scholarly journals Vocal outcomes after video assisted cold knife endolaryngeal phonosurgery of benign vocal fold lesions

2021 ◽  
Vol 7 (11) ◽  
pp. 1757
Author(s):  
Sanjeev Mishra ◽  
Aishwarya Ullal ◽  
Shiv Kumar Rathaur
Keyword(s):  
Vocal Fold ◽  
Conservative Therapy ◽  
High Definition ◽  
Video Assisted ◽  
Laryngeal Surgery ◽  
Benign Vocal Fold Lesions ◽  
Voice Outcome ◽  
Endolaryngeal Surgery ◽  
Static Images ◽  
Cold Knife

<p class="abstract"><strong>Background:</strong> This study focuses on therapeutic possibilities in managing benign superficial vocal fold lesions with video assisted cold knife endolaryngeal phonosurgery.</p><p class="abstract"><strong>Methods: </strong>Fifty patients with benign vocal fold lesions presented to us between September 2013 and October 2015 who failed conservative therapy were subjected to video assisted cold knife endolaryngeal phonosurgery. The pre and postoperative results were evaluated based on voice rating by visual analogue scale and GRBAS scale.</p><p class="abstract"><strong>Results</strong>: Encouraging results were achieved with cold knife endolaryngeal surgery as 96.3% of patients were symptom free without any recurrence after single operation. Most of them have achieved &gt;90% of voice outcome by 1 month postoperatively based on voice assessment and laryngoscopic evaluation.</p><p class="abstract"><strong>Conclusions:</strong> Using a telescope with high definition video system for performing phonosurgery is economic, enables the surgeon to acquire static images and video sequences. Cold knife endoscopic laryngeal surgery is possibly a better option for addressing BVFLs.</p>

scholarly journals Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management

2021 ◽  
pp. 178-183
Author(s):  
A. A. Krivopalov ◽  
P. A. Shamkina ◽  
Ju. E. Stepanova ◽  
E. E. Koren ◽  
T. V. Gotovyakhina
Keyword(s):  
Semiconductor Laser ◽  
Vocal Fold ◽  
Acoustic Analysis ◽  
Postoperative Management ◽  
Postoperative Treatment ◽  
Favorable Effect ◽  
High Tech ◽  
Benign Vocal Fold Lesions ◽  
Endolaryngeal Surgery ◽  
Short Time

Introduction. Today the high prevalence of benign vocal fold lesions is shown (up to 55-70%). The possibilities of surgical management of this pathology are very extensive. Laser technologies are becoming more and more popular among high-tech treatment methods. However the comprehensive postoperative management of these patients is equally important.The aim of the study was to assess the features of the postoperative period in patients undergoing the endolaryngeal surgery using a semiconductor laser with a wavelength of 445 nm.Material and methods. On the basis of Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech from February to June 2021 20 patients with benign vocal fold lesions 6 women and 14 men from 24 to 67 years old were examined and treated. All the patients underwent endolaryngeal surgery with direct microlaryngoscopy using a new semiconductor 445 nm laser in an inert gas atmosphere (intraoperative helium supply). After surgical treatment, the patients observed vocal rest, received antiinflammatory, antibacterial therapy, inhalations, as well as the drug Homeovox® according to the standard scheme.Conclusion. Endolaryngeal surgery with the removing of benign vocal fold lesions using a semiconductor laser with a wavelength of 445 nm has been proven to be safe and effective. According to the results of video laryngostroboscopy, acoustic analysis of the voice (the questionnaire “Voice handicap index-30”) it was noted that the laryngeal functions were restored in a short time. The inclusion of Homeovox® in the complex postoperative treatment had a favorable effect on the restoration of the phonatory function.

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.

Perioperative Voice Recovery: An Exercise Physiology Perspective

2013 ◽  
Vol 23 (2) ◽  
pp. 47-52 ◽  
Author(s):  
Mary J. Sandage
Keyword(s):  
Skeletal Muscle ◽  
Performing Arts ◽  
Vocal Fold ◽  
Exercise Physiology ◽  
Cell Physiology ◽  
Vocal Function ◽  
Laryngeal Surgery ◽  
Voice Outcome ◽  
Before And After ◽  
Good For

Voice professionals have differing views on the amount of voice rest prescribed before and after laryngeal surgery. Current recommendations are largely based on a long-standing belief that voice rest is good for the vocal mechanism, particularly when pathology is present or following surgical interruption of the vocal fold tissue. There is little evidence to support the benefit of extensive voice rest prior to laryngeal surgery, as is often recommended in the performing arts. In fact, preoperative voice therapy has shown benefit for postoperative voice outcome. From a wound-healing perspective, voice conservation immediately following vocal fold surgery contributes to the best vocal function outcome. There is no supportive evidence for postoperative voice rest that extends for weeks into months, as some performing artists have reported following surgery. From the perspective of skeletal muscle cell physiology and what is currently known about skeletal muscle adaptations that occur with training and detraining, a guideline for optimal voice recovery and return to performance may be clearer. The well-intentioned, long-held belief that extensive voice conservation is good for the voice may actually trigger a skeletal muscle detraining cascade that could lengthen return to optimal voice function, particularly in the vocal performing arts.

