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G Jansen, B Schmidt, F Mertzlufft, T Boesing, M Barthel
Tracheal agenesis (TA) is a very rare congenital malformation of unknown aetiology. It is often associated with polymalformative syndromes; the neonates commonly present a critical condition during post-natal treatment. Pathology revolves around the triad of aphonia, respiratory distress syndrome and impossibility of endotracheal intubation. In contrast to the most important differential diagnosis, i. e., congenital high airway obstruction syndrome (CHAOS), surgical airway management is also impossible due to the absence of tracheal structures...
October 2016: Der Anaesthesist
Abdul-Latif Hamdan, Alexander Dowli, Jad Jabbour, Alain Sabri, Sami T Azar
Our objective is to report on the prevalence of phonatory symptoms and impact on quality of life in a group of female patients with goiter who had not been selected for surgery or who had not presented to the emergency room with respiratory distress. A total of 40 patients with goiter and 14 controls were enrolled in this study. Demographic data included age, sex, laryngopharyngeal reflux disease, allergy, smoking, duration of disease, presence or absence of compressive symptoms, presence or absence of thyroid gland nodules, vascular status, presence or absence of calcifications, and thyroid-stimulating hormone levels...
July 2016: Ear, Nose, & Throat Journal
L A de Trey, K Lambercy, P Monnier, K Sandu
OBJECTIVE: The aim of this study was to investigate respiratory and voice outcomes after open surgery for severe congenital laryngeal web. METHODS: Included were all patients treated for severe congenital glottic web (Cohen type 3 and 4) between 2002 and 2014. Demographic data, symptoms, endoscopic findings, type of operation, outcome and complications were analyzed. Open surgery was performed with division of the web and enlargement of the subglottis by a laryngotracheal reconstruction or an extended partial cricotracheal resection...
July 2016: International Journal of Pediatric Otorhinolaryngology
Aldert J C Hazenberg, Bouke P C Hazenberg, Frederik G Dikkers
To study effectiveness of surgery and watchful waiting in localized laryngeal amyloidosis, retrospective case series. This retrospective study comprises all consecutive patients with localized laryngeal amyloidosis surgically treated in a tertiary hospital between 1994 and February 2016. Recurrence rate, revision surgery, progression to systemic amyloidosis, and changes in voice were monitored yearly. Eighteen patients were included. Seven women and eleven men had a median age 50 years (range 21-77 years) and median follow-up 6...
September 2016: European Archives of Oto-rhino-laryngology
Carlos Alberto da Silva Soares Moreno, Sara Fonseca
In this case report we highlight the uniqueness of aphonia as, to the best of our knowledge, cases of aphonia related to interscalene brachial plexus block (IBPB) are not described in the literature. Although hoarseness is a common complication of IBPB, aphonia is not. Therefore, we think it is important to publicize the first case of aphonia after IBPB, which may have arisen only because of a recurrent laryngeal nerve chronic injury contralateral to the IBPB site.
May 2016: Brazilian Journal of Anesthesiology
Ana María Plaza-Martin
The concept of allergic reaction currently includes all those where an immunological reaction depends on a reaction mediated by IgE, as well as those that involve other immune mechanisms, such as T-cell regulators. There are many different clinical situations, like the classic immediate reactions (IgE mediated) such as urticaria, angioedema, immediate vomiting, abdominal pain, both upper respiratory (aphonia or rhinitis) and lower (wheezing or dyspnoea) symptom, and cardiovascular symptoms. The reactions that involve more than one organ, such as anaphylaxis, which could be an anaphylactic shock if there is cardiovascular involvement...
July 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Christos Ganos, Belinda Crowe, Maria Stamelou, Nikola Kresojević, Milica Ječmenica Lukić, Jose Bras, Rita Guerreiro, Funmilola Taiwo, Bettina Balint, Amit Batla, Susanne A Schneider, Roberto Erro, Marina Svetel, Vladimir Kostić, Manju A Kurian, Kailash P Bhatia
OBJECTIVES: In dystonia the formulation of a clinical syndrome is paramount to refine the list of etiologies. We here describe the rare association of dystonia with anarthria/aphonia, by examining a large cohort of patients, to provide a narrow field of underlying conditions and a practical algorithmic approach to reach diagnosis. METHODS: We retrospectively reviewed cases, which were evaluated between 2005 and 2014, to identify those with dystonia combined with marked anarthria and/or aphonia...
