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.

Voice and healing after vocal fold epithelium removal by CO2 laser vs. microlaryngeal stripping

1996 ◽  
Vol 115 (4) ◽  
pp. 352-359 ◽  
Author(s):  
Anthony R. Rogerson ◽  
Keith F. Clark ◽  
Somasekhar R. Bandi ◽  
Barbara Bane
Keyword(s):  
Vocal Fold ◽  
Acoustic Analysis ◽  
Recovery Period ◽  
Epithelial Regeneration ◽  
Gray Area ◽  
Benign Vocal Fold Lesions ◽  
The Mean ◽  
Laser Group ◽  
Head Neck ◽  
Stimulation Of

Controversy exists regarding voice recovery after the use of laser vs. microforceps techniques in the removal of benign vocal fold lesions. The purpose of this study is to compare recovery of voice and healing between groups of cats undergoing vocal fold epithelium removal by CO2 laser and those having vocal fold stripping. Fourteen adult female cats underwent standardized unilateral vocal fold injuries by CO2 laser ablation or stripping. After a 6-week recovery period, phonations were evoked by electrical stimulation of the midbrain periaqueductal gray area. Phonations were recorded for acoustic analysis. The larynges were harvested, fixed, and sectioned for histologic correlation. Acoustic analysis showed the mean signal-to-noise ratios in the laser group (19.72) to be significantly higher than those in the stripped group (13.51) ( p = 0.04). The stripped group showed significantly greater amplitude perturbation (8.68% vs. 2.43%, p = 0.02). No between-group difference was found for period perturbation. Histologically, the laser group showed minimal Reinke's space scarring and near-normal epithelial regeneration, and the stripped group showed marked subepithelial scarring, often involving the vocalis muscle. These results demonstrate superior recovery of voice and healing in animals undergoing vocal fold epithelium removal with the CO2 laser. Inferior outcomes seen in the stripped group may be related to difficulty in preserving Reinke's space during epithelium removal. (Otolaryngol Head Neck Surg 1996; 115: 352–9.)

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>

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.

Predominant Vertical Location of Benign Vocal Fold Lesions by Sex and Music Genre: Implication for Pathogenesis

2021 ◽  
Author(s):  
Mayu Hirosaki ◽  
Takeharu Kanazawa ◽  
Daigo Komazawa ◽  
Ujimoto Konomi ◽  
Yu Sakaguchi ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Benign Vocal Fold Lesions ◽  
Vertical Location ◽  
Music Genre

The Comparison of Narrow Band Imaging, White Light Laryngoscopy and Videolaryngostroboscopy in the Evaluation of Benign Vocal Fold Lesions

2021 ◽  
Author(s):  
Yetkin Zeki Yılmaz ◽  
Müge Uğurlar ◽  
Begüm Bahar Yılmaz ◽  
Züleyha Dilek Gülmez ◽  
Hasan Ahmet Özdoğan ◽  
...  
Keyword(s):  
White Light ◽  
Vocal Fold ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Benign Vocal Fold Lesions

scholarly journals Clinical practice and postoperative rehabilitation after knee arthroscopy vary according to surgeons’ expertise: a survey among polish arthroscopy society members

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Paweł Bąkowski ◽  
Kamilla Bąkowska-Żywicka ◽  
Tomasz Piontek
Keyword(s):  
Knee Arthroscopy ◽  
Full Range ◽  
Postoperative Management ◽  
Meniscus Repair ◽  
Postoperative Treatment ◽  
Meniscus Tear ◽  
Postoperative Rehabilitation ◽  
Meniscus Suture ◽  
Surgical Expertise ◽  
Almost All

Abstract Background Meniscus repair is a challenging task in knee arthroscopy. Currently, there are a variety of arthroscopic methods available for meniscus repair. The purpose of this study was to determine a consensus in meniscus tear treatment in the environment of Polish orthopaedists. Methods A total of 205 registered orthopaedic surgeons participated in the surveys. The survey consisted of 35 questions regarding general arthroscopy and postoperative management, including physicians’ level of expertise, anaesthesia, postoperative treatment, rehabilitation and procedures performed. Comparisons were made between knee arthroscopy experts (> 100 arthroscopies performed per year) and non-experts (≤ 100 cases) on aspects of patient care. Results The most important finding of this study was the agreement among almost all aspects of the knee arthroscopy approach. Consensus among Polish surgeons was noticed in choosing regional anaesthesia for knee arthroscopy, the lack of need for knee braces and knee medications, the of use of LMW heparin for thromboprophylaxis, 1–2 days of hospitalization, the recommendation of rehabilitation and the use of magnetic resonance as a diagnostic test for meniscus damage. Surgical expertise was significantly associated with the performance of meniscus suture procedures (p = 0.009). Experts recommended starting rehabilitation on the day of surgery (p = 0.007) and were more likely to use objective physical tests (p = 0.003). Non-expert surgeons recommended a longer period from meniscus suture to full-range knee motion (p = 0.001) and admitted that patient age does matter for meniscus repair qualification (p = 0.002). Conclusions There is consensus among almost all issues of meniscus tear treatment in the environment of Polish orthopaedists; however, the issues of rehabilitation and the use of advanced meniscus repair techniques are associated with surgical expertise.

Gender and age in benign vocal fold lesions

2014 ◽  
Vol 125 (1) ◽  
pp. 191-196 ◽  
Author(s):  
Alisa Zhukhovitskaya ◽  
Danielle Battaglia ◽  
Sid M. Khosla ◽  
Thomas Murry ◽  
Lucian Sulica
Keyword(s):  
Vocal Fold ◽  
Benign Vocal Fold Lesions ◽  
Gender And Age
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