scholarly journals Bilateral Vocal Fold Granuloma and Anterior Glottic Web After Papilloma Excision

2021 ◽  
pp. 014556132110121
Author(s):  
Benjamin T. Ostrander ◽  
Vanessa Yu ◽  
Andrew Vahabzadeh-Hagh
Keyword(s):  
Laser Ablation ◽  
Vocal Cord ◽  
Vocal Fold ◽  
Steroid Injection ◽  
Recurrent Respiratory Papillomatosis ◽  
Voice Therapy ◽  
Vocal Process ◽  
Co2 Laser Ablation ◽  
Anterior Glottic Web

We present a case of delayed vocal process granulomas and anterior glottic web after treatment of vocal fold papillomas with a laryngeal microdebrider and CO2 laser ablation. This case highlights a risk of vocal fold granuloma in the setting of recurrent respiratory papillomatosis and microdebrider use, warranting close follow-up and consideration of prophylactic voice therapy, anti-reflux medications, and steroid injection in cases of violation of vocal cord epithelium.

Vocal fold sulcus

1990 ◽  
Vol 104 (11) ◽  
pp. 876-878 ◽  
Author(s):  
Stephen T. S. Lee ◽  
S. Niimi
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
The Other ◽  
Voice Therapy ◽  
Results Of Treatment ◽  
End Results

AbstractVocal fold sulcus is a cause of dysphonia which has not been recognized until recently. Awareness of its existence combined with use of laryngostroboscopy would enhance the management of this group of patients. Five such cases were treated initially by voice therapy and subsequently combined with microlaryngeal Teflon injections of the vocal cord. Representative photomicrographs and the end results of treatment are presented. A good voice, subjectively and objectively, was obtained in three patients, with satisfactory improvement in the other two.

scholarly journals Ayurvedic Management of Subepithelial Vocal Cord Cyst: A Case Study

2020 ◽  
Author(s):  
Sundara Raman ◽  
S Aswathy Krishna ◽  
BN Ashwini ◽  
K Sivabalaji
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
Single Case ◽  
Medical Science ◽  
Surgical Excision ◽  
Vocal Folds ◽  
Voice Therapy ◽  
High Pitch ◽  
Repeat Endoscopy

Vocal fold cysts, otherwise called as vocal cord cyst, are benign masses formed on the membranous vocal folds. Present line of treatment in contemporary medical science is surgery followed by supplementary voice therapy. There are high chances of recurrence of the cyst after surgical excision. This report deals with a single case which was effectively managed with ayurvedic intervention. A 38-year-old female patient presented with hoarseness of voice, difficulty to produce high pitch notes, variations in pitch while talking. Rigid endoscopy was done and there was presence of solitary subepithelial vocal fold cyst in the middle of larynx. Treatment was done with Amapachana with Swasamrutam capsule and gorochanadi, two tablets twice daily after food. Snehapana with Varanadighrita + Guggulutikthaka ghrita in arohana matra for 4 days; Abhyanga and bashpasweda for 1 day; Virechana with TrivrtChurna 20 gm given at 7 am; Nasya with Anuthaila for 7 days; Matravasti with Sahacharadi Mezhukupakam 60 mL for 5 days. The hoarseness of voice and voice clarity improved on completion of the treatment. A repeat endoscopy showed that the cyst was no longer present. Subepithelial vocal cord cyst can be effectively managed with ayurvedic intervention principles of amapachana, agnideepana and ojovardhana.

scholarly journals A study of phonosurgeries in vocal dysfunction in Salem district

2020 ◽  
Vol 6 (10) ◽  
pp. 1783
Author(s):  
K. Mahendran ◽  
M. Praveen Kumar
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
Surgical Intervention ◽  
Benign Lesion ◽  
Vocal Cord Palsy ◽  
Voice Therapy ◽  
Vocal Polyp ◽  
Study Population ◽  
The Voice ◽  
Medialization Laryngoplasty

<p class="abstract"><strong>Background: </strong>Phonosurgery essentially is surgery defined to improve or restore the voice. The objective of the study was to analyze and categorize the various benign lesions of the vocal cord causing vocal dysfunction requiring phonosurgeries, to analyze the incidence and distribution of cases according to age, sex, and etiology among the patients who require intense medical and voice therapy with surgical intervention.<strong> </strong></p><p class="abstract"><strong>Methods: </strong>This prospective study was conducted in fifty patients with vocal dysfunction from the ear, neck and throat (ENT) outpatient department of Otorhinolaryngology, Mohan Kumaramangalam Government General Hospital, Salem in the year September 2018 to October 2019 who failed conservative medical and voice therapy requiring phonological procedure were included in this study. Phonomicrosurgery was done for the patients with benign vocal fold mucosal disorders and medialization laryngoplasty using Gore-Tex was done for the patients with unilateral vocal cord palsy causing vocal dysfunction.</p><p class="abstract"><strong>Results: </strong>The present study on phono surgery concludes vocal polyp is the commonest benign lesion of the vocal cord that constitutes 40% in our study population. Males are affected more than females. Proper investigation of voice and larynx provides the exact pathological nature of the lesion and determines the timing of surgical intervention.<strong></strong></p><p class="abstract"><strong>Conclusion: </strong>Most of the patients who underwent medialization laryngoplasty using Gore-Tex also had a good outcome at the end of the voice therapy.</p><p> </p>