March 2016: Parkinsonism & related Disorders
Mara Behlau, Glaucya Madazio, Gisele Oliveira
Functional dysphonia (FD) refers to a voice problem in the absence of a physical condition. It is a multifaceted voice disorder. There is no consensus with regard to its definition and inclusion criteria for diagnosis. FD has many predisposing and precipitating factors, which may include genetic susceptibility, psychological traits, and the vocal behavior itself. The assessment of voice disorders should be multidimensional. In addition to the clinical examination, auditory-perceptual, acoustic, and self-assessment analyses are very important...
2015: Patient related Outcome Measures
Aaron Trinidade, Muhammad Shakeel, Brian Stickle, Kim W Ah-See
Neck injuries in lacrosse are rare and mostly involve the musculoskeletal system. The lacrosse ball is a solid rubber ball of approximately 20 cm in diameter and the fastest shot recorded in professional lacrosse is over 100 mph. Despite wearing full protection, the neck remains prone to blunt trauma by this ball. A 23-year man sustained a direct blow to his left neck by a lacrosse ball during play, resulting in immediate aphonia and stridor. CT scan confirmed a left thyroid lamina fracture. The patient was treated conservatively and his airway was monitored for 24 hours...
November 2015: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Junyi Wu, Yanmei Hu, Yin Zhu, Ping Yin, Gerhard Litscher, Shifen Xu
As a further step towards the modernization of acupuncture, the objective of this review was to figure out the frequency and severity of adverse complications and events in acupuncture treatment reported from 1980 to 2013 in China. All first-hand case reports of acupuncture-related complications and adverse events that could be identified in the scientific literature were reviewed and classified according to the type of complication and adverse event, circumstance of the event, and long-term patient outcome...
2015: Evidence-based Complementary and Alternative Medicine: ECAM
Limor Benyamini, Ziv Gil, Jacob T Cohen
BACKGROUND: Trachea esophageal puncture (TEP) is performed following total laryngectomy to allow speech and communication. The most common reason for long-term speech failure in this population is hypertonicity of the constrictor muscle. OBJECTIVES: To present our experience with the treatment of aphonic patients after total laryngectomy and TEP and suggest a protocol for treatment. METHODS: Of 50 patients who underwent total laryngectomy and TEP, 6 suffered from aphonia after surgery...
December 2014: Israel Medical Association Journal: IMAJ
Roberto Erro, Joshua Hersheson, Christos Ganos, Niccoló E Mencacci, Maria Stamelou, Amit Batla, Stefanie Catherine Thust, Jose M Bras, Rita J Guerreiro, John Hardy, Niall P Quinn, Henry Houlden, Kailash P Bhatia
Recently, mutations in the TUBB4A gene have been found to underlie hypomyelination with atrophy of the basal ganglia and cerebellum (H-ABC) syndrome, a rare neurodegenerative disorder of infancy and childhood. TUBB4A mutations also have been described as causative of DYT4 ("hereditary whispering dysphonia"). However, in DYT4, brain imaging has been reported to be normal and, therefore, H-ABC syndrome and DYT4 have been construed to be different disorders, despite some phenotypic overlap. Hence, the question of whether these disorders reflect variable expressivity or pleiotropy of TUBB4A mutations has been raised...
May 2015: Movement Disorders: Official Journal of the Movement Disorder Society
Bożena Kosztyła-Hojna, Diana Moskal, Anna Kuryliszyn-Moskal, Ryszard Rutkowski
INTRODUCTION: In a group of persons using the voice occupationally, the frequent symptoms are hoarseness, voice fatigability and aphonia. Pathological changes in the larynx may have organic or functional character which require different methods of treatment and rehabilitation. Visualization of vibrations of the vocal folds is an essential condition for an appropriate assessment of the causes of dysphonia. OBJECTIVE: The purpose of the study is assessment of the usefulness of a high-speed imaging (HSI) system in the diagnosis of functional and organic dysphonia of occupational character, compared with digital kymography (DKG) and digital stroboscopy (DS) with a high resolution module...
2014: Annals of Agricultural and Environmental Medicine: AAEM
Jennifer Noble, Renