB, SHIM, APQ, VTI, SPI, F0, NHR, FTRI, eleven improved (p<0.05 and p<0.01). Three parameters (F0, NHR, FTRI) changed showing improvement, but the obtained differences were not statistically significant (p>0.05). Conclusion. Based on the obtained results it was concluded that vocal therapy gave satisfactory results, but that it should be continually applied until full stabilization of the voice.

scholarly journals A Comparison of Vocal Function between Females with Benign Vocal Fold Lesions and Females with Normal Voices by Use of Electroglottograph

2020 ◽  
Author(s):  
Cholada Seepuaham ◽  
Jeamjai Jeeraumporn ◽  
Sumalee Dechongkit ◽  
Montip Tiensuwan
Keyword(s):  
Vocal Fold ◽  
P Value ◽  
Vocal Function ◽  
Benign Vocal Fold Lesions ◽  
Parameter Values ◽  
Degree Of Severity

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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