The Effect of the Mother’s Participation in Therapy on Children with Vocal Fold Nodules

2021 ◽  
pp. 000348942110024
Author(s):  
Nevreste Didem Sonbay Yılmaz ◽  
Cansu Afyoncu ◽  
Nuray Ensari ◽  
Muhammet Yıldız ◽  
Özer Erdem Gür
Keyword(s):  
Vocal Fold ◽  
Vocal Folds ◽  
Post Treatment ◽  
Voice Therapy ◽  
Maximum Phonation Time ◽  
Significant Difference ◽  
Pre Treatment ◽  
Group 2 ◽  
Vocal Fold Nodules ◽  
Group 1

Objectives: Vocal fold nodules (VFN) are a bilateral epithelial thickening of the membranous vocal folds. In this study, children with VFN and their mothers took part in voice therapy. We then compared acoustic analyzes and subjective evaluations to those in previous literature to determine whether voice therapy is more effective for children with VFN when their mothers also take part in therapy. Methods: Children aged eight to 12 years who were diagnosed with bilateral VFN between January 2018 and January 2020 were included in this study. Participating children diagnosed with bilateral VFN were divided into two groups based on the wishes and cooperation of their families. Group 1 consisted of 16 patients; Group 2 included 17 patients. The children in Group 1 received voice therapy alone; children in Group 2 took part in therapy with their mothers. For all participants, the average fundemental frequency (F0), jitter percentages, shimmer percentages, maximum phonation time (MPT) and s/z ratios were measured. Pediatric voice handicap index (p-VHI) values were calculated as well. Results: The two groups’ measures pre-treatment and post-treatment were compared. Except for p-VHI, no significant difference was observed between the two groups. However, p-VHI post-treatment was significantly lower in Group 2 than in Group 1. Conclusions: Involving the families and even teachers of children with VFN in voice therapy can increase the effectiveness of therapy. The family’s involvement increases the child’s motivation in therapy. The mother’s presence during therapy, supporting the child or even doing the work with the child, can be a very important source of motivation for the child, who may already be tired from school and other activities. Thus, the mother’s involvement increases the child’s compliance with and interest in therapy.

scholarly journals Stability comparison of two different dentoalveolar expansion treatment protocols

2017 ◽  
Vol 22 (5) ◽  
pp. 75-82 ◽  
Author(s):  
Ezgi Atik ◽  
Tülin Taner
Keyword(s):  
Transverse Dimension ◽  
Post Treatment ◽  
P Value ◽  
Treatment Protocols ◽  
Significant Difference ◽  
Pre Treatment ◽  
Group 2 ◽  
Quad Helix ◽  
Group 1

ABSTRACT Objective: The aim of this study was to compare the longitudinal stability of the conventional straight-wire system after the use of a quad-helix appliance with Damon self-ligating system in patients with Class I malocclusion. Methods: 27 adolescent patients were evaluated at three different periods: pre-treatment (T1), post-treatment (T2) and three years post-treatment (T3). Group 1 included 12 patients (with a mean age of 14.65 year) treated with Damon 3MX bracket system; and Group 2 included 15 patients (with a mean age of 14.8 year) who underwent orthodontic treatment with Roth prescribed brackets after expansion with Quad-Helix appliance. Relapse was evaluated with dental cast examination and cephalometric radiograph tracings. Statistical analysis was performed with IBM-SPSS for Windows software, version 21 (SPSS Inc., Chicago, IL). A p-value smaller than 0.05 was considered statistically significant. Results: There were significant increases in all transverse dental and postero-anterior measurements (except for UL6-ML mm in Group 1) with active treatment. There was some significant relapse in the long-term in inter-canine width in both groups and in the inter-first premolar width in Group 2 (p< 0.05). Significant decrease in all frontal measurements from T2 to T3 was seen for both groups. Upper and lower incisors significantly proclined in T1-T2 (p<0.05), however no relapse was found for both groups. When two systems were compared, there was no significant difference for the long-term follow-up period. Conclusion: Conventional (quad-helix appliance with conventional brackets) and Damon systems were found similar with regard to the long-term incisor positions and transverse dimension changes of maxillary arch.

scholarly journals A comparative evaluation of border molding using two different materials in mandibular edentulous arches- an in-vivo study

2019 ◽  
pp. 12-19
Author(s):  
Shreya Bukkapatnam ◽  
Ms suma ◽  
Ravi Shankar Krishna ◽  
Baba Shankar Alva
Keyword(s):  
Complete Dentures ◽  
Patient’S Satisfaction ◽  
Significant Difference ◽  
Pre Treatment ◽  
Group 2 ◽  
Comfort Parameters ◽  
Moulding Material ◽  
Group 1