Role of Voice Therapy in Adherence to Voice Rest After Office-Based Vocal Fold Procedures

2021 ◽  
pp. 1-12
Author(s):  
Renee E. King ◽  
Seth H. Dailey ◽  
Susan L. Thibeault
Keyword(s):  
Vocal Fold ◽  
Therapy Group ◽  
Voice Therapy ◽  
Visual Analog Scales ◽  
Counseling Group ◽  
Evaluation Group ◽  
Before And After ◽  
Language Pathology ◽  
Voice Use

Purpose Patients undergoing vocal fold procedures significantly reduce but often do not cease voice use during absolute postprocedure voice rest. We hypothesized that patients who completed preprocedure voice therapy would increase adherence to postprocedure voice rest. Method Eighty-six participants completed this prospective cohort study. Patients scheduled for office-based vocal fold procedures, 1–3 days of absolute postprocedure voice rest, and preprocedure speech-language pathology (SLP) care were recruited. SLP care consisted of either (a) multiple voice therapy sessions, (b) one counseling/therapy session, or (c) voice evaluation only. Participants reported talking and other specific voice behaviors on 100-mm visual analog scales for up to 3 days pre- and postprocedure as well as changes in overall voice use at follow-up at least 1 week postprocedure. Results Talking decreased postprocedure by 63% in the therapy group and 65% in the counseling group, both significantly more than the 35% decrease measured in the evaluation group. There were group differences in talking at baseline but not during voice rest. Coughing and throat clearing were highest in the voice evaluation group and decreased less than talking during voice rest. At follow-up, 84% of participants reported that they completed voice rest for at least as long as recommended and 39.5% reported that they never used their voices during voice rest. Participants estimated a 98% overall reduction in voice use during voice rest at follow-up. Conclusions Voice use before and after vocal fold procedures varies by participation in preprocedure voice therapy. Patients significantly decrease talking during postprocedure voice rest but are not perfectly adherent. Communicative voice use decreases more than noncommunicative voice use during voice rest. Patients may overestimate adherence to voice rest at follow-up. Supplemental Material https://doi.org/10.23641/asha.16589864

scholarly journals Vocal cord surgery and pharmacological treatment of a patient with HPV and recurrent respiratory papillomatosis

2019 ◽  
Vol 12 (11) ◽  
pp. e231117 ◽  
Author(s):  
Francesco Galletti ◽  
Francesco Freni ◽  
Francesco Gazia ◽  
Andrea Gallo
Keyword(s):  
Human Papillomavirus ◽  
Surgical Technique ◽  
Vocal Cord ◽  
Anterior Commissure ◽  
Free Edge ◽  
Respiratory Epithelium ◽  
Recurrent Respiratory Papillomatosis ◽  
Vocal Cords ◽  
The Voice

Recurrent respiratory papillomatosis (RRP) is caused by persistent infection of the respiratory epithelium by human papillomavirus (HPV), especially HPV 6 and 11. We present a case of surgically treated RRP. The main purpose of our protocol is to remove the lesions with a non-aggressive surgical technique and prevent recurrences with the use of cidofovir for local infiltrations in multiple sessions. We use low-power energy CO2 laser, directed towards the upper part of the vocal cord, to determine a retraction of the mucosa with consequent coverage of the epithelium of the free edge. The aim of this technique is to treat and stop the formation of synechia of the anterior commissure and the free margin of the vocal cords in the anterior commissure. After 8 years follow-up, there are no signs of recurrence of the disease. The voice had a net improvement confirming the effectiveness of the protocol.

scholarly journals Dysphonia secondary to traumatic avulsion of the vocal fold in infants

2010 ◽  
Vol 124 (11) ◽  
pp. 1229-1233 ◽  
Author(s):  
D Bray ◽  
L Cavalli ◽  
N Eze ◽  
N Mills ◽  
B E J Hartley
Keyword(s):  
World Literature ◽  
Vocal Fold ◽  
Injury Risk ◽  
Case Series ◽  
Voice Therapy ◽  
Street Hospital ◽  
Great Ormond Street Hospital ◽  
Injury Risk Factors ◽  
The Voice

AbstractObjective:Airway compromise due to paediatric intubation injuries is well documented; however, intubation injuries may also cause severe voice disorders. We report our experience and review the world literature on the voice effects of traumatic paediatric intubation.Case series:We report five cases of children referred to Great Ormond Street Hospital for Children who suffered traumatic avulsion of the vocal fold at the time of, or secondary to, endotracheal intubation. All children had significant dysphonia and underwent specialist voice therapy.Conclusions:The mechanisms of injury, risk factors and management of the condition are discussed. Children suffering traumatic intubation require follow up throughout childhood and beyond puberty as their vocal needs and abilities change. At the time of writing, none of the reported patients had yet undergone reconstructive or medialisation surgery. However, regular specialist voice therapy evaluation is recommended for such patients, with consideration of phonosurgical techniques including injection laryngoplasty or thyroplasty.

