scholarly journals Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Hyung Kwon Byeon ◽  
Ji Hyuk Han ◽  
Byeong Il Choi ◽  
Hye Jin Hwang ◽  
Ji-Hoon Kim ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Vocal Fold ◽  
Surgical Techniques ◽  
Dye Laser ◽  
Pulsed Dye Laser ◽  
Vocal Polyp ◽  
Promising Treatment ◽  
Surgical Field ◽  
Professional Voice Users ◽  
Professional Voice

Objective. Conventional surgical techniques of laryngomicrosurgery (LMS) on hemorrhagic vocal polyps are often difficult due to obscuration of the surgical field by inadvertent bleeding from the lesion, and there are often significant amounts of mucosal epithelium loss. Here, we introduce our surgical technique using pulsed dye laser (PDL), which can effectively resect the polyp with vocal fold mucosa preservation.Methods. Patients who were diagnosed with hemorrhagic vocal polyp and who were surgically managed using PDL from March 2013 to October 2014 were retrospectively reviewed. Preoperative and postoperative clinical outcomes and surgical findings were evaluated.Results. A total of 39 patients were treated with PDL-assisted enucleation LMS. The average age was 43.7 years (range 20–73), and there were 20 males and 19 females (17 professional voice users). In all cases, the hemorrhagic polyp was successfully enucleated after application of PDL, thereby preserving the overlying epithelium. Postoperative voice outcomes were favorable with clear preservation of the vocal fold mucosal wave.Conclusion. PDL-assisted enucleation LMS for the treatment of hemorrhagic vocal polyps can be a safe and effective surgical technique. It can be considered a promising treatment option for hemorrhagic vocal polyps.

scholarly journals Pulsed dye laser-induced inflammatory response and extracellular matrix turnover in rat vocal folds and vocal fold fibroblasts

2009 ◽  
Vol 41 (8) ◽  
pp. 585-594 ◽  
Author(s):  
Ya Lin ◽  
Masaru Yamashita ◽  
Jingxian Zhang ◽  
Changying Ling ◽  
Nathan V. Welham
Keyword(s):  
Extracellular Matrix ◽  
Inflammatory Response ◽  
Vocal Fold ◽  
Vocal Folds ◽  
Dye Laser ◽  
Pulsed Dye Laser

Phonomicrosurgery in Vocal Fold Nodules: Quantification of Outcomes in Professional and Non-Professional Voice Users

2017 ◽  
Vol 32 (4) ◽  
pp. 187-194 ◽  
Author(s):  
Philipp P Caffier ◽  
Tatjana Salmen ◽  
Tatiana Ermakova ◽  
Eleanor Forbes ◽  
Seo-Rin Ko ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Severity Index ◽  
Prospective Clinical Study ◽  
Vocal Function ◽  
Professional Voice Users ◽  
The Mean ◽  
Few Data ◽  
Voice Range ◽  
Professional Voice ◽  
Vocal Fold Nodules

There are few data demonstrating the specific extent to which surgical intervention for vocal fold nodules (VFN) improves vocal function in professional (PVU) and non-professional voice users (NVU). The objective of this study was to compare and quantify results after phonomicrosurgery for VFN in these patient groups. METHODS: In a prospective clinical study, surgery was performed via microlaryngoscopy in 37 female patients with chronic VFN manifestations (38±12 yrs, mean±SD). Pre- and postoperative evaluations of treatment efficacy comprised videolaryngostroboscopy, auditory-perceptual voice assessment, voice range profile (VRP), acoustic-aerodynamic analysis, and voice handicap index (VHI-9i). The dysphonia severity index (DSI) was compared with the vocal extent measure (VEM). RESULTS: PVU (n=24) and NVU (n=13) showed comparable laryngeal findings and levels of suffering (VHI-9i 16±7 vs 17±8), but PVU had a better pretherapeutic vocal range (26.8±7.4 vs 17.7±5.1 semitones, p<0.001) and vocal capacity (VEM 106±18 vs 74±29, p<0.01). Three months postoperatively, all patients had straight vocal fold edges, complete glottal closure, and recovered mucosal wave propagation. The mean VHI-9i score decreased by 8±6 points. DSI increased from 4.0±2.4 to 5.5±2.4, and VEM from 95±27 to 108±23 (p<0.001). Both parameters correlated significantly (rs=0.82). The average vocal range increased by 4.1±5.3 semitones, and the mean speaking pitch lowered by 0.5±1.4 semitones. CONCLUSIONS: These results confirm that phonomicrosurgery for VFN is a safe therapy for voice improvement in both PVU and NVU who do not respond to voice therapy alone. Top-level artistic capabilities in PVU were restored, but numeric changes of most vocal parameters were considerably larger in NVU.