Brief Background The purpose was to compare and evaluate border moulding using two different materials on mandibular edentulous arches. Materials and Methods This clinical study was performed on 15 healthy edentulous subjects who reported to the department of Prosthodontics. All the subjects were first given complete dentures, fabricated with low fusing compound as the border moulding material, followed by complete dentures with putty as the border moulding material. Retention was measured at 3 stages: Border moulding; Complete denture insertion; 6 weeks follow up. Patient’s satisfaction was measured with a 10 point visual analogue scale for both the dentures pre treatment and at the follow up visit. Results Putty border moulding showed higher retention as compared to low fusing compound border moulding with significant difference at all stages- stage 1 (p=0.011), stage 2 (p=0.009) and stage 3 (p=0.0054). The time taken for border moulding was significantly lower in Group 2 than Group 1(P=1.6E-48). According to VAS scores, in terms of aesthetic and comfort parameters, patients were satisfied in both groups without any significant difference, however, retention in Group 2 was higher as compared to group 1(P=0.05) Summary and Conclusions There was a statistically significant difference in the retention, between the groups. Group 2( Putty) had higher retention compared to Group 1(low fusing compound).Time taken for border moulding was significantly lower for Group 2( putty). No significant difference in patient’s satisfaction was observed for aesthetic and comfort parameters. In functional parameter, retention was better in Group 2(putty) subjects. Key Words: Low fusing compound, PVS (putty), border molding, mandibular edentulous arch.

scholarly journals Does Voice Therapy Cure All Vocal Fold Nodules?

2014 ◽  
Vol 4 (2) ◽  
pp. 55-59 ◽  
Author(s):  
Baisakhi Bakat ◽  
Arunima Roy ◽  
Amitabha Roychoudhury ◽  
Barin Kumar Raychaudhuri
Keyword(s):  
Vocal Fold ◽  
Tertiary Care ◽  
Vocal Folds ◽  
Voice Therapy ◽  
Care Hospital ◽  
Laryngeal Surgery ◽  
Voice Outcome ◽  
Vocal Nodules ◽  
A Prospective Study ◽  
Vocal Fold Nodules

ABSTRACT Introduction Vocal nodules are known to be one of the most common benign lesions, commonly situated at the junction of anterior one third and posterior two third of vocal folds. Voice therapy is considered to be the gold standard of treatment of vocal fold nodule. Objectives To determine the efficacy of voice therapy in the treatment of vocal fold nodules and to identify any possible reason for failure to voice therapy in managing vocal fold nodules. Materials and methods A prospective study, conducted over a period of 6 months. Eighteen adult patients diagnosed with vocal fold nodules at a tertiary care hospital were subjected to 6 weeks of voice therapy. Pre and post therapy subjective (Voice Handicap Index-10) and objective (Rigid fiber optic laryngoscopy) evaluation was done. Patients with no improvement after 6 weeks of voice therapy underwent micro laryngeal surgery. All patients were followed up at 3 months and 6 months. Results In majority of patients, objective and subjective voice outcome parameters were significantly improved after voice therapy. Although a few cases showed no significant improvement after therapy, they recovered completely after microlaryngoscopic surgery. It was found that patients who required surgery even after voice therapy had hard nodules. How to cite this article Bakat B, Gupta A, Roy A, Roychoudhury A, Raychaudhuri BK. Does Voice Therapy Cure All Vocal Fold Nodules? Int J Phonosurg Laryngol 2014;4(2):55-59.

scholarly journals Maximum and Minimum Phonatory Glottal Area before and after Treatment for Vocal Nodules

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 326
Author(s):  
Cheng-Ming Hsu ◽  
Ming-Yu Yang ◽  
Tuan-Jen Fang ◽  
Ching-Yuan Wu ◽  
Yao-Te Tsai ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Waveform Analysis ◽  
Voice Therapy ◽  
Maximum Phonation Time ◽  
Vocal Fold Vibration ◽  
Before And After ◽  
Vocal Nodules ◽  
Imagej Software ◽  
And Function ◽  
Vocal Fold Nodules

