Endoszkópos arytaenoid abdukciós lateropexia foniátriai eredményei átmeneti kétoldali gégebénulás esetén

2018 ◽  
Vol 159 (29) ◽  
pp. 1188-1192 ◽  
Author(s):  
Vera Matievics ◽  
Balázs Sztanó ◽  
Ádám Bach ◽  
László Rovó
Keyword(s):  
Minimally Invasive ◽  
Vocal Cord ◽  
Voice Quality ◽  
Surgical Techniques ◽  
Vocal Cord Palsy ◽  
Invasive Technique ◽  
Normal Voice ◽  
Respiratory Outcomes ◽  
The Voice

Abstract: Introduction: Dyspnea caused by bilateral vocal cord paralysis often requires surgical intervention to prevent acute asphyxiation. The regeneration of the laryngeal nerves may last weeks or months and it is difficult to predict the outcome. In the past decades, several open and endoscopic surgical techniques have been introduced for treatment to avoid tracheostomy, however, these procedures with resection of the glottis resulted in irreversible changes in the laryngeal structure, thus the voice quality decreased over a long-term period. Aim: Endoscopic arytenoid abduction lateropexy is an accepted reversible, minimally invasive technique that provides an immediate patent airway by the lateralisation of the arytenoid cartilage with a suture. The aim of our study was to analyze the phonatory and respiratory outcomes of this treatment concept. Method: Two patients suffering from bilateral vocal cord palsy were treated with endoscopic arytenoid abduction lateropexy. After recovery of the vocal cord movements, the sutures were removed. Spirometric and phoniatric results of the two patients were analysed after suture removal. Results: Good spirometric parameters and normal voice quality were detected in both cases. Conclusions: These results prove the high reversibility of the minimally invasive endoscopic arytenoid abduction lateropexy. Lateralization suture can be removed in the case of vocal cord movement recovery, and phonation may be physiological. Orv Hetil. 2018; 159(29): 1188–1192.

Minimally invasive technique for stage III adult-acquired flatfoot deformity: a mid- to long-term retrospective study

2020 ◽  
Author(s):  
Sergio Tejero ◽  
Andres Carranza-Pérez-Tinao ◽  
Maria Dolores Zambrano-Jiménez ◽  
Estefanía Prada-Chamorro ◽  
Jose Juan Fernández-Torres ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Stage Iii ◽  
Invasive Technique ◽  
Adult Acquired Flatfoot Deformity

scholarly journals Intraoperative Neuromonitoring in Thyroid Surgery: An Efficient Tool to Avoid Bilateral Vocal Cord Palsy

2020 ◽  
pp. 014556132090632
Author(s):  
Kinyas Kartal ◽  
Nurcihan Aygun ◽  
Mustafa Fevzi Celayir ◽  
Evren Besler ◽  
Bulent Citgez ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Thyroid Surgery ◽  
Health Care Professionals ◽  
Surgical Techniques ◽  
Vocal Cord Palsy ◽  
Intraoperative Neuromonitoring ◽  
Efficient Tool ◽  
Group 2 ◽  
Neural Monitoring ◽  
Group 1

Objectives: This study aimed to analyze the effects of intraoperative neuromonitoring (IONM) on the prevalence of vocal cord palsy (VCP) in thyroid surgery. Methods: Data from 493 patients (839 nerves at risk [NAR]) who underwent thyroid surgery between July 2014 and May 2016 were retrospectively evaluated. The patients were divided into 2 groups: Group 1 (G1) consisted of patients who underwent surgery without IONM, whereas group 2 (G2) consisted of patients who underwent surgery with IONM. The surgical techniques were identical, and experienced surgeons performed the procedures in both groups. Intraoperative neuromonitoring was performed in compliance with the International Neural Monitoring Guidelines. Results: In total, 211 patients (170 female, 41 male) with 360 NAR were included in G1, and 282 patients (220 female, 62 male) with 479 NAR were included in G2. The number of VCP per NAR in G1 and G2 was 33 (9.2%) and 27 (5.6%), respectively ( P = .005). The number of transient VCP per NAR in G1 and G2 was 27 (7.5%) and 23 (4.8%; P = .230), respectively. The number of permanent VCP per NAR in G1 and G2 was 6 (1.7%) and 4 (0.8%; P = .341), respectively. Bilateral VCP was detected in 4 (2.7%) patients in G1, whereas there was no patient with bilateral VCP in G2 ( P = .033). Conclusions: Intraoperative neuromonitoring may decrease the incidence of total VCP and prevent the development of bilateral VCP, which has unfavorable results for both patients and health-care professionals.

