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 Vocal cord palsy as a sequela of paediatric cardiac surgery – a review

2021 ◽  
pp. 1-9
Author(s):  
Aditi Sinha ◽  
Alexander Geragotellis ◽  
Guntaj Kaur Singh ◽  
Devika Verma ◽  
Daniyal Matin Ansari ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Vocal Cord ◽  
Vocal Fold ◽  
Heart Surgery ◽  
Vocal Cord Palsy ◽  
Standards Of Care ◽  
Management Options ◽  
Paediatric Cardiac Surgery ◽  
Cord Injury ◽  
Pda Ligation

Abstract Background: Vocal cord palsy is one of the recognised complications of complex cardiac surgery in the paediatric population. While there is an abundance of literature highlighting the presence of this complication, there is a scarcity of research focusing on the pathophysiology, presentation, diagnosis, and treatment options available for children affected by vocal cord palsy. Materials and methods: Electronic searches were conducted using the search terms: “Vocal Cord Palsy,” “VCP,” “Vocal Cord Injury,” “Paediatric Heart Surgery,” “Congenital Heart Surgery,” “Pediatric Heart Surgery,” “Vocal Fold Movement Impairment,” “VFMI,” “Vocal Fold Palsy,” “PDA Ligation.” The inclusion criteria were any articles discussing the outcomes of vocal cord palsy following paediatric cardiac surgery. Results: The two main populations affected by vocal cord palsy are children undergoing aortic arch surgery or those undergoing PDA ligation. There is paucity of prospective follow-up studies; it is therefore difficult to reliably assess the current approaches and the long-term implications of management options. Conclusion: Vocal cord palsy can be a devastating complication following cardiac surgery, which if left untreated, could potentially result in debilitation of quality of life and in severe circumstances could even lead to death. Currently, there is not enough high-quality evidence in the literature to aid recognition, diagnosis, and management leaving clinicians to extrapolate evidence from adult studies to make clinical judgements. Future research with a focus on the paediatric perspective is necessary in providing evidence for good standards of care.

Medialization Laryngoplasty with Expanded Polytetrafluoroethylene

1998 ◽  
Vol 107 (5) ◽  
pp. 427-432 ◽  
Author(s):  
Timothy M. McCulloch ◽  
Henry T. Hoffman
Keyword(s):  
Vocal Fold ◽  
Assessment Tool ◽  
Surgical Techniques ◽  
Expanded Polytetrafluoroethylene ◽  
Median Position ◽  
History Of ◽  
The Mean ◽  
The Voice ◽  
Medialization Laryngoplasty ◽  
Special Instrumentation

Symptomatic unilateral laryngeal paralysis may be treated successfully by a wide variety of surgical techniques. These techniques share the concept that stabilization of the paralyzed vocal fold in a median position will improve glottic function. Medialization laryngoplasty with expanded polytetrafluoroethylene (ePTFE) incorporates the general principles of established medialization procedures, yet is unique in its simplicity. The technique does not require special instrumentation, employs incremental adjustment of vocal fold position, and utilizes an implantable material with a long history of patient safety. We describe this new technique and report on the outcome of our first 16 patients treated. No surgical or implant-related complications have occurred. Voice results were measured from preoperative and postoperative video and voice recordings by four independent observers using a standardized assessment tool. Voice grade and breathiness were evaluated on a four-point scale (0 = normal and 3 = abnormal, extreme). The mean overall grade improved from 2.3 ± 0.6 to 1.1 ± 0.6, and breathiness from 2.0 ± 0.8 to 0.4 ± 0.4. The technique is simple, the implant material has been in clinical use for decades, and the voice results are good to excellent.

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.

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.

scholarly journals A study of the voice therapy of vocal cord nodules.

1987 ◽  
Vol 90 (9) ◽  
pp. 1387-1401 ◽  
Author(s):  
YOSHIE YOTSUKURA
Keyword(s):  
Vocal Cord ◽  
Voice Therapy ◽  
The Voice

scholarly journals Tip of the iceberg: Immunohistochemical markers reveal malignant transformation underneath a vocal polyp surface

2021 ◽  
Vol 57 (2) ◽  
pp. 171-176
Author(s):  
Tamara Braut ◽  
Mira Krstulja ◽  
Eduard Oštarijaš ◽  
Damir Vučinić ◽  
Gordana Zamolo ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Malignant Transformation ◽  
Vocal Fold ◽  
Benign Lesion ◽  
Immunohistochemical Analysis ◽  
Molecular Techniques ◽  
Invasive Squamous Cell Carcinoma ◽  
Difficult Diagnosis ◽  
Immunohistochemical Markers ◽  
Vocal Polyp

Novel molecular techniques including markers of laryngeal carcinogenesis could improve the difficult diagnosis of a wide array of laryngeal polypoid changes. The case reported herein shows that not every clinically diagnosed vocal fold polyp is a benign lesion as mostly considered in the literature. Further assessment including carcinogenesis markers detected a nest of micro-invasive squamous cell carcinoma. Therefore, we recommend biopsy backed up with immunohistochemical analysis whenever there is a suspicious polypoid formation in order to exclude or confirm a malignant transformation because of the possibility of multi-focal growth in the active laryngeal epithelium.

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 Predictive Factors for the Efficacy of Voice Therapy for Pediatric Vocal Fold Nodule

2021 ◽  
Vol 32 (3) ◽  
pp. 130-134
Author(s):  
Chang Bin Yun ◽  
Young-Mo Kim ◽  
Jeong-Seok Choi ◽  
Ji Won Kim
Keyword(s):  
Multivariate Analysis ◽  
Cohort Study ◽  
Proton Pump Inhibitor ◽  
Predictive Factors ◽  
Gold Standard ◽  
Retrospective Cohort ◽  
Vocal Fold ◽  
Univariate Analysis ◽  
Voice Therapy ◽  
The Voice

Background and Objectives Voice therapy (VT) is considered to be the gold standard of treatment of vocal fold nodule in children. This study was designed to analyze the success rate of pediatric VT and investigate the predictive factors for good response of periatic VT for vocal fold nodule.Materials and Method This was a retrospective cohort study of 23 patients under 18 years old who were diagnosed with vocal fold nodule and received pediatric VT. We divided the patients into responding and non-responding groups. We analyzed clinical and voice parameters related to the voice results.Results Twelve patients showed improved findings after VT. By univariate analysis, female patients (85.7%) and adolescence children (100%) showed a good response to VT. In multivariate analysis, female sex (p<0.05) and adolescence children (p<0.05) were significantly related to a successful voice response. Proton pump inhibitor or antihistamine, mucolytics treatment and pre-VT voice parameters did not significantly influence voice outcomes.Conclusion Pediatric VT is more effective in female and adolescence children.

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.

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