Background: Vocal fold nodules (VFNs) are a challenge for otolaryngologists. Glottal area (GA) waveform analysis is an examination method used for assessing vocal fold vibration and function. However, GA in patients with VFNs has rarely been studied. This study investigated the maximum and minimum GA in VFN patients using modern waveform analysis combining ImageJ software and videostroboscopy. Methods: This study enrolled 42 patients newly diagnosed with VFN, 15 of whom received voice therapy and 27 of whom underwent surgery. Acoustic parameters and maximum phonation time (MPT) were recorded, and patients completed the Chinese Voice Handicap Index-10 (VHI-C10) before and after treatment. After videostroboscopy examination, the maximum and minimum GAs were calculated using ImageJ software. The GAs of patients with VFNs before and after surgery or voice therapy were analyzed. Results: The MPTs of the patients before and after voice therapy or surgery did not change significantly. VHI-C10 scores decreased after voice therapy but the decrease was nonsignificant (14.0 ± 8.44 vs. 9.40 ± 10.24, p = 0.222); VHI-C10 scores were significantly decreased after surgery (22.53 ± 7.17 vs. 12.75 ± 9.84, p = 0.038). Voice therapy significantly increased the maximum GA (5.58 ± 2.41 vs. 8.65 ± 3.17, p = 0.012) and nonsignificantly decreased the minimum GA (0.60 ± 0.73 vs. 0.21 ± 0.46, p = 0.098). Surgery nonsignificantly increased the maximum GA (6.34 ± 3.82 vs. 8.73 ± 5.57, p = 0.118) and significantly decreased the minimum GA (0.30 ± 0.59 vs. 0.00 ± 0.00, p = 0.036). Conclusion: This study investigated the GA of patients with VFNs who received voice therapy or surgery. The findings indicated that voice therapy significantly increased maximum GA and surgery significantly decreased minimum GA. GA analysis could be applied to evaluate the efficacy of voice therapy, and it may help physicians to develop precise treatment for VFN patients (either by optimizing voice therapy or by performing surgery directly).

scholarly journals Local Steroid Treatment: An Effective Procedure for Idiopathic Granulomatous Mastitis, Including Complicated Cases

2021 ◽  
Author(s):  
Taha Furkan Ertürk ◽  
Özgür Çakır ◽  
Büşra Yaprak Bayrak ◽  
Abdullah Güneş ◽  
Selahattin Aydemir ◽  
...  
Keyword(s):  
Steroid Treatment ◽  
Maximum Diameter ◽  
Granulomatous Mastitis ◽  
Idiopathic Granulomatous Mastitis ◽  
Pain Scores ◽  
Surgical Methods ◽  
Significant Difference ◽  
Pre Treatment ◽  
Group 2 ◽  
Group 1

Abstract Purpose To evaluate the effectiveness of treatment with topical and intralesional steroids for idiopathic granulomatous mastitis (IGM) and to compare with surgical methods.Methods Data was retrospectively collected from records. Intralesional steroid injection and topical steroid administration, hereafter referred to as local steroid treatment (LST) were applied in Group 1. Surgery (local excision, wide excision and mastectomy) was performed in Group 2. In Group 1 changes in lesion sizes were recorded and factors complicating treatment were identified. The Numeric Pain Rating Scale was used to determine subjective pain. LST and surgery were compared with regard to: pain before and after the treatment; complication rate; recurrence rate; and treatment cost.Results There were 38 and 48 patients in Group 1 and Group 2, respectively. In the LST group 72 lesions were present and 70 of 72 (97%) responded completely to treatment. Pre-treatment median maximum diameter was 23.50 (15.25-35.25) mm, which regressed to 16 (12-25) mm after the first session. While the pre-treatment pain scores of Group 1 and Group 2 were similar (p=0.756), there was a significant difference in the post-treatment pain scores (p<0.001). No recurrence occurred in any patients in Group 1, while recurrence developed in 15 (31.2%) patients in Group 2 (p<0.001).Conclusion LST is a treatment for IGM that is cheap, with high efficiency, negligible recurrence, and has good esthetic outcome. Our results suggest that LST should be the first-line treatment option for all IGM patients, including complicated cases.

scholarly journals A prospective study to evaluate the etiologies and parameters of voice assessment in patients of vocal cord paralysis

2017 ◽  
Vol 3 (4) ◽  
pp. 962
Author(s):  
Anagha A. Joshi ◽  
Vijaykumar Singh ◽  
Sana Zehra N. Rajani
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Palsy ◽  
Voice Assessment ◽  
Maximum Phonation Time ◽  
Significant Difference ◽  
Assessment Measures ◽  
Group 2 ◽  
Single Standard ◽  
A Prospective Study ◽  
Group 1

<p class="abstract"><strong>Background:</strong> Evaluation of voice disorders are performed using multiple approaches but there is no single standard method. Our study compared the various voice assessment measures and their clinical relevance for unilateral vocal cord palsy (uVCP).</p><p class="abstract"><strong>Methods:</strong> 30 patients of uVCP were assessed and followed up on day 15, 30 and 90 of diagnosis. At each visit, perceptual analysis of voice, grade (G), rigid 70<sup>0 </sup>Hopkins laryngoscopy to measure the phonatory gap (PG), maximum phonation time (MPT), and voice handicap index (VHI) were noted.  </p><p class="abstract"><strong>Results:</strong> The results were analysed in two ways, one on the basis of improvement in VHI and the other on the basis of PG. When two groups (‘improved group 1’ and ‘unimproved group 1’) were formed and compared on the basis of VHI; MPT, Grade and ‘change in PG’ of the improved group showed a significant difference as compared to the unimproved group. Whereas when two groups (‘improved group 2’ and ‘unimproved group 2’) were formed and compared on the basis of improvement in PG, none of the parameters of the improved group showed a significant difference as compared to the unimproved group.</p><p><strong>Conclusions:</strong> All parameters correlate well with VHI than with PG, hence VHI alone can be sufficient to assess the improvement in voice. Although rigid laryngoscopy is essential initially for diagnosis, it need not be necessary to for further evaluation for improvement in voice.</p>

Does Voice Therapy Improve Vocal Outcomes in Vocal Fold Atrophy?

2020 ◽  
pp. 000348942095246
Author(s):  
Emma Bick ◽  
Lukas D. Dumberger ◽  
Douglas R. Farquhar ◽  
Heather Davis ◽  
Elizabeth Ramsey ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Voice Therapy ◽  
Geriatric Population ◽  
Maximum Phonation Time ◽  
Patient Reported ◽  
Before And After ◽  
Related Quality ◽  
Vocal Fold Atrophy ◽  
Pre Treatment ◽  
Patient Reported Measures

Objectives: Vocal fold atrophy is increasingly identified in the geriatric population. Current literature shows varying outcomes with voice therapy. Our goal was to analyze multidimensional vocal outcomes of these patients who underwent voice therapy. Secondary aims included determining compliance and analyzing differences in patients who undergo surgery. Methods: 197 patients with vocal fold atrophy were included and reviewed. Patients were categorized by treatment received. Patient-reported, perceptual, aerodynamic, and acoustic voice outcomes were analyzed before and after therapeutic intervention. Changes were calculated and significance determined using Wilcoxon signed-rank and rank-sum tests. Results: 89(45%) received no therapy, 43(22%) incomplete therapy, 51(26%) complete therapy, 8(4%) surgery only, and 6(3%) therapy followed by surgery. Those who completed voice therapy showed significant improvement in voice related quality of life (VRQOL) ( P = .0225), glottal function index (GFI) ( P < .001), grade, roughness, breathiness, asthenia, strain (GRBAS) ( P < .001), maximum phonation time (MPT) ( P = .0081), and fundamental frequency in women ( P = .0024). No significant changes were found in mean airflow. When comparing patients who underwent surgery versus voice therapy, statistically significant differences were present between pre-treatment VRQOL ( P = .0269) and GFI ( P = .0166). Conclusions: Only 29% of patients with vocal atrophy completed voice therapy when recommended. Within this patient cohort, voice therapy results in significant improvement in multidimensional voice outcomes. Patients with vocal atrophy that undergo surgical treatment differ from those treated with voice therapy alone in their pre-treatment patient-reported measures.

scholarly journals Serum CA-125: biomarker of pulmonary tuberculosis activity and evaluation of response to treatment

2012 ◽  
Vol 35 (4) ◽  
pp. 223 ◽  
Author(s):  
Füsun Şahin ◽  
Pinar Yildiz
Keyword(s):  
Pulmonary Tuberculosis ◽  
Post Treatment ◽  
Response To Treatment ◽  
Ca 125 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Tuberculosis Activity ◽  
Group 1

Purpose: CA-125 is a high molecular weight mucin-like glycoprotein and an ovarian cancer antigen. Elevated CA-125 levels are also seen with various other benign and malignant conditions. In this study, the ability of CA-125 to predict pulmonary tuberculosis activity was investigated. Methods: This analytical study included 42 cases with active tuberculosis (Group 1), 35 cases with  inactive tuberculosis  (Group 2) and 20 healthy subjects (Group 3). CA-125 measurements were taken in all three groups. Measurements in Group 1 were repeated after completing a two month anti-tuberculosis treatment in 38 of the 42 patients. Results: Mean serum CA-125 level for Group 1 was 76.48±24.71 U/mL, which was significantly higher than levels in Group 2 (20.01±7.89 U/mL) and Group 3 (18.32±2.87 U/mL) (p < 0.001). Of the 38 patients in Group 1 who were studied both pre- and post-treatment, CA-125 levels decreased significantly: from 78.88±24.72 U/mL before treatment to 22.78±8.02 U/mL after treatment (p < 0.001). There was no statistically significant difference between the  post-treatment  values  of   Group 1 and either Group 2 and Group 3 values (p > 0.05).  Group 2 and Group 3 levels were not  significantly different (p > 0.05). The cut-off level for accurate determination of activity was 36.35 U/mL. The sensitivity at this level was 97.6% and specificity was 100%. Conclusion: Our findings suggest that CA-125 can be a beneficial parameter in determination of pulmonary tuberculosis activity and the evaluation of response to treatment.

