Effect of Kashima's Surgery in Bilateral Abductor Vocal Cord Palsy

ABSTRACT Introduction Bilateral abductor palsy is treated by tracheostomy or any lateralization procedure. Kashima's surgery is a lateralization procedure introduced by Kashima in 1989. Objective To evaluate the effect of Kashima's surgery using subjective measures of breathing quality in patients with bilateral abductor palsy. Materials and methods This is a prospective study with 31 patients (3 men, 28 women) who underwent Kashima's surgery between January 2013 and December 2015 in the Laryngology department. Subjective evaluation was done by using dyspnea index score in the pre- and postoperative periods. Dyspnea index score is calculated based on answers given to a 7-point questionnaire and assessed by Likert scale, a self-assessment scale. For each point, the scores range from 0 to 3, and the maximum score is 21. Patients who already had tracheotomy were given a score of 14. This score was calculated again using the same questionnaire in the pretracheostomy scenario. Results There is significant reduction in the dyspnea index score with a median reduction score of 9 and improvement of quality-of-life after Kashima's surgery. Conclusion Dyspnea index score is easy to administer. Considering the cost of treatment and high success rate of decannulation, it is obvious that Kashima's surgery is effective and affordable in bilateral abductor palsy. How to cite this article Issac ME. Effect of Kashima's Surgery in Bilateral Abductor Vocal Cord Palsy. Int J Phonosurg Laryngol 2017;7(1):10-12.

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Prospective analysis of type I thyroplasty using gore-tex implant

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20171177 ◽

2017 ◽

Vol 3 (2) ◽

pp. 276

Author(s):

Sanjeev Mohanty ◽

Sreenivas . ◽

Vinay Raj T. ◽

Devipriya . ◽

Vinoth M.

Keyword(s):

Vocal Cord ◽

Vocal Cord Paralysis ◽

Vocal Cord Palsy ◽

Post Treatment ◽

Type I ◽

Self Assessment ◽

Maximum Phonation Time ◽

Number Of Factors ◽

Treatment Objective ◽

Unilateral Vocal Cord Paralysis

Background: Vocal cord paralysis is a clinical sign caused by paralysis of intrinsic muscles of larynx due to dysfunction of recurrent laryngeal nerve. There are several methods available surgically for the medialisation of the abducted vocal cord. One of the common effective modality is the Gore-Tex medialisation thyroplasty. The results depend on a number of factors including the surgical expertise and extrusion of the Gore –Tex implant. This study is aimed at analysis of all Gore-Tex medialisation thyroplasty done at our centre. Prospectively asses and analyze the vocal outcomes and quality of life of patients in type 1 medialisation thyroplasty using Gore-Tex implant.Methods: Prospective study of 48 months on 30 patients with unilateral vocal cord paralysis. Surgical procedure for the patients was standardized by using Gore-Tex implant to medialize the cord. Video-Laryngoscopy at end of 1st month and stroboscopy & voice analysis at end of 3rd month post treatment, the parameters used for the pre and post treatment objective analysis are a) stroboscopic analysis, b) psychoacoustic evaluation, c) maximum phonation time, d) patient’s self-assessment. Results: In our study of 30 patients with a follow up period of 48 months, we can conclude as follows – a)unilateral vocal cord paralysis does not have age or gender specificity, b)statistically significant vocal cord palsy affects the left side more by 70%, c)post op Gore-tex medialisation thyroplasty showed a statistically highly significant improvement in psychoacoustic, mean phonation time, d)post op Gore-Tex medialisation thyroplasty showed a statistically significant improvement in videostroboscopic analysis.Conclusions: Psycho acoustic, mean phonation time analysis would complement each other in the assessment of the medialisation thyroplasty thus obviating videostroboscopy.

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Organization of chemotherapeutic preparations in advance: Do we save or waste money?

Journal of Oncology Pharmacy Practice ◽

10.1177/1078155220967981 ◽

2020 ◽

pp. 107815522096798

Author(s):

Romain-Pacôme Desmaris ◽

Elisabeth Bermudez ◽

Maxime Annereau ◽

François Lemare ◽

Florian Slimano

Keyword(s):

Prospective Study ◽

Data Sources ◽

Day Hospital ◽

Drug Budget ◽

Positive Balance ◽

Report Data ◽

A Prospective Study ◽

Extemporaneous Preparation ◽

The Cost

Objective The development of oncology day-hospital activities contributes to increase quality of life of patients and consequently have changed their perception about waiting. The extemporaneous preparation of antineoplastic has become difficult to achieve given the increasing activity, and hospital pharmacists have taken up the challenge by the implementation of the antineoplastic preparation in anticipation. Because anticipation can lead to an important number of preparations to be discarded, we also develop a recycled process for other patients to limit these waste extra costs. We aim to demonstrate the positive balance of anticipated preparation in this 4-year study report. Data sources: This prospective study was conducted in a major European oncology day-hospital from January, 2012 to December, 2015. The data were extracted from our software WinSimbad™ and updated as needed. The number and cost-associated of preparation ungiven chemotherapy doses (recycled or discarded) were compared to the global drug budget of our hospital in order to not exceed 2%. Data summary: 303,100 antineoplastic have been prepared. Approximately 35% of them were anticipated with an average of 5,431±984 that were finally ungiven. Two-third was recycled and the cost of the ungiven preparations finally discarded represents 1.7±0.15% of the global drug budget. Conclusions This study assesses the drug wastage and its associated cost of this concept through a prospective study and discusses the cost of ungiven antineoplastic preparations. With prior consideration of the need to define the acceptable rate of discarded ungiven preparation, the hospitals with an high oncology day-hospital activity should implement this approach.