Corniculate-Cuneiform Flap for Reconstruction in the Extended Vertical Partial Laryngectomy

1998 ◽  
Vol 107 (4) ◽  
pp. 297-300 ◽  
Author(s):  
Mark S. Persky ◽  
Angela Damiano
Keyword(s):  
Vocal Cord ◽  
Preliminary Data ◽  
Tumor Recurrence ◽  
Voice Quality ◽  
Partial Laryngectomy ◽  
Arytenoid Cartilage ◽  
Laryngeal Closure

The extended vertical partial laryngectomy involves removal of the vocal cord and adjacent arytenoid cartilage. Arytenoid sacrifice predisposes the patient to postoperative aspiration, since adequate laryngeal closure during swallowing cannot be accomplished. Various techniques have been previously described for reconstruction of this defect. We present five patients who had reconstruction of this area with a local, mucosally based corniculate-cuneiform flap. All patients were decannulated, had no long-term aspiration, maintained socially acceptable voice quality, and had no tumor recurrence with a minimum of 3 years of follow-up. Our preliminary data suggest that this flap can be used in previously irradiated patients. The corniculate-cuneiform flap is an effective method of reconstruction in patients undergoing an extended vertical partial laryngectomy.

scholarly journals Description of a minimally invasive technique with a modified instrument for the osteosynthesis of proximal femoral fractures using the standard DHS and case series

2020 ◽  
Vol 47 ◽  
Author(s):  
RICARDO RAMON CAMACHO IRIGOYEN ◽  
RAFAEL DE LUCA DE-LUCENA ◽  
JEAN KLAY SANTOS MACHADO ◽  
GABRIEL SEVERO DA-SILVA ◽  
CARLOS ROBERTO SCHWARTSMANN ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Techniques ◽  
Case Series ◽  
Femoral Fractures ◽  
Soft Tissue Injuries ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Trochanteric Fractures ◽  
Clinical Complications ◽  
Minimally Invasive Surgical

ABSTRACT Introduction: the number of hip fractures is estimated to increase from 1.66 million in 1990 to 6.26 million by 2050. Internal fixation is the most common surgical treatment for intertrochanteric fractures. Objectives: the objective of the present research is to describe a minimally invasive technique with a modified instrument for the treatment of stable proximal femoral trochanteric fractures using the standard DHS, classified as Tronzo types 1 and 2 (AO 31A1.2), and presenting a case series. Methods: a case was selected to present the technique. Patients operated by this technique undergo a clinical evaluation and preoperative preparation as routine. The criteria for inclusion in the study were the presence of stable fracture of the proximal femur verified by two hip specialist orthopedists, and operated by the minimally invasive technique with a modified instrument using a standard DHS. Exclusion criteria were cases of patients operated for unstable fractures, and the use of other surgical techniques. A case series of 98 patients was performed and discussed. Results: minimally invasive technique with a modified instrument using the standard DHS device can reduce bleeding, it decreases soft tissue injuries, surgical time, and hospital stay, as any other MIPO procedures. Ninety-eight patients underwent the operation (Tronzo types I and II), 59 female and 39 male, ages from 50 to 85 years old. Immediate post-operative complications were shortening of the lower limb, loss of fracture reduction, and death by clinical complications. Conclusion: the present study describes a minimally invasive surgical technique using a modified instrument to perform proximal femoral osteosynthesis for stable trochanteric fractures, using the standard DHS.

Priorities in Voice Training: Carrying Power or Tone Quality

2000 ◽  
Vol 4 (1) ◽  
pp. 75-93 ◽  
Author(s):  
Allan Vurma ◽  
Jaan Ross
Keyword(s):  
Acoustic Analysis ◽  
Voice Quality ◽  
Symphony Orchestra ◽  
Vocal Music ◽  
Voice Training ◽  
Tone Quality ◽  
Average Spectrum ◽  
Singer's Formant ◽  
The Voice

The voices of 42 students studying classical opera singing at the Estonian Academy of Music were investigated to find any objectively definable qualities possibly correlating with the length of training. Each student's singing of a four-bar seven-word initial phrase from a well-known Estonian classical solo was recorded. The recordings were digitalized and subjected to acoustic analysis yielding the long-term average spectrum (LTAS) for each voice studied. It turned out that the longer a singing student had been trained professionally, the higher was the level of the so-called singer's formant in her/his LTAS. Subsequently the voice quality in each recording was evaluated by four experts using a five-point scale, five points marking the best quality and one point the poorest. It turned out that the average ratings did not show any positive correlation with the length of training, rather, a slightly negative trend (notstatistically significant) could be observed. The results seem to support the critical remarksmade bysome Estonian specialists about domestic teaching of vocal music being perhaps inadequate in some respects (Pappel, 1990). The teaching process seems to be focused on the development of those qualities that enable the singer to be audible in large halls and with a symphony orchestra, while the timbral qualities recede into the background.