scholarly journals Tennis elbow brace and wrist cock-up splint in the management of tennis elbow: a comparative study

2020 ◽  
Vol 6 (4) ◽  
pp. 813
Author(s):  
Sandeep Gavhale ◽  
Harshit Dave ◽  
Hitesh Rohra ◽  
Vipul D. Shet ◽  
Ganesh Aher ◽  
...  
Keyword(s):  
Tennis Elbow ◽  
Symptomatic Relief ◽  
Lateral Epicondylitis ◽  
Post Treatment ◽  
Wrist Extension ◽  
Proper Patient Selection ◽  
Group 3 ◽  
Pre Treatment ◽  
Group 2 ◽  
Group 1

<p class="abstract"><strong>Background:</strong> The purpose of our study was to compare the efficacy of a wrist splint with a forearm counterforce strap brace in the management of tennis elbow.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted between January and December 2018 comprising of 75 patients suffering from lateral epicondylitis managed conservatively with splints. Patients were randomized into three treatment groups, group 1 received tennis elbow forearm brace, group 2 received wrist extension splint, group 3 received both tennis elbow forearm brace and wrist extension splint. The patient-rated tennis elbow evaluation (PRTEE) score and visual analogue scale (VAS) scores were calculated at 0, 3 and 6 weeks of the treatment.<strong></strong></p><p class="abstract"><strong>Results:</strong> Mean difference of pre-treatment and post-treatment PRTEE score was significant in all three groups and was maximum for group 3 patients (32.42) followed by group 2 patients (27.04) followed by group 1 patients (20.06). Pre-treatment and post-treatment VAS score difference was maximum for group 3 patients.</p><p class="abstract"><strong>Conclusions:</strong> Significant symptomatic relief can be achieved in patients with tennis elbow by using either tennis elbow forearm brace or wrist extension splint or both. Provided proper patient selection and compliance, wrist extension splint achieves better symptomatic relief and functional outcome as compared to tennis elbow brace.</p>

scholarly journals Incisor proclination and gingival recessions: is there a relationship?

2017 ◽  
Vol 15 (2) ◽  
pp. 180
Author(s):  
Márlio Vinícius de Oliveira ◽  
Matheus Melo Pithon ◽  
Márcia Luzia Lacerda Xavier ◽  
Rodrigo Villamarim Soares ◽  
Martinho Campolina Rebello Horta ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Gingival Recession ◽  
Post Treatment ◽  
Time Intervals ◽  
Incisal Edge ◽  
Significant Difference ◽  
Group 2 ◽  
Plaster Casts ◽  
Group 1 ◽  
Mandibular Incisors

Aim: To test the hypothesis that there is no relationship between the amount of vestibular inclination of mandibular incisors and the appearance of gingival recession in this region. Methods: This study included 20 patients selected in accordance with the following inclusion criteria: 1. adult patients without gingival recession in the mandibular incisors before treatment (T0), 2. no previous orthodontic treatment, 3. treated without tooth extraction in the mandibular arch, 4. bonded mandibular splinting from one canine to another after the active stage of orthodontic treatment (T1), 5. no visible wear of the incisal edge of the mandibular incisors, 6. Pre- and post-treatment teleradiography and plaster casts, and plaster casts 3 years post-treatment (T2). Depending on the amount of inclination of the mandibular incisors after treatment, the sample was divided into two groups: Group 1- 10 individuals (IMPA T1-T0 ≤ 5˚) and Group 2- 10 individuals (IMPA T1-T0 > 5˚). The measurement of length of the clinical crown (LCC) of the four mandibular incisors, distance between the incisal edge and vestibular marginal gingiva were made in plaster casts at T0, T1 and T2. Results: In spite of Group 1 presenting a reduction in LCC at T2, there was no statistically significant difference in LCC in the 3 time intervals evaluated in the two groups. Conclusions: The null hypothesis was accepted. The variation in the amount of vestibular inclination of the mandibular incisors during orthodontic treatment and 3 years after conclusion of treatment did not promote the appearance of gingival recessions in this group of patients.

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