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Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management

The Journal of Laryngology & Otology ◽

10.1017/s0022215100113519 ◽

1990 ◽

Vol 104 (8) ◽

pp. 654-655 ◽

Cited By ~ 11

Author(s):

Neil B. Solomons ◽

Jonathan R. Livesey

Keyword(s):

Airway Obstruction ◽

Vocal Cord ◽

Upper Airway ◽

Vocal Cord Palsy ◽

Upper Airway Obstruction ◽

Oxygen Mixture ◽

Post Operative Period ◽

History Of ◽

The Right

AbstractA 67-year-old man presented with a 45-year history of a weak voice. This was the result of polio which had left him with a right vocal cord palsy.The patient underwent a Teflon injection of the right vocal cord under general anaesthesia to improve the quality of his voice. In the immediate post-operative period, he suffered acute upper airway obstruction. The problem of acute upper airway obstruction following Teflon injection is considered and its management with nebulized adrenaline and a helium/oxygen mixture is discussed.

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Vocal cord palsy and getting to know it better

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20173035 ◽

2017 ◽

Vol 3 (3) ◽

pp. 621

Author(s):

Irene Gee Varghese ◽

Goutham M. K.

Keyword(s):

Vocal Cord ◽

Speech Therapy ◽

Vocal Cord Paralysis ◽

Vocal Cord Palsy ◽

Exclusion Criteria ◽

Number Of Patients ◽

Underlying Disorder ◽

A Prospective Study ◽

Underlying Pathology ◽

Unilateral Vocal Cord Paralysis

Background: Vocal cord palsy is a challenging entity encountered by otolaryngologists in clinical practice. It is a sign of an underlying pathology. Vocal cord palsy requires thorough examination and needs to be investigated. We conducted a study to identify the various etiology of vocal cord palsy and the various modalities of treatment. Methods: A prospective study was conducted to study the various etiologies and modalities of treatment of vocal cord palsy. A total of 55 patients with vocal cord palsy were included in our study based on the inclusion and exclusion criteria. Patients diagnosed with vocal cord paralysis were followed up and the various modalities of treatment were studied. Results: Males outnumbered females. Among patients of unilateral vocal cord paralysis left vocal cord was paralyzed in majority of the cases (30 patients). Vocal cord paralysis has a variable etiology. Neoplastic causes accounted for the largest number of patients followed by iatrogenic causes. The modality of treatment depends on the etiology. Patients with unilateral vocal cord palsy speech therapy were our modality of treatment. No surgical intervention was done for unilateral vocal cord palsy. Five patients with bilateral vocal cord palsy underwent Kashima’s operation. Conclusions: Vocal cord palsy is a symptom of an underlying disorder and not a disease. In our study malignancy is the commonest etiology for vocal cord palsy.

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Self-assessment of Students’ Life Quality in Latgales Region

SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference ◽

10.17770/sie2014vol2.673 ◽

2015 ◽

Vol 2 ◽

pp. 172

Author(s):

Iveta Mietule

Keyword(s):

Quality Of Life ◽

Satisfaction With Life ◽

Subjective Evaluation ◽

Life Quality ◽

Qualitative Evaluation ◽

Standard Of Living ◽

Self Assessment ◽

Scientific Opinion ◽

The Individual

The study of the scientific literature concerning the concept of quality of life makes it possible to draw conclusions on this concept positioning in different sub-sectors of science, the convergence with its concept of standard of living as well as various approaches to quality of life in quantitative and qualitative evaluation. The author entirely supports the scientific opinion, which emphasises the subjective evaluation of quality of life, i.e., quality of life is subjectively expressed in the form of individual's satisfaction with life in general. It consists of certain elements that are important to the individual or affect his quality of life. The aim of the research is to analyse the students' understanding and interpretation of the concept ‘quality of life’, as well as gather and interpret the respondents' subjective evaluation of quality of life. Students are the basis of this study. General elements characterising students’ quality of life are available education services, disposable income, health care, cultural and entertainment events, sense of ‘belonging’ to a family, acquaintances and friends. The author's initial assumptions regarding the fact that most respondents would express dissatisfaction with certain elements of quality of life and quality of life in general, were not confirmed by the study.

