scholarly journals Role of stroboscopy in diagnosis of laryngeal disorder

2019 ◽  
Vol 5 (3) ◽  
pp. 560
Author(s):  
Nimisha Nimkar ◽  
Hiren Soni
Keyword(s):  
Vocal Cord ◽  
Vocal Folds ◽  
Neck Surgery ◽  
Vocal Cord Palsy ◽  
Vocal Cords ◽  
Medical College ◽  
Vocal Cord Polyp ◽  
Common Diagnosis ◽  
Main Culprit ◽  
One Year

<p class="abstract"><strong>Background:</strong> Laryngeal disorders are the main culprit for change of voice. Patient presenting with change of voice needs to be assessed for laryngeal disorder. Larynx being part of hypopharynx in the deeper part of cavity has been difficult organ to examine since long, but with technological evolution from artificial light to flexible scopes to stroboscope has made life easier for a laryngologist to evaluate laryngeal disorder thoroughly.</p><p class="abstract"><strong>Methods:</strong> In this study we have included all cases of change of voice coming to department of ENT and head and neck surgery at GMERS Medical College and Hospital, Gotri in last one year with change of voice for more than one month including vocal cord malignancy. A detailed history and thorough examination of ENT and in particular larynx done. Further work up and management was done according to case base need.  </p><p class="abstract"><strong>Results:</strong> Out of 50 patients enrolled in the study we found 48% males and 42% females. Most of the patients were adults. Only 4% were in geriatric age group. Most common diagnosis was vocal cord nodules 26% followed by hypertrophy of vocal cords16%. Malignancy of the vocal cords was found to be 14% followed by10% of vocal cord polyp and vocal cord palsy 10%. Other conditions were found to be 6%.</p><p class="abstract"><strong>Conclusions:</strong> Stroboscopy is a great tool for evaluation of vocal cord pathology in particular subtle diseases of vocal cords. Along with diagnosis we can have proper documentation of dynamic movement of vocal folds with help of stroboscopy.</p>

scholarly journals Incidence and Outcome of Vocal Cord Polyp: An Endoscopic Experience and Perception

2020 ◽  
pp. 19-23
Author(s):  
Delwar AHM ◽  
Chowdhury NK ◽  
Rahman MS ◽  
Khan AM ◽  
Hossain ABMT
Keyword(s):  
Vocal Cord ◽  
Structural Disorder ◽  
Neck Surgery ◽  
The Body ◽  
Industrial Workers ◽  
Composite Function ◽  
Medical College ◽  
Laryngeal Surgery ◽  
Vocal Cord Polyp ◽  
Voice User

Background: Thelarynx is an intricate part of the body which has to perform a very composite function like protection, respiration, phonation. To carry out the function, larynx should be adaptable and flexible. Any structural disorder like vocal cord polyp alter these specialized function and squander the laryngeal pacing, and increasing voice discomfort of the patient like hoarseness, dysphonia, and odynophagia day by day. Phonosurgery is the mainstay of treatment. Methods: It is a cohort retrospective study of 54 cases in the Department of Otolaryngology and Head-Neck Surgery, Comilla Medical College, Bangladesh, from 20 February 2017 to 27 October 2019. Result: Incidence of vocal cord polyp in laryngeal disorder patient was 6.83%, and the laryngeal operative patient was 28.27%. All patients were treated by micro laryngeal surgery with rigid Hopkin’s laryngeal telescope, and setback was 2 (3.70%). Of them, male were 41(75.92%), females were 13(24.08%), below 20 years were 2(3.70%), 20-50 years 39(72.23%,) and above 50 years 13(24.07%), unilateral was 50(92.59%) and 4(7.41%) were bilateral, smoker was 41(75.92%), nonsmoker 13(24.08%), industrial workers were 21(38.89%), professional voice user was 13(24.07%)

scholarly journals Clinicopathological Study of Change of Voice

2021 ◽  
Vol 29 (2) ◽  
pp. 116-125
Author(s):  
Md Arifuzzaman ◽  
Shaikh Nurul Fattah ◽  
Mohammad Nazrul Islam ◽  
Md Mehedi Hasan ◽  
Md Monirul Islam ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Laryngopharyngeal Reflux ◽  
Voice Quality ◽  
Geographical Location ◽  
Neck Surgery ◽  
Eligibility Criteria ◽  
College Hospital ◽  
Medical College ◽  
Chronic Laryngitis ◽  
The Common