Vocal Fold Steroid Injection for Benign Vocal Lesions in Professional Voice Users

2021 ◽  
Author(s):  
Chien-Hao Wu ◽  
Wu-Chia Lo ◽  
Li-Jen Liao ◽  
Yi-Chia Kao ◽  
Chi-Te Wang
Keyword(s):  
Vocal Fold ◽  
Steroid Injection ◽  
Professional Voice Users ◽  
Professional Voice

scholarly journals The Efficacy of Treatment for Vocal Fold Bowing with Pulsed Dye Laser

2012 ◽  
Vol 2 (1) ◽  
pp. 46-48
Author(s):  
Yong Cheol Koo ◽  
Hyo Jin Chung ◽  
Michelle J Suh ◽  
Hong-Shik Choi
Keyword(s):  
Quality Improvement ◽  
Vocal Cord ◽  
Vocal Fold ◽  
Speech Therapy ◽  
Voice Quality ◽  
Vocal Folds ◽  
Dye Laser ◽  
Liquid Silicon ◽  
Pulsed Dye Laser ◽  
Efficacy Of Treatment

ABSTRACT Bowing of the vocal folds can result from aging, atrophy or idiopathic causes, such as an injudicious vocal cord surgery. Bowing results in dysphonia due to inadequate approximation of the vocal folds. A number of treatments have been proposed for this condition. Intracordal injection of biological materials including liquid silicon and Teflon and various types of thyroplasty have been utilized. However, full voice recovery has never been fully achieved. We present a case involving a 64-year-old Asian man with dysphonia for 30 years. The patient's vocal fold bowing was examined on laryngoscopy. The disease was effectively treated with pulsed dye laser (PDL) followed by speech therapy. Observation of the patient over 1 year did not show any signs of recurrence. Our analysis revealed voice quality improvement. How to cite this article Koo YC, Chung HJ, Suh MJ, Choi HS. The Efficacy of Treatment for Vocal Fold Bowing with Pulsed Dye Laser. Int J Phonosurg Laryngol 2012;2(1):46-48.

scholarly journals Prevalence of Benign Vocal Fold Lesions in Ear, Nose, and Throat Outpatient Unit of Dr. Soetomo General Hospital, Surabaya, Indonesia

2020 ◽  
Vol 3 (1) ◽  
pp. 37
Author(s):  
Lucia Miranti Hardianingwati ◽  
Diar Mia Ardani
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
Sound Production ◽  
Age Group ◽  
Group Iii ◽  
Outpatient Unit ◽  
Benign Vocal Fold Lesions ◽  
Professional Voice Users ◽  
Professional Voice ◽  
Nose And Throat

Introduction: Benign vocal fold lesions reduce the efficiency of sound production. Reports of dysphonia cases caused by vocal principles in Indonesia are still very limited. This study aimed to determine incidence and prevalence of benign vocal fold lesions, namely vocal cord nodules, cysts, and polyps.Methods: A descriptive retrospective study was conducted using patient’s medical record of Ear, Nose, and Throat (ENT) Outpatient Unit. Dysphonia patients with benign vocal cord abnormalities were identified. The data analyzed using descriptive analytic.Results: There were 20 patients with benign vocal fold lesions, consisting of 13 patients (65%) with nodules, 3 patients (15%) with polyps, and 4 patients (20%) with cysts. The ratio of male and female patients was 1: 1. Most patients belonged to age group of 20-59 years (12 patients; 60%). In term of occupation, most patients belonged to group III, which is a group of workers who are not professional voice users (12 patients; 60%). Most vocal fold lesions were found in the 1/3 of bilateral anterior (17 patients; 85%). Most therapy was non-operative in 13 patients (65%). Conclusion: Benign vocal fold lesions, including vocal cord nodules, polyps, and cysts, are found in all patients with dysphonic complaints. The prevalence of dysphonia symptoms is quite high every year, but only a small portion are diagnosed with benign vocal cord lesion.

