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https://www.readbyqxmd.com/read/29984796/efficacy-of-trans-nasal-fiberendoscopic-injection-laryngoplasty-with-centrifuged-autologous-fat-in-the-treatment-of-glottic-insufficiency-due-to-unilateral-vocal-fold-paralysis
#1
A Ricci Maccarini, M Stacchini, F Mozzanica, A Schindler, E Basile, G DE Rossi, P Woo, M Remacle, M Magnani
The objective of this work is to evaluate the safety, feasibility and efficacy of trans-nasal fiberendoscopic injection laryngoplasty (IL) with centrifuged autologous fat, performed under local anaesthesia, in the treatment of glottic insufficiency due to unilateral vocal fold paralysis (UVFP). It is a within-subject study with follow-up 1 week after phonosurgery and after 6 months. A total of 22 patients with chronic dysphonia caused by glottic insufficiency due to UVFP were enrolled. Each patient underwent trans-nasal IL with centrifuged autologous fat through flexible operative endoscope under local anaesthesia and was evaluated before and twice (1 week and 6 months) after phonosurgery, using a multidimensional set of investigations...
June 2018: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/29675755/new-445-nm-blue-laser-for-laryngeal-surgery-combines-photoangiolytic-and-cutting-properties
#2
Markus M Hess, Susanne Fleischer, Marcel Ernstberger
BACKGROUND: Photoangiolytic lasers have broadened the surgical armamentarium for many phonosurgical interventions. However, the pulse dye laser and potassium titanyl phosphate (KTP) laser have technical drawbacks and a smaller spectrum of indications. METHODS AND RESULTS: The new 445 nm wavelength laser, the so-called 'blue laser', proves to show tissue effects comparable to the KTP laser and is also capable of treating subepithelial vessels due to its photoangiolytic properties, it can coagulate and carbonize at higher energy levels, and can be used via glass fibers in non-contact and contact mode for in-office procedures...
June 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29417276/preliminary-experience-in-transoral-laryngeal-surgery-with-a-flexible-robotic-system-for-benign-lesions-of-the-vocal-folds
#3
Marc Remacle, Vyas M N Prasad
PURPOSE: This purpose of this case series is to present the first four cases utilizing micro-phonosurgical instrumentation designed specifically for use with a semi-flexible 'robotic' system-the Medrobotics Flex system and to evaluate the accessibility and feasibility of this platform in the context of transoral robotic surgery (TORS) for laryngeal surgery. METHODS: Four patients (3 female, 1 male; age range 49-79 years) were operated by the senior author at CHL-a tertiary hospital centre between 2016 and 2017...
March 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28530217/-phonosurgical-methods-of-treatment-in-unilateral-vocal-folds-paralysis
#4
REVIEW
Bozena Kosztyła-Hojna, Greta Berger, Maciej Zdrojkowski
Glottal insufficiency (GI) is a cause of breathy voice that can profoundly affect quality of voice. Main causes are unilateral vocal fold paralysis or endoscopic cordectomy for the early treatment of laryngeal cancer of the glottis. The main strategy in surgical treatment is type I medialization thyroplasty according to Isshiki with the use of implants e.g. silastic, hydroxyapatite, titanium, Gore-Tex or Montgomery. Other procedures are arytenoid adduction, the injection laryngoplasty via thyrohyoid and cricothyroid approach and laryngeal reinnervation...
April 21, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28526459/test-retest-reliability-of-the-dual-microphone-voice-range-profile
#5
Trine Printz, Jesper Roed Sorensen, Christian Godballe, Ågot Møller Grøntved
OBJECTIVES: The voice range profile (VRP) measures vocal intensity and fundamental frequency. Phonosurgical and logopedic treatment outcome studies using the VRP report voice improvements of 3-6 semitones (ST) in ST range and 4-7 decibels (dB) in sound pressure level range after treatment. These small improvements stress the importance of reliable measurements. The aim was to evaluate the test-retest reliability of the dual-microphone computerized VRP on participants with healthy voices...
January 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28498632/robotic-microlaryngeal-phonosurgery-testing-of-a-steady-hand-microsurgery-platform
#6
COMPARATIVE STUDY
Lee M Akst, Kevin C Olds, Marcin Balicki, Preetham Chalasani, Russell H Taylor
OBJECTIVES/HYPOTHESIS: To evaluate gains in microlaryngeal precision achieved by using a novel robotic "steady hand" microsurgery platform in performing simulated phonosurgical tasks. STUDY DESIGN: Crossover comparative study of surgical performance and descriptive analysis of surgeon feedback. METHODS: A novel robotic ear, nose, and throat microsurgery system (REMS) was tested in simulated phonosurgery. Participants navigated a 0...
January 2018: Laryngoscope
https://www.readbyqxmd.com/read/28349733/transgender-phonosurgery-a-systematic-review-and-meta-analysis
#7
REVIEW
Tara Elena Song, Nancy Jiang
Objectives Different surgical techniques have been described in the literature to increase vocal pitch. The purpose of this study is to systematically review these surgeries and perform a meta-analysis to determine which technique increases pitch the most. Data Sources CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct. Review Methods A systematic review and meta-analysis of the literature was performed using the CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct databases. Studies were eligible for inclusion if they evaluated pitch-elevating phonosurgical techniques in live humans and performed pre- and postoperative acoustic analysis...