Background: Change of voice is one of the common complaints in ENT practice and hoarseness of voice is the commonest symptom of changed voice quality. Hoarseness is invariably the earliest manifestation of conditions directly or indirectly affecting the voice apparatus. Though most common causes of hoarseness are benign and vocal abuse is the commonest among them, but we should always investigate for more sinister pathology like malignancy. Objectives: To find out the symptoms, signs and pathological incidence, leading to change of voice for early diagnosis and interventional purpose. Methods: Total 87 patients of change of voice, studied in 06 months duration from 1st January 2016 to 30th June 2016 in the Department of ENT & Head-Neck Surgery, Dhaka Medical College Hospital, Dhaka. The cases were selected according to the eligibility criteria by purposive sampling. Then the data were collected by the active participation of the patients interviewed by the preformed proforma of data collection sheet. Results: Maximum number of cases of change of voice were due to carcinoma larynx (37.93%), then chronic laryngitis (20.99%), followed by vocal cord nodules (19.54%) and vocal cord polyps (8.05%.). Laryngopharyngeal reflux was found in 45.95% patients of chronic laryngitis. Males were affected more than females (1.81:1). Most of the patients were in the age group of 21 to 50 years. Peak incidence was in the 4th decade. Labourers/ daily wage earners formed the predominant group. Majority of patients were from low socioeconomic class. Smoking, vocal abuse, smoking and infections were the common predisposing factors. Conclusion: Hoarseness of voice is just a symptom with a very diverse etiology. The etiological data varies in different geographical location and from one center to other, so every case should be carefully and thoroughly evaluated to know the diagnosis and underlying pathology for early and prompt management. J Dhaka Medical College, Vol. 29, No.2, October, 2020, Page 116-125

scholarly journals A COMPARATIVE STUDY OF SURGICAL TREATMENT VERSUS CONSERVATIVE TREATMENT OF VOCAL CORD NODULES IN TERTIARY CARE HOSPITAL

2020 ◽  
pp. 39-41
Author(s):  
Indranil Khatua ◽  
Alokendu Bose ◽  
Indranath Kundu ◽  
Debarshi Jana
Keyword(s):  
Conservative Treatment ◽  
Vocal Cord ◽  
Population Sample ◽  
Vocal Folds ◽  
Post Treatment ◽  
Variable Degree ◽  
Care Hospital ◽  
Medical College ◽  
Benign Laryngeal Lesions

Background: Vocal cord nodules are bilateral, benign, and callous like growths of the mid portion of the membranous vocal folds. They are of variable size and characterised histologically by thickening of epithelium with a variable degree of inflammation in the underlying superficial lamina propria1. They characteristically produced hoarseness, discomfort and an unstable voice when speaking or singing. AIMS: Comparison between post treatment (surgical and conservative treatment groups) voice quality of the two groups and post treatment status of nodules in both the groups. MATERIAL AND METHODS: Outpatient department and Indoor wards of Department of ENT and Head Neck surgery, R. G Kar Medical College. Patients attending ENT OPD of R G Kar Medical College during the Study period were the study population. Sample size was atleast 50 Patients. RESULT: In group-A, 4(23.5%) patients were regressing and 13(76.5%) patients had resolve. In group-B, 4(12.1%) patients were persisting and 29(87.9%) patients were regressing. Association of post Rx VCN vs. group was statistically significant (p<0.001). CONCLUSION: Vocal fold nodule is one of the most frequent benign laryngeal lesions, influencing the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions.

scholarly journals Correlation of electroglottograph with vocal cord pathology

2016 ◽  
Vol 3 (1) ◽  
pp. 46 ◽  
Author(s):  
Shilpa Chandrashekarappa ◽  
Sandeep S. ◽  
Sandeep Jain ◽  
Guruswamy M. ◽  
Shivaram T. Shetty
Keyword(s):  
Vocal Cord ◽  
Clinical Examination ◽  
Cost Effective ◽  
Vocal Cord Palsy ◽  
Mass Lesion ◽  
Closing Time ◽  
Vocal Cords ◽  
Significant Difference ◽  
Invasive Method ◽  
History Of