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Knowledge and social opinions about physiotherapists

Physiotherapy and Health Activity ◽

10.1515/pha-2017-0005 ◽

2018 ◽

Vol 25 (1) ◽

pp. 26-31

Author(s):

E. Bartocha ◽

A. Górecka ◽

M. Szynal ◽

A. Knapik

Keyword(s):

Physical Factors ◽

Self Assessment ◽

The Public ◽

Social Prestige ◽

The Social ◽

History Of ◽

Level Of Knowledge ◽

Social Opinions ◽

The Cost

Abstract Background: Physiotherapy is an integral part of medicine, both in terms of prevention and treatment. Despite the long history of healing with movement and other physical factors, physiotherapy is considered to be a young field of medicine, and the occupation of the physiotherapist in the social consciousness is in the building phase. The aim of the study was to investigate the interest in physiotherapist Material/Methods: The study involved 199 people, including 117 women (58.79%) and 82 men (41.21%), residents of the Silesian Voivodship. Age of respondents: 16-81 years (x = 46.22, SD = 13.45). The research tool was an original questionnaire. Closed questions concerned the interest in physiotherapist profession, self-assessment of knowledge and its sources, opinions on the availability and quality of services, and the social prestige and profitability of the physiotherapist profession. Results: Respondents most often declared that their interest in the profession is poor or average, but they evaluate their level of knowledge of the profession as high. The prevailing opinions are that the availability of physiotherapist services is large, but at patients own expense, and the cost-effectiveness of the profession is average. Women revealed greater interest and declared more knowledge of the profession than men. Differences also concerned the opinions on the profitability of the profession. Conclusions: The public interest in physiotherapist profession is on an average level, positive opinions about physiotherapists prevail, especially among older people. The profession is considered to be averagely profitable.

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Replantation–Revascularization and Primary Amputation in Major Hand Injuries

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(96)80134-3 ◽

1996 ◽

Vol 21 (5) ◽

pp. 576-580 ◽

Cited By ~ 23

Author(s):

J. HOLMBERG ◽

B. LINDGREN ◽

R. JUTEMARK

Keyword(s):

Original Work ◽

Subjective Evaluation ◽

Primary Amputation ◽

Annual Salary ◽

Pip Joint ◽

The Mean ◽

And Performance ◽

Grip Test ◽

The Cost

Thirty consecutive patients with amputation or devascularizing injuries of the thumb or two or more fingers proximal to the PIP joint were reviewed. Replantation or revascularization had been done in 27 patients, in 24 successfully. Three patients had primary amputation. The distribution of calculable costs was dominated by those for sick leave (49%), operation (26%) and ward costs (20%). Out-patient care, physiotherapy and travel together constituted only 6%. The cost of a successful replantation was equal to 1.6 times the mean annual salary of these patients and that of primary amputation about half as much. Mobility, power and performance of a standardized grip test were better for the successfully replanted or revascularized patients. Subjective evaluation of 23 parameters of function, cosmesis and quality of life did not disclose any differences. All patients except three had returned to their original work within 2 years.

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Quality of life following esophagectomy with three-field lymphadenectomy for carcinoma, focusing on its relationship to vocal cord palsy

Diseases of the Esophagus ◽

10.1093/dote/11.1.28 ◽

1998 ◽

Vol 11 (1) ◽

pp. 28-34 ◽

Cited By ~ 36

Author(s):

M. Baba ◽

T. Aikou ◽

S. Natsugoe ◽

C. Kusano ◽

M. Shimada ◽

...

Keyword(s):

Quality Of Life ◽

Vocal Cord ◽

Vocal Cord Palsy

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Surgical Options for Pediatric Bilateral Vocal Cord Palsy: State of the Art

Frontiers in Pediatrics ◽

10.3389/fped.2020.538562 ◽

2020 ◽

Vol 8 ◽

Author(s):

Marilena Trozzi ◽

Duino Meucci ◽

Antonio Salvati ◽

Maria Luisa Tropiano ◽

Sergio Bottero

Keyword(s):

Vocal Cord ◽

Treatment Options ◽

Current Trend ◽

Vocal Cord Palsy ◽

Ongoing Research ◽

Long Time ◽

Surgical Options ◽

Invasive Techniques ◽

The Voice

Management of pediatric bilateral vocal cord palsy (BVCP) is a controversial and challenging topic. It may represent a severe obstructive condition usually associated with respiratory distress, and, in such condition, tracheostomy has been considered the gold standard for a long time. Many surgical options have been described and used to increase the glottic space in BVCP (1), with ongoing research of less invasive techniques. The challenge and current trend in our department and in many major pediatric centers is to avoid tracheotomy through an early treatment. Many techniques introduced in the last decade reduced the number of tracheotomies and increased the decannulation rate. Furthermore, we observed a recent increase in attention to preserve the quality of the voice with new techniques, such as endoscopic arytenoid abduction lateropexy which is in our opinion an important innovation to improve glottic space with satisfactory voice results. We present a review of the literature about the evolution of the treatment options for pediatric BVCP during the years.

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