scholarly journals Acoustic Analysis of Voice in School Teachers

2018 ◽  
Vol 56 (211) ◽  
pp. 658-661 ◽  
Author(s):  
Nain Bahadur Mahato ◽  
Meera Bista ◽  
Deepak Regmi ◽  
Pema Sherpa
Keyword(s):  
Fundamental Frequency ◽  
Tissue Damage ◽  
Vocal Fold ◽  
Teaching Practice ◽  
Acoustic Analysis ◽  
School Teachers ◽  
Maximum Phonation Time ◽  
Professional Voice Users ◽  
Professional Voice

Introduction: The term ‘voice' is the acoustic energy generated from the vocal tract that are characterized by their dependence on vocal fold vibratory pattern. Teachers as professional voice users are afflicted with dysphonia and are discouraged with their jobs and seek alternative employment. Loud speaking and voice straining may lead to vocal fatigue and vocal fold tissue damage.  Methods: Sixty teachers from various schools, volunteered to participate in this study. Acoustic analysis Doctor Speech Tiger Electronics, USA was used to assess the voice quality of the school teachers before and after teaching practice. The data were collected and analyzed using Doctor Speech Tiger Electronics, USA. Analysis was performed in terms of perturbation (jitter and shimmer), fundamental frequency, harmonic to noise ratio and maximum phonation time. Results: We found statistically significant difference in all the four parameters except the Jitter value. The fundamental frequency and shimmer value has significantly increased (P<0.001) and (P=0.002) respectively after teaching practice. Unlikely, there was significant decrease in harmonic to noise ratio value (P<0.001) and maximum phonation time value (P<0.01) after teaching practice. Conclusions: Vocal abuse, overuse, or misuse in teaching practice over a long period of time can result in inadequate phonatory pattern due to vocal fold tissue damage, which ultimately results in vocal nodules or polyps. So voice evaluation is particularly important for professional voice users and for the people who are concerned about their quality of voice.

In-Office Laryngeal Surgery with the 585nm Pulsed Dye Laser (PDL)

2007 ◽  
Vol 137 (3) ◽  
pp. 477-481 ◽  
Author(s):  
Debbie Aviva Mouadeb ◽  
Peter C. Belafsky
Keyword(s):  
Vocal Fold ◽  
Common Factor ◽  
Recurrent Respiratory Papillomatosis ◽  
Dye Laser ◽  
Pulsed Dye Laser ◽  
Day Hospital ◽  
Clinical Database ◽  
Laryngeal Surgery ◽  
Promising Tool ◽  
Reinke’S Edema

OBJECTIVES: The 585nm pulsed dye laser (PDL) is a promising tool for in-office laryngeal surgery. Data with respect to the safety and efficacy of the PDL for office laryngeal use is sparse. The purpose of this study is to review our experience with unsedated office PDL surgery. METHODS: Records of individuals undergoing in-office PDL between September 1, 2004, and September 1, 2006 were abstracted from a clinical database. RESULTS: Forty-seven patients underwent 117 treatments. The most common indications were recurrent respiratory papillomatosis (RRP), Reinke's edema, and vocal fold polyps. One hundred and four of 117 procedures were felt to be a success ablating all disease. Thirteen treatments requred early termination. The most common factor responsible for termination was an inability to achieve a comfortable level of anesthesia. One patient with Reinke's edema developed postprocedure stridor that required a 3-day hospital admission for observation and corticosteroids. There was no incidence of any vocal fold scarring, web formation, or other complications. CONCLUSIONS: The 585nm PDL is a promising tool for in-office treatment of various laryngeal disorders. Complications are rare.