<p class="abstract"><strong>Background:</strong> Vocal cord disorders are very commonly encountered in ENT Outpatient. Electroglottogram is a non-invasive method for the examination of the vocal fold vibrations.  It exerts no influence at all on articulation and production of sound and is cost effective. The aim of the present study was to validate the clinical correlation of electroglottogram in patients presenting with hoarseness of voice<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> 30 patients with history of hoarseness of voice and 30 normals were selected from ENT outpatient and inpatient department over a period of 2 years. All subjects underwent detailed ENT history taking, clinical examination, rigid laryngoscopy and electroglottography and results were documented<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> Electroglottography waveforms of various voice disorders like vocal cord nodule, polyp, papilloma and haemangioma showed specific changes like double peak or notch in closing phase of waveform in case of mass lesion over the vocal cords and fuzzy waveform with prolonged closing time in case of vocal cord palsy. Significant difference was noted in certain electroglottographic parameters for phonated vowels /a/, /i/ and /u/ for certain vocal cord disorders<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Electroglottograph helps in diagnosing the pathology related to vocal cords, whether it is mass lesion over the vocal cords or vocal cord palsy but to differentiate in between mass lesions, clinical examination has to be done to confirm the diagnosis<span lang="EN-IN">.</span></p>

Dysphonia

2018 ◽  
Author(s):  
Aziz Shaibani
Keyword(s):  
Myasthenia Gravis ◽  
Parkinson Disease ◽  
Recurrent Laryngeal Nerve ◽  
Vocal Cord ◽  
Neuromuscular Disorders ◽  
Vocal Cord Palsy ◽  
Laryngeal Nerve ◽  
Vocal Cords

Lack of function or malfunction of the vocal cords are not as common manifestations of neuromuscular disorders as dysarthria. It is typically seen in central diseases such as Parkinson disease. Certain muscle and nerve disorders affect the vocal cords, but in these cases, other features of these diseases make the diagnosis easy. Myasthenia gravis (MG) may present with intermittent hoarseness only early in the course of the disease. Consultation with an ear, nose, throat (ENT) specialist is recommended to characterize the type of cord pathology. Hysterical hoarseness and weakness are not unusual presentations to neuromuscular clinics. Unilateral vocal cord palsy is usually due to recurrent laryngeal nerve pathology.

scholarly journals Experiments on the elasticity of the vocal cords

1973 ◽  
Vol 20 (1) ◽  
Author(s):  
P. H. Damsté ◽  
G. H. Wieneke
Keyword(s):  
Vocal Cord ◽  
Young’S Modulus ◽  
Young's Modulus ◽  
Vocal Folds ◽  
Vocal Cords ◽  
Male And Female ◽  
Vocal Pitch ◽  
Female Voices ◽  
The Difference ◽  
Limited Accuracy

Regulation of vocal pitch occurs by changes in the length and tension of the vocal folds. Because the Young's modulus of the vocal cord ligament could be a factor which determines the difference between male and female voices, this was made an object of research. No differences could be shown. Some of the problems and the limited accuracy of these experiments are reviewed.

scholarly journals CLINICAL EVALUATION OF VOICE IN CHILDREN WITH DYSPHONIA

World Science ◽  
2018 ◽  
Vol 1 (10(38)) ◽  
pp. 25-27
Author(s):  
Nadjimutdinova N. Sh. ◽  
Amonov Sh. E. ◽  
Alieva M. U.
Keyword(s):  
Comparative Analysis ◽  
Clinical Study ◽  
Vocal Cord ◽  
Vocal Folds ◽  
Healthy Children ◽  
Organic Disease ◽  
Functional Disorders ◽  
Vocal Cords ◽  
Vocal Apparatus ◽  
The Voice