Vocal Fold Cyst Formation after Photoangiolytic KTP Laser Treatment of Early Glottic Cancer

2021 ◽  
pp. 000348942110222
Author(s):  
Kenneth Yan ◽  
Aaron D. Friedman
Keyword(s):  
Vocal Fold ◽  
Retrospective Chart Review ◽  
Cyst Formation ◽  
Glottic Cancer ◽  
Ktp Laser ◽  
Glottic Carcinoma ◽  
Early Glottic Cancer ◽  
Vocal Process ◽  
Tumor Distribution

Objective: The incidence of post-operative glottic cyst (POGC) formation in patients treated with transoral laser microsurgery with potassium-titanyl-phosphate laser (TLM-KTP) photoablation of early glottic carcinoma (EGC) has not previously been described. Methods: A retrospective chart review was performed to identify all patients with early glottic cancer who underwent with single-modality TLM-KTP at our institution. Each patient received regular follow up with videostroboscopy for tumor surveillance. New glottic cysts seen on surveillance examinations were noted and their management was documented. Results: A total of 33 patients met inclusion criteria. Eight patients (24%) developed POGC’s within the original geographic perimeter of the cancerous vocal fold(s): 6 in the infraglottic region and 2 near the vocal process, at an average of 8 months after their initial cancer surgery. Of these 8 POGC’s, 7 were at the periphery of the original tumor distribution and 1 was in the center of it. No POGC’s were associated with any change in voice. Four of the 8 POGC’s were phonosurgically excised, all without evidence of malignancy on pathology. The remaining 4 were monitored: 2 were stable for an average of 49 months of follow up; the remaining 2 resolved spontaneously by 7 and 31 months after first identification. Conclusions: POGC’s are a frequent sequela of TLM-KTP for EGC. While these results suggest that they are unlikely to represent submucosal recurrences, surgeons should have a low threshold to biopsy if there is clinical concern for such and should counsel patients pre-operatively about the potential for their formation.

Psychotherapy versus Voice Therapy for a Child with a Deviant Voice, a Case Study

1970 ◽  
Vol 30 (3) ◽  
pp. 887-891 ◽  
Author(s):  
Doris P. Mosby
Keyword(s):  
Social Interactions ◽  
Vocal Cord ◽  
Voice Therapy ◽  
Voice Change ◽  
Personality Functioning ◽  
The Voice ◽  
Voice Problem ◽  
Insight Into

A case study is presented of a boy, age 10–11, who had a “severe voice problem” characterized by hoarseness, stridency, tension, low pitch and the presence of vocal cord nodules. He proved resistive to traditional voice therapy techniques in two separate blocks of voice therapy. Only minimal changes were made initially in psychotherapy alone. Nodules continued to recur. However, the modest gains initiated in psychotherapy became more marked in a second block of psychotherapy. The voice therapy alone did not produce such consistent gains. A discernible voice change in the range of normal quality was noted. Behavior became characterized by less manifest tension and diminished aggression in overt acts. Self-insight into how the voice was used aggressively in social interactions was developed. At an ENT examination 4 mo. after termination of psychotherapy, no vocal-cord nodules were found. At an interview follow-up 13 mo. after psychotherapy, personality functioning appeared to be adequate. It is suggested that (1) psychotherapy may be the preferred method of treatment for functional voice deviations which are resistive to the “usually successful” voice therapy and (2) voice therapy in conjunction with psychotherapy seems to yield lasting improvement in both the voice and the behavior of a client.

S185 – Unilateral Vocal Cord Paralysis: The Miami Experience

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P138-P138
Author(s):  
Matthew Whitley ◽  
Roy R Casiano ◽  
Donna Lundy
Keyword(s):  
Vocal Cord ◽  
Thyroid Surgery ◽  
Medical Records ◽  
Vocal Fold ◽  
Vocal Cord Paralysis ◽  
Recovery Of Function ◽  
Small Subset ◽  
The University ◽  
Unilateral Vocal Cord Paralysis

Objectives 1) Understand the changing etiologies of unilateral vocal cord paralysis. 2) Learn the frequency of return of vocal cord function after paralysis. Methods We performed a retrospective analysis of 280 patients treated in the Department of Otolaryngology at the University of Miami for the diagnosis of unilateral vocal cord paralysis from 1999 to 2007. Medical records were reviewed in order to ascertain the etiology of the paralysis and determine on follow-up if there was recovery of function. Results The majority of cases (46%) were of surgical origin, with the leading surgical injury being thyroid surgery. Despite a thorough workup, 28% of cases remained idiopathic in origin. 21 patients (7%) had recovery of vocal fold function, the majority of which had a surgical etiology. Conclusions The most common cause of unilateral vocal cord paralysis, in our experience, is surgery, with thyroid surgery being the leading cause. A large majority of these cases remain idiopathic in nature. A small subset of patients regain function of the paralyzed vocal cord.

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