scholarly journals Detection of concomitant pathology of the middle ear according to tympanometry in children with hoarseness

2019 ◽  
pp. 71-76
Author(s):  
Tetiana Shidlovskaya ◽  
Kateryna Kurenyova ◽  
Elena Poimanova ◽  
Yurii Molochek
Keyword(s):  
Middle Ear ◽  
Impedance Measurement ◽  
Vocal Folds ◽  
The State ◽  
Auditory Analyzer ◽  
Vocal Apparatus ◽  
Type C ◽  
Sound Conduction ◽  
The Voice ◽  
Pronounced Reduction

Aim: to study of the state of the vocal apparatus in children with hoarseness using videolaryngoscopy and assessment of the state conducting part of the auditory analyzer according impedance audiometry. Materials and methods: 24 children aged 4 to 10 years old were examined, whose parents complained of hoarseness in children (from several weeks to 1 year). Perceptual voice assessment in children showed hoarseness of the voice of varying degrees. Videolaryngoscopic examination was performed using a videolaryngoscope of the company «Karl Shtorz» (Germany), impedancemetry – using a clinical impedancemeter «Siemens SD-30» (Germany). Results: After examining the state of the voice apparatus and the middle ear in children with complaints about the hoarseness, we have found that according to videolaryngoscopy, they have changes in the form of swollenness, a slight hyperemia of vocal folds. According to the impedance measurement, in 17 out of 24 patients, a tympanogram of type «C» was detected, and in 7 of them there was a pronounced reduction of compilation of the tympanogram, indicating certain violations in the sound conduction system. Conclusion: When examining children with voice impairment, it is important to adhere to a comprehensive approach to diagnosis and to evaluate not only the state of the vocal apparatus, but also to remember the possible accompanying pathology of the nasopharynx, the nose and the auditory analyzer.

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.

scholarly journals SANITARY-HYGIENIC CHARACTERISTIC OF WORKING CONDITIONS AND STATE OF HEALTH OF TEACHERS

2018 ◽  
Vol 14 (1-2) ◽  
pp. 75-80
Author(s):  
I.V. Savushina
Keyword(s):  
Working Conditions ◽  
Work Experience ◽  
The State ◽  
Educational Institutions ◽  
State Of Health ◽  
Clinical Method ◽  
Treatment And Prevention ◽  
Vocal Apparatus ◽  
The Impact ◽  
The Voice

Relevance. The main causes, which cause voice disruption in teachers can be divided into biological, professional, everyday, psychological. Combinations of two or more factors are possible. Objective. To carry out an analysis of working conditions and the state of health of teachers of general educational institutions in the city of Krivoy Rog.Materials and methods. The analysis of working conditions is carried out sanitary-hygienic method. The state of health of teachers is investigated by a clinical method. Results. The working conditions of teachers are characterized as tense and heavy, and in terms of labor intensity indicators belong to class 3.3, microclimate and equivalent noise level to class 3.1. Chronic catarrhal laryngitis is 131,00±15,07 cases, hypertrophic laryngitis – 190,20±22,61 cases. The critical work experience under the conditions of the impact of the voice load is 10-19 years, accounting for 60 % of cases of professional laryngitis. Conclusions. Analysis of working conditions, the duration of the voice load and the levels of the pathology of the vocal apparatus open up prospects for determining the risk of developing professional laryngitis in teachers and developing modern methods of treatment and prevention.

scholarly journals SANITARY-HYGIENIC CHARACTERISTIC OF WORKING CONDITIONS AND STATE OF HEALTH OF TEACHERS

2018 ◽  
Vol 14 (1-2) ◽  
pp. 75-80
Author(s):  
I.V. Savushina
Keyword(s):  
Working Conditions ◽  
Work Experience ◽  
The State ◽  
Educational Institutions ◽  
State Of Health ◽  
Clinical Method ◽  
Treatment And Prevention ◽  
Vocal Apparatus ◽  
The Impact ◽  
The Voice

Relevance. The main causes, which cause voice disruption in teachers can be divided into biological, professional, everyday, psychological. Combinations of two or more factors are possible. Objective. To carry out an analysis of working conditions and the state of health of teachers of general educational institutions in the city of Krivoy Rog.Materials and methods. The analysis of working conditions is carried out sanitary-hygienic method. The state of health of teachers is investigated by a clinical method. Results. The working conditions of teachers are characterized as tense and heavy, and in terms of labor intensity indicators belong to class 3.3, microclimate and equivalent noise level to class 3.1. Chronic catarrhal laryngitis is 131,00±15,07 cases, hypertrophic laryngitis – 190,20±22,61 cases. The critical work experience under the conditions of the impact of the voice load is 10-19 years, accounting for 60 % of cases of professional laryngitis. Conclusions. Analysis of working conditions, the duration of the voice load and the levels of the pathology of the vocal apparatus open up prospects for determining the risk of developing professional laryngitis in teachers and developing modern methods of treatment and prevention.