May 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28258685/-analysis-of-phonosurgical-methods-of-treatment-in-spasmodic-dysphonia
#8
REVIEW
Bożena Kosztyła-Hojna, Greta Berger, Maciej Zdrojkowski
Spasmodic dysphonia (SD) is rather a rare voice disorder. It is most often seen in woman aged 40-50. The disease is caused by deep emotional and neurological disorders of extrapyramidal system. Two main clinical forms of SD are distinguished: about 90% of cases - adductor spasmodic dysphonia and abductor spasmodic dysphonia roughly 10%. Conservative therapy does not always yield sufficient effects. Botulinum toxin - type A injections into the thyroarytenoid muscle are also used in therapy. Though results are temporary and reversible...
February 20, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27591443/-rehabilitation-of-phonosurgically-treated-patients-with-edematous-hypertrophic-changes-of-larynx
#9
Bożena Kosztyła-Hojna, Diana Moskal, Dawid Falkowski, Anna Łobaczuk-Sitnik, Anna Kraszewska, Małgorzata Skorupa
UNLABELLED: Advanced change of organic dysphonia are an indication for phonosurgery. Edematous-hypertrophic changes are cause of serious disturbances of voice. High-speed digital imaging (HSDI) technique is the unique method, allowing for assessment the effects of therapy and rehabilitation. AIM: The aim of the study is evaluation the usefulness of vibratory method in voice rehabilitation of patients with edematous-hypertrophic changes treated phonosurgically. MATERIALS AND METHODS: The group I contained 40 patients with edematous-hypertrophical changes phonosurgically treated...
August 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27590648/-rehabilitation-of-phonosurgically-treated-patients-with-edematous-hypertrophic-changes-of-larynx
#10
Bożena Kosztyła-Hojna, Diana Moskal, Dawid Falkowski, Anna Łobaczuk-Sitnik, Anna Kraszewska, Małgorzata Skorupa
UNLABELLED: Advanced change of organic dysphonia are an indication for phonosurgery. Edematous-hypertrophic changes are cause of serious disturbances of voice. High-speed digital imaging (HSDI) technique is the unique method, allowing for assessment the effects of therapy and rehabilitation. AIM: The aim of the study is evaluation the usefulness of vibratory method in voice rehabilitation of patients with edematous-hypertrophic changes treated phonosurgically. MATERIALS AND METHODS: The group I contained 40 patients with edematous-hypertrophical changes phonosurgically treated...
July 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27552826/-surgery-of-benign-vocal-fold-lesions
#11
REVIEW
A Olthoff
Surgical treatment of benign vocal fold lesions can be indicated for clinical or functional reasons. The principles of phonosurgery have to be maintained in either case. The appropriate phonosurgical technique depends on the type of vocal fold lesion. Depending on the findings, phonosurgery aims to maintain or improve voice quality. The evaluation of clinical and functional results includes indirect laryngoscopy, videostroboscopy, and voice analysis.
September 2016: HNO
https://www.readbyqxmd.com/read/27387248/gender-related-voice-problems-in-transsexuals-therapeutical-demands
#12
Maciej Misołek, Ewa Niebudek-Bogusz, Joanna Morawska, Bogusława Orecka, Wojciech Ścierski, Grażyna Lisowska
The paper presents a case study of a transsexual patient who underwent a voice pitch elevation surgery performed in Poland for the first time. The human voice is a reflection of the working of hormones and human psyche. This fact is of particular importance in transsexualism, a disorder consisting in incongruence between the individual's biological sex and their identified gender. For many transsexual people, especially of the MTF (male to female) type, who have undergone hormonal and surgical sex change, the voice still presents a major problem, causing difficulties in everyday life...
2016: Endokrynologia Polska
https://www.readbyqxmd.com/read/27173367/-finding-a-voice-imaging-features-after-phonosurgical-procedures-for-vocal-fold-paralysis
#13
REVIEW
B A Vachha, D T Ginat, P Mallur, M Cunnane, G Moonis
Altered communication (hoarseness, dysphonia, and breathy voice) that can result from vocal fold paralysis, secondary to numerous etiologies, may be amenable to surgical restoration. In this article, both traditional and cutting-edge phonosurgical procedures targeting the symptoms resulting from vocal fold paralysis are reviewed, with emphasis on the characteristic imaging appearances of various injectable materials, implants, and augmentation procedures used in the treatment of vocal fold paralysis. In addition, complications of injection laryngoplasty and medialization laryngoplasty are illustrated...