scholarly journals Bowel Injury following Lumbar Discectomy using Minimally Invasive Retractors

2007 ◽  
Vol 34 (4) ◽  
pp. 485-487 ◽  
Author(s):  
Aleksa Cenic ◽  
Niv Sne ◽  
Michael Lisi ◽  
Allan Okrainac ◽  
Kesava Reddy
Keyword(s):  
Minimally Invasive ◽  
Clinical Outcomes ◽  
Lumbar Disc ◽  
Intraoperative Complications ◽  
Adult Population ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Invasive Procedure ◽  
Invasive Technique ◽  
Tubular Retractor

Prevalence of symptomatic lumbar disc herniation is 1-3% in the adult population. When conservative therapy (e.g., physiotherapy, anti-inflammatories, epidural injections, etc.) fails, open microsurgical discectomy is regarded as the treatment of choice.With this procedure, the incidence of injury to visceral bowel is reported to be 3.8 per 10,000 cases. With the recent advent of tubular retractor systems, an increasing number of surgeons are using this minimally invasive procedure to replace traditional open microsurgical discectomy. The advantages include a smaller skin incision and a muscle splitting rather than muscle incising technique. As a result post-operative pain, blood loss and length of hospital stay may decrease significantly. Multiple studies have compared the two surgical techniques with regards to their clinical outcomes. The results of these studies reveal equal if not superior clinical outcomes with the minimally invasive technique. Despite the success of the minimally invasive microdiscectomy, none of the studies reported any intraoperative complications using this novel technique.

scholarly journals A Descriptive Study of Benign Vocal Cord Lesions with Speech Prameters Operated with Microlaryngoscopy

2020 ◽  
pp. 9-18
Author(s):  
Dr. Tushar Govind Borade ◽  
Dr. Meena Vishwanath Kale ◽  
Dr. Ninad Subhash Gaikwad
Keyword(s):  
Vocal Cord ◽  
Speech Therapy ◽  
Voice Quality ◽  
Simple Random Sampling ◽  
Clinical History ◽  
Maximum Phonation Time ◽  
Laryngeal Surgery ◽  
Microlaryngeal Surgery ◽  
Operative Assessment ◽  
The Voice

Background:Humanity has appreciated the importance and power of the human voice. Voice disorders like benign, malignant lesions of vocal cord affect the voice quality and also can have a devastating effect on daily functioning and quality of life. These lesions can be diagnosed and treated with microlaryngoscopy. Micro-laryngoscopy is a procedure for visualization of a magnified view of the voice box (larynx) with the help of a laryngoscope assisted with an operating microscope for precise laryngeal surgery. Speech parameters helps in voice quality assessment for vocal cord lesions.Method:We have studied 30 cases of benign vocal cord lesion by simple random sampling for two years which got operated with microlaryngoscopic conventional surgery. Their pre and post-operative assessment is done with respect to speech parameters like Maximum Phonation Time, Voice Handicap Index and GRBAS Score. Clinical history and rigid Hopkins 700 also helped in diagnosing of benign vocal cord lesions. Result: After conventional microlaryngeal surgery helps in improvement in MPT, VHI score, GRBAS Score post-operatively that of 3 months follow up. The effectiveness was seen more along with voice rest, corticosteroids and most important speech therapy.

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>

scholarly journals Percutaneous Trapeziometacarpal Arthrodesis in Thumb Carpometacarpal Joint Arthritis: A New Surgical Approach

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
D. Mifsut-Miedes ◽  
J. R. Rodríguez-Collell ◽  
A. Valverde-Navarro ◽  
E. M. González-Soler
Keyword(s):  
Minimally Invasive ◽  
Scientific Evidence ◽  
Surgical Techniques ◽  
Invasive Technique ◽  
Carpometacarpal Joint ◽  
Invasive Approach ◽  
Thumb Carpometacarpal Joint ◽  
High Prevalence ◽  
Thumb Carpometacarpal ◽  
Joint Arthritis

The high prevalence of trapeziometacarpal arthritis has resulted in the development of several surgical techniques intended to treat patients failing conservative treatment. However, there is no scientific evidence of the superiority of one technique over others. Open arthrodesis has up to now been successfully used to treat this condition. We believe that performing the technique using a minimally invasive approach with long and short Shannon burrs together with the tapered burr included in the MIS foot instrument set can yield satisfactory results. This article provides a description of this minimally invasive technique performed on a seventy-year-old woman with rhizarthrosis and an anatomical description of the approach in a human cadaver.

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