Prospects for the use of omix-technologies in preclinical practice of production-related diseases of the voice

2020 ◽  
pp. 541-541
Author(s):  
Y. S. Alizade ◽  
L. B. Rudin
Keyword(s):  
At Risk ◽  
Minimally Invasive ◽  
Voice Disorders ◽  
Vocal Folds ◽  
The Voice

The potential predictive possibilities of minimally invasive prenosological diagnosis of voice disorders on the basis of combined Geno - and phenotyping of persons at risk of diseases of the vocal folds of professional origin.

scholarly journals Ethiological factors of voice function impairment at singers of musical theatres

2020 ◽  
Vol 19 (2) ◽  
pp. 51-56
Author(s):  
N. L. Kunel’skaya ◽  
◽  
S. G. Romanenko ◽  
O. G. Pavlikhin ◽  
E. V. Lesogorova ◽  
...  
Keyword(s):  
Nervous System ◽  
Musical Theater ◽  
Living Conditions ◽  
The State ◽  
Length Of Service ◽  
Vocal Training ◽  
Additional Work ◽  
Vocal Apparatus ◽  
Function Impairment

The analysis of the causes of the pathology of the vocal apparatus in vocalists is carried out. 136 singers were investigated in age from 23 till 70 years old with length of service from 3 till 42 years. It is shown that the occurrence of diseases of the larynx is affected by the state of the vocal apparatus itself, the volume and intensity of the vocal load. Of great importance is the quality of the singer’s vocal training, his age and length of service, the availability of additional work (concert, pedagogical activity), the correspondence of the performed parts to the singer’s technical and acting abilities, domestic and social living conditions. The structure of voice apparatus diseases also depend on type of singer’s voice and his nervous system status. Prevention of impaired voice function in musical theater vocalists should be aimed at eliminating all provoking factors.

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

2020 ◽  
Author(s):  
Alexander Shulutko ◽  
Vasiliy Semikov ◽  
Andrey Moiseev ◽  
Elkhan Osmanov ◽  
Yulia Boblak ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Vocal Folds ◽  
Indirect Laryngoscopy ◽  
Alternative Methods ◽  
Original Form ◽  
Self Assessment ◽  
The Third ◽  
The Mean ◽  
The Voice ◽  
Patient Self Assessment

Abstract Background Voice alterations after thyroidectomy with mobile vocal folds are common. Ultrasonography has been used to assess the mobility of the vocal folds after thyroidectomy. Methods 54 patients underwent thyroidectomy. Indirect laryngoscopy, ultrasonography and GRBAS scoring were performed preoperatively,3 days, 2 and 6 months postoperatively. Results On the third postoperative day, the mobility of the vocal folds was preserved in 52 patients and paresis were recorded in 2 patients. All patients after total thyroidectomy noted the presence of voice alteration in the absence of the postoperative paresis of the vocal folds. On the third postoperative day, the voice was impaired by all criteria of the GRBAS scale, but mainly due to roughness (85%). Sixth month postoperatively 62% of the subjects considered the voice to be altered. Asthenia was observed in 39%. On the third postoperative day indirect laryngoscopy revealed the unchanged vocal folds, the symmetrical edema and the shortening of one of the vocal folds in 56%,42% and 1.9%. Six months postoperatively, the vocal folds returned to their original form. Ultrasonography was well correlated to the results of indirect laryngoscopy. Patients with edema of the vocal folds had a significantly higher mean GRBAS grade than patients without edema. The mean GRBAS score decreased from 3.36 to 0.90, 3 days and 6 months postoperatively. Conclusion Voice alteration after total thyroidectomy is always present. Postoperative edema represents a likely main cause of voice alteration and resolves within 6 months. Ultrasonography is recommended as alternative to indirect laryngoscopy in assessing of the vocal folds in thyroid surgery patients.