Objective: make a comparative analysis of the voice of the index (VHI) and endoscopic studies in the pathology of the voice of children.Material and Methods: The study involved 87 children, from 6 months to 14 years. The clinical study included fibrorinolaryngoscopy with video fixation (C-MAC, K. Storz, Ø-2,7 mm) and a survey of parents (or guardians) of children at the Uzbek version of the voice handicap index (pVHI), with sub- sections (functional - F, the physical - P and emotional - E).Results: endoscopic diagnosed laryngitis 20,6% (n = 18), functional 16,1% (n = 14) and mutational 9,2% (n = 8), dysphonia, benign larynx (respiratory papillamatosis) - 18.4 % (n = 16), the vocal cords paresis - 5.7% (n = 5), the vocal folds nodules 26.4% (n = 23), throat structure anomalies (acquired) 3,4% (n = 3). The survey revealed pVHI average points total pVHI and its sub-group of patients were as follows: F - 13,94, P - 15.48, E - 12.15 and T - 41.58, which is significantly higher than the group of healthy children and children with functional disorders of voice.Conclusions: Fibrolaryngoscopy with the smallest diameter of the lumen of the laryngoscope with video fixation allowed to quickly ascertain the diagnosis of organic disease of the larynx in children. In addition, the survey pVHI allowed to differentiate the severity of the vocal apparatus, to conduct timely special endoscopic diagnosis of vocal cord diseases.

A Hunsaker Mon-Jet tube trapped in the larynx

2011 ◽  
Vol 125 (11) ◽  
pp. 1204-1205 ◽  
Author(s):  
I Khan ◽  
M Shakeel ◽  
R Nagaraja ◽  
B Ram ◽  
A D Thomas
Keyword(s):  
Case Report ◽  
Vocal Cord ◽  
Airway Compromise ◽  
Ventilation Tube ◽  
Jet Ventilation ◽  
Successful Management ◽  
Vocal Cords ◽  
Vocal Cord Polyp ◽  
Microlaryngeal Surgery ◽  
Operating Surgeon

AbstractObjective:We report a unique complication arising from the use of a Hunsaker Mon-Jet ventilation tube during microlaryngeal surgery, and we briefly review the literature on the use of this tube for jet ventilation.Method:A case report on the safe and successful management of a potential airway compromise, and a brief literature review on using the Hunsaker Mon-Jet ventilation tube during microlaryngeal surgery.Case report:A 46-year-old woman was scheduled to undergo removal of a vocal cord polyp under general anaesthesia. However, the polyp became stuck in the basket of the Hunsaker tube during intubation. The polyp and the Hunsaker tube were removed safely after a microlaryngeal tube was passed beyond the vocal cords. To our knowledge, this complication has not previously been reported.Conclusion:This case highlights the potential risk of laryngeal growths, especially vocal cord polyps, becoming trapped in the Hunsaker tube during intubation. Both the anaesthetist and the operating surgeon should be aware of this possible complication and, more importantly, how to deal with such a problem.

scholarly journals A Case of Transient Local Anesthetic Induced Bilateral Vocal Cord Palsy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
M. Rafiq ◽  
U. Al-Zoraigi ◽  
S. Alzahrani ◽  
Y. Alabdulkarim
Keyword(s):  
Total Thyroidectomy ◽  
Vocal Cord ◽  
Rare Case ◽  
Vocal Cord Palsy ◽  
Transient Condition ◽  
Limited Information ◽  
Review Of The Literature ◽  
Vocal Cords ◽  
Flexible Laryngoscopy ◽  
Successful Extubation

We report a rare case of bilateral vocal cord palsy following total thyroidectomy with successful extubation within 12 hours. The patient is a 33-year-old lady who underwent uneventful total thyroidectomy for compressive symptoms. Thirty minutes after extubation, she developed stridor and the flexible laryngoscopy showed bilaterally adducted vocal cords. The patient, thus, was reintubated and after 12 hours she met the extubation parameters and so she was extubated successfully. The repeated flexible laryngoscopy showed normal vocal cords. A review of the literature revealed limited information on this transient condition.

scholarly journals Strumos chirurginio gydymo pavojai: pooperacinis balso klosčių paralyžius

2006 ◽  
Vol 4 (2) ◽  
pp. 0-0
Author(s):  
Algimantas Žindžius ◽  
Virgilijus KKrasauskas ◽  
Jelena Jončiauskienė
Keyword(s):  
Surgical Treatment ◽  
Thyroid Gland ◽  
Recurrent Laryngeal Nerve ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Vocal Cord Palsy ◽  
Early Postoperative Period ◽  
Laryngeal Nerve ◽  
Vocal Cords