September 2016: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/27107249/phonosurgical-resection-using-submucosal-infusion-technique-for-precancerous-laryngeal-leukoplakia
#14
Takeyuki Kono, Koichiro Saito, Haruna Yabe, Kaoru Ogawa
OBJECTIVES/HYPOTHESIS: This study was designed to assess the feasibility of the submucosal infusion technique combined with microflap dissection as a radical therapeutic and diagnostic option for precancerous laryngeal leukoplakia. STUDY DESIGN: Retrospective study. METHODS: Severe dysplasia or carcinoma in situ was diagnosed after phonomicrosurgical dissections in 25 patients with unilateral laryngeal leukoplakia. Of these, 15 patients preferred no additional surgery (observation group), whereas 10 patients underwent further laser subligamental cordectomy (additional surgery group)...
January 2017: Laryngoscope
https://www.readbyqxmd.com/read/26549613/what-more-can-be-done-to-popularize-phonosurgical-ideas-in-everyday-handling-of-vocal-folds
#15
REVIEW
Małgorzata Wierzbicka, Elisabeth V Sjogren, Frederik G Dikkers
This paper is focused on vocal fold surgery with phonosurgical intent. The aim of this review is to broaden phonosurgical knowledge, spread the ideas of the European Laryngological Society (ELS) on phonosurgery and translate the layered structure and physiology of the vocal fold described in Hirano's classic body-cover model into the graphic illustration of the "fluttering sleeve" created by Dikkers. In numerous countries, where phonosurgery is a relatively novel field of knowledge or still in its infancy, simple patterns and plain associations will serve the best in popularizing sophisticated vocal fold anatomy and preservation surgery and converting it into everyday routine...
2015: Otolaryngologia Polska
https://www.readbyqxmd.com/read/26109985/voice-rehabilitation-with-tragal-cartilage-and-perichondrium-after-vertical-partial-laryngectomy-for-glottic-cancer
#16
Magdalena Chirilă, Cristina Ţiple, Florina Veronica Dinescu, Rodica Mureşan, Sorana D Bolboacă
BACKGROUND: The goal of the study is to test medialization of the neocord after oncological surgery for glottic cancer, using autologous tragal cartilage and perichondrium by the direct approach. MATERIALS AND METHODS: Sixteen patients underwent comprehensive assessment including auditory perceptual assessment, videostrobolaryngoscopy, and acoustic voice analysis. The cartilage graft was inserted into a pocket created in the tyroarytenoid - lateral cricoarytenoid muscle complex or the excavated musculomembranous part of the neocord, and fixed by placing the perichondrium by the direct approach...
April 2015: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/26080854/managing-dysphonia-in-paediatric-patients-with-complex-airway-conditions
#17
S Ojha, J Setlur, G Bunting, C J Hartnick
OBJECTIVE: To suggest a phonosurgical management strategy that can be used for children who have previously undergone laryngotracheal reconstruction. METHODS: This cases series describes three children who presented with complex, multi-level airway stenosis and marked dysphonia. Phonosurgical intervention involved endoscopic and open approaches, and was combined with voice therapy. A phonosurgical reconstruction management algorithm is suggested for evaluating and treating these complex conditions...
August 2015: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/25599882/low-cost-modular-phonosurgery-training-station-development-and-validation
#18
Michael A Holliday, Victoria M Bones, Sonya Malekzadeh, Nazaneen N Grant
OBJECTIVE: Phonosurgery requires technical precision and careful tissue handling. Typically, phonosurgical procedures require single-operator techniques, making it difficult for novice residents to develop necessary skills. We developed a low-cost phonosurgery simulator to allow practice and acquisition of microlaryngeal skills. STUDY DESIGN: Validation study assessing the simulator's face and content validity in surgical education. METHODS: For construction, the simulator is composed of a simulation station and laryngeal modules, each constructed with inexpensive, easily accessible materials including plywood and polyvinyl chloride pipe...
June 2015: Laryngoscope
https://www.readbyqxmd.com/read/25056650/-hoarseness-biomechanisms-and-quantitative-laryngoscopy
#19
U Eysholdt
Every phonosurgical procedure alters endolaryngeal anatomy; be it by removing tissue, or injection or implantation of autologous or foreign material. However, the effect that an altered airflow cross section and changed soft tissue elasticity will have on the voice cannot be predicted. With the aim of promoting rational indications for phonosurgery, the current article explains the biomechanisms of the normal and the disordered voice, including the complex interdependence of tissue viscoelasticity, glottal airstream and sound production...
July 2014: HNO
https://www.readbyqxmd.com/read/24970297/oncologic-efficacy-of-angiolytic-ktp-laser-treatment-of-early-glottic-cancer
#20
Steven M Zeitels, James A Burns
OBJECTIVE: Angiolytic laser removal of early glottic cancer with ultra-narrow margins was reported in a pilot study 5 years ago as an innovative surgical treatment strategy to better preserve vocal function. Subsequently, in a cohort of > 90 patients, enhanced voice outcomes were achieved and there was diminished need for post-treatment phonosurgical reconstruction. However, the initial pilot study examining oncologic efficacy had a limited number of patients and most did not have 3-year follow-up...
December 2014: Annals of Otology, Rhinology, and Laryngology
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