Conclusion

2018 ◽  
pp. 269-302
Author(s):  
Anandita Bajpai
Keyword(s):  
New World ◽  
The State ◽  
Market Liberalization ◽  
Prime Ministers ◽  
Indian State ◽  
Open Markets ◽  
The Voice

The Conclusion presents a review of the key findings. It draws the consistencies and the inconsistencies in the rhetoric of Prime Ministers Rao, Vajpayee, Singh and Modi. It engages in a transversal discussion of how the vocabularies of Nehru’s ‘New India’ differ from the texture of the ‘New India’ after 1991. The next section elaborates on the category of what I have called ‘Airport Literature’ (mainly because of its overwhelming presence at Indian airports). This literature celebrates India’s market liberalization and is part of the changes it seeks to glorify. The conclusion discusses how the genre of speeches speaks to this genre of literature. The last section returns to the debate of New World Orders to establish how the Indian state has attempted to recalibrate its position in the wider changing architecture of geopolitics and open markets and how the PMs as the voice of the state have attempted to legitimize their own authority as the voice of the nation.

scholarly journals Sorption and desorption of Suflafenacil in two soils in the state of São Paulo with different physical and chemical attributes

2014 ◽  
Vol 32 (2) ◽  
pp. 393-399 ◽  
Author(s):  
M.B. Matallo ◽  
D.A.S. Franco ◽  
S.D.B. Almeida ◽  
A.L. Cerdeira
Keyword(s):  
Organic Matter Content ◽  
Sorption Isotherms ◽  
Sao Paulo ◽  
Matter Content ◽  
The State ◽  
Angular Coefficient ◽  
São Paulo ◽  
Type C ◽  
Chemical Attributes ◽  
Physical And Chemical

A study was conducted to evaluate the sorption and desorption of 14C herbicide saflufenacil (pyrimidinedione) in two soils in the State of São Paulo, classified as Red Yellow Latosol with clayey texture (LVA-1) and medium texture (LVA-2), using the batch method through isotherms. The soils were air dried and sieved a 2 mm mesh. The radioactivity was determined by liquid scintillation spectrometry in acclimatized room (25 ± 2 °C). Sorption isotherms were conducted for 5 concentrations of saflufenacil (5.0; 2.5; 1.0; 0.5 and 0.05 μg mL-1) and the results were adjusted to the Freundlich equation, thus obtaining the parameters of sorption followed by two extractions with 0.01 M CaCl2 to determine desorption parameters similarly to sorption. The results showed that saflufenacil sorption was low for both soils studied, being greater for the LVA with higher organic matter content. The desorption coefficients were greater than their sorption coefficients, suggesting the occurrence of hysteresis. The sorption and desorption isotherms (classified as type C isotherms), hysteresis and the t-test between the angular coefficient of the respective isotherms showed that both the sorption and desorption occur with equal intensity.

Histologic Changes in Human Vocal Folds Correlated with Aging: A Histomorphometric Study

2003 ◽  
Vol 112 (10) ◽  
pp. 894-898 ◽  
Author(s):  
João Aragão Ximenes Filho ◽  
Paulo Hilário Saldiva do Nascimento ◽  
Domingos Hiroshi Tsuji ◽  
Luiz Ubirajara Sennes
Keyword(s):  
Epithelial Cell ◽  
Cell Density ◽  
Lamina Propria ◽  
Vocal Folds ◽  
The Elderly ◽  
Histomorphometric Analysis ◽  
Younger Adults ◽  
Histomorphometric Study ◽  
The Voice ◽  
Histologic Changes

The voice of aged persons is usually different from that of younger adults — a fact indicating that aging induces changes in the human larynx. The aim of this study was to perform a histomorphometric analysis of the vocal fold and of a fragment of skin in order to determine the modifications related to aging and possible differences between genders. Twenty cadavers, 10 men and 10 women, were studied. Stereological methods were used for histologic analysis. In the vocal folds, we observed a reduction of the lamina propria thickness (p < .001) and of epithelial cell density (p < .001) as a function of age. In the skin, there was a reduction of chorion thickness (p = .02) and of epithelial cell density (p = .01). The decrease in the thickness of the lamina propria of the vocal folds with aging may contribute to the vocal pattern present in the elderly. These changes were more evident in men.

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