Algimantas Žindžius, Virgilijus kKrasauskas, Jelena JončiauskienėKauno medicinos universiteto Chirurgijos klinikaEivenių g. 2, LT-50009 Kaunas Tikslas Retrospektyviuoju tyrimu, remiantis medicininės dokumentacijos duomenų analize, įvertinti toksinės ir netoksinės strumos chirurginio gydymo pavojus, pooperacinio balso klosčių paralyžiaus rizikos veiksnius, nustatyti ir palyginti šios komplikacijos dažnumą, atsižvelgiant į operacijos indikacijas, apimtį ir metodiką. Ligoniai ir metodai Išnagrinėtos ligos istorijos 5555 pacientų, operuotų Kauno medicinos universiteto klinikų Chirurgijos klinikoje 1998–2004 metais. Skydliaukės operacijos atliktos subfascine ir atvirąja metodika, neidentifikuojant arba identifikuojant grįžtamuosius gerklų nervus. Rezultatai Pooperacinis balso klosčių paralyžius ištiko 127 (2,29%) pacientus: vienos balso klostės klostės – 104 (1,87%), abipusis – 23 (0,41%) pacientus. Po 350 operacijų nuo strumos recidyvo balso klosčių paralyžius pasireiškė 25 (7,14%) pacientams: 16 (4,57%) – vienpusis, 9 (2,57%) – abipusis. Nustatyta, kad chirurginis gydymas pritaikytas įvairioms strumos klinikinėms formoms, skyrėsi tik laikotarpiu, kai į gydymą įsitraukė chirurgai. Išvados Dažniausia skydliaukės operacija yra tiroidektomija (42,11%), dažniausia komplikacija – pooperacinis balso klosčių paralyžius (2,29%). Grįžtamojo gerklų nervo sužalojimus lemia įvairūs veiksniai – strumos patologinė morfologija, ligos recidyvas, ilgalaikis medikamentinis gydymas, nepalankūs skydliaukės ir gretimų struktūrų anatomijos variantai, operacijos apimtis, operacijos metodas. Dėl abipusio balso klosčių paralyžiaus ankstyvuoju pooperaciniu laikotarpiu 4 pacientams kilus kvėpavimo nepakankamumui, tracheostomijos buvo išvengta atlikus vienos balso klostės šoninę fiksaciją. . Reikšminiai žodžiai: struma, chirurginis gydymas, grįžtamojo gerklų nervo pažeidimas, balso klosčių paralyžius Dangers of thyroid surgery: postoperative paralysis of vocal cords Algimantas Žindžius, Virgilijus kKrasauskas, Jelena JončiauskienėKaunas University of Medicine, Surgery Clinic,Eivenių g. 2, LT-50009 Kaunas, Lithuania  Objective The aim of this article is to evaluate retrospectively dangers of the surgical treatment of toxic and nontoxic goiter. We also analyzed the risk factors of postoperative vocal cord paralysis, evaluated and compared the frequency of this complication depending on the indications, extent and methods of surgery. Patients and methods Three thousand eight hundred ninety seven operations on the thyroid were performed at the Clinic of Surgery of Kaunas University of Medicine Hospital during the period 1998–2002. The operations on the thyroid gland have been performed by subfascial and open methods, identifying the recurrent laryngeal nerves. Results Postoperative vocal cord paralysis developed in 97 (2.49%) cases. One-sided vocal cord palsy developed in 81 (2.08%) patients and bilateral in 16 (0.41%) patients. There were 19 (7.49%) cases of vocal cord palsy after 256 operations performed due to recurrent goiter, 13 being one-sided and 6 bilateral. It has been found that surgical treatment is suitable for all clinical forms of goiter, the only difference being the time the surgeons enter the process of treatment. Conclusions The most frequent thyroid gland operation is thyroidectomy (35.69%) and the most frequent complication is postoperative vocal cord paralysis (2.49%). The injuries to the recurrent laryngeal nerve are determined by both objective (thyroid gland pathology, thyroid cancer, recurrence of goiter, long-lasting medical treatment, unfavorable variants of thyroid gland and adjacent anatomic structures and the extent of operation) and subjective factors (methods of operation, surgeon’s experience, operative technique). Individual selection of open or subfascial methods of thyroid operation gives hope to reduce the complications of the surgical treatment. The respiratory insufficiency developing in the early postoperative period due to bilateral vocal cord paralysis can be cured by performing vocal cord laterofixation instead of tracheostomy. Key words: goiter, surgical treatment, recurrent laryngeal nerve palsy, paralysis of vocal cords

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