scholarly journals The importance of the occupational vocal load for the occurence and treatment of organic voice disorders

2018 ◽  
Vol 57 (1) ◽  
Author(s):  
Miha Zabret ◽  
Irena Hočevar Boltežar ◽  
Maja Šereg Bahar
Keyword(s):  
Vocal Fold ◽  
Voice Disorders ◽  
Speaking Rate ◽  
Work Related ◽  
Tertiary Centre ◽  
Benign Vocal Fold Lesions ◽  
Professional Voice Users ◽  
Clinical Records ◽  
The Voice ◽  
Professional Voice

AbstractIntroductionThe voice represents a basic working tool for carrying out certain occupations. Hoarseness, as a consequence of vocal fold lesions, presents an important cause of work-related absences for voice professionals.MethodsOur study was designed as a retrospective cohort one. Data on gender, workplace, vocal load and exposure to risk factors for voice disorders of the patients who had surgery in the 2014-2015 period at the tertiary centre due to benign vocal fold lesions were collected from their clinical records. We compared professional voice users (PVU) to subjects with no vocal load at work (NPVU). The SPSS programme, version 22.0, was used for statistical analysis.ResultsFrom 2014 to 2015, 103 PVU and 132 NPVU were surgically treated for benign vocal fold lesions. In comparison to the second group, loud speech use was reported significantly more often by PVU (40.8% vs. 14.4%), as was a fast speaking rate (22.3% vs. 9.8%) and additional vocal load outside of the workplace (23.3% vs. 12.9%). The time that had passed between the occurrence of the hoarseness and the surgical treatment did not differ between the groups. The majority of patients were satisfied with the outcome of the operation.ConclusionsNearly a half of the operated patients had a considerable vocal load at work. An ENT assessment prior to starting a job as well as priority phoniatric treatment of voice disorders for PVU would significantly reduce the costs of work absences and contribute to a speedier recovery and return to the workplace.

scholarly journals The importance of the occupational vocal load for the occurence and treatment of organic voice disorders

2018 ◽  
Vol 57 (1) ◽  
pp. 17-24
Author(s):  
Miha Zabret ◽  
Irena Hočevar Boltežar ◽  
Maja Šereg Bahar
Keyword(s):  
Vocal Fold ◽  
Voice Disorders ◽  
Speaking Rate ◽  
Work Related ◽  
Tertiary Centre ◽  
Benign Vocal Fold Lesions ◽  
Professional Voice Users ◽  
Clinical Records ◽  
The Voice ◽  
Professional Voice

AbstractIntroductionThe voice represents a basic working tool for carrying out certain occupations. Hoarseness, as a consequence of vocal fold lesions, presents an important cause of work-related absences for voice professionals.MethodsOur study was designed as a retrospective cohort one. Data on gender, workplace, vocal load and exposure to risk factors for voice disorders of the patients who had surgery in the 2014-2015 period at the tertiary centre due to benign vocal fold lesions were collected from their clinical records. We compared professional voice users (PVU) to subjects with no vocal load at work (NPVU). The SPSS programme, version 22.0, was used for statistical analysis.ResultsFrom 2014 to 2015, 103 PVU and 132 NPVU were surgically treated for benign vocal fold lesions. In comparison to the second group, loud speech use was reported significantly more often by PVU (40.8% vs. 14.4%), as was a fast speaking rate (22.3% vs. 9.8%) and additional vocal load outside of the workplace (23.3% vs. 12.9%). The time that had passed between the occurrence of the hoarseness and the surgical treatment did not differ between the groups. The majority of patients were satisfied with the outcome of the operation.ConclusionsNearly a half of the operated patients had a considerable vocal load at work. An ENT assessment prior to starting a job as well as priority phoniatric treatment of voice disorders for PVU would significantly reduce the costs of work absences and contribute to a speedier recovery and return to the workplace.

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