Videoendoscopic Laryngeal Surgery

2000 ◽  
Vol 109 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Koichi Omori ◽  
Tomoko Tsuji ◽  
Kaoru Shinohara ◽  
Hisayoshi Kojima
Keyword(s):  
High Resolution ◽  
Vocal Fold ◽  
Charge Coupled Device ◽  
Vocal Function ◽  
Laryngeal Surgery ◽  
Benign Vocal Fold Lesions ◽  
Laryngeal Lesions ◽  
Laryngeal Tumors ◽  
High Resolution Images ◽  
Device Chip

This paper introduces videoendoscope-assisted laryngeal surgery with office-based equipment. With this technique, a patient is seated and the nose, pharynx, and larynx are topically anesthetized. A flexible videoendoscope with a light-sensitive charge-coupled device chip built into the tip is transnasally inserted by an assistant. Specially designed fine-tipped forceps and scalpels were developed for removal of laryngeal lesions. Videoendoscopic laryngeal surgery was undertaken in 114 cases of laryngeal lesions such as polyps, granuloma, and cancer. For benign vocal fold lesions, postoperative vocal function was shown to be improved on aerodynamic and perceptual analyses. For laryngeal tumors, biopsy of the lesion was easily undertaken. Videoendoscopic laryngeal surgery presents the following advantages. It is applicable to outpatients not requiring general anesthesia, it enables functional monitoring of the patient's voice and vocal fold during phonation, it allows for delicate manipulations with both hands, and it gives high-resolution images in comparison to conventional fiberscopy.

Voice Outcome After Cold Knife Surgery According to the Characteristics of Vocal Fold Polyp

2021 ◽  
Author(s):  
Dae Woong Kang ◽  
Su Il Kim ◽  
Joo Kyung Noh ◽  
Su Jin Jeong ◽  
Young Chan Lee ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Voice Outcome ◽  
Cold Knife

The role of voice rest after micro-laryngeal surgery for benign vocal fold lesions

2021 ◽  
Author(s):  
Jacob T. Cohen ◽  
Eran Fridman ◽  
Vladimir Trushin ◽  
Limor Benyamini ◽  
Irit Duek ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Laryngeal Surgery ◽  
Benign Vocal Fold Lesions

Voice outcome after vocal fold injection augmentation with carboxymethyl cellulose versus calcium hydroxyapatite

2020 ◽  
Vol 134 (3) ◽  
pp. 263-269 ◽  
Author(s):  
J T Cohen ◽  
L Benyamini
Keyword(s):  
Carboxymethyl Cellulose ◽  
Vocal Fold ◽  
Voice Quality ◽  
Calcium Hydroxyapatite ◽  
Vocal Fold Paralysis ◽  
Glottic Insufficiency ◽  
Laryngeal Surgery ◽  
Voice Outcome ◽  
Vocal Fold Injection ◽  
Sulcus Vocalis

AbstractBackgroundVocal fold injection augmentation is a recognised treatment modality for glottic insufficiency. Causes of glottal closure insufficiency include vocal fold paralysis, paresis, atrophy, sulcus vocalis, scarring and vocal fold deficiency after laryngeal surgery. A variety of materials exist for injection augmentation. This study aimed to compare voice improvement after injection augmentation between two injectable materials: carboxymethyl cellulose and calcium hydroxyapatite.MethodThis retrospective study included 66 consecutive patients with glottic insufficiency who underwent injection augmentation.ResultsAmong the patients who received their first injection augmentation with carboxymethyl cellulose and their second injection augmentation with calcium hydroxyapatite (n = 28), voice quality improved significantly after both injection augmentations. No significant differences were observed in any of the objective and subjective voice quality measurements examined following carboxymethyl cellulose and calcium hydroxyapatite injections.ConclusionVoice improvement after injection augmentation depends mainly on the improvement of glottic closure, rather than the injection material.

Pediatric Benign Vocal Fold Lesions: A Team Approach

2009 ◽  
Vol 19 (3) ◽  
pp. 105-112 ◽  
Author(s):  
Geralyn Harvey Woodnorth ◽  
Roger C. Nuss
Keyword(s):  
Vocal Fold ◽  
Evaluation Process ◽  
Team Approach ◽  
Speech Language Pathologist ◽  
Benign Vocal Fold Lesions ◽  
Different Types ◽  
Team Evaluation ◽  
Surgical Treatments ◽  
Review Current ◽  
Vocal Fold Nodules

Abstract Many children with dysphonia present with benign vocal fold lesions, including bilateral vocal fold nodules, cysts, vocal fold varices, and scarring. Evaluation and treatment of these children are best undertaken in a thoughtful and coordinated manner involving both the speech-language pathologist and the otolaryngologist. The goals of this article are (a) to describe the team evaluation process based on a “whole system” approach; (b) to discuss etiological factors and diagnosis; and (c) to review current medical, behavioral, and surgical treatments for children with different types of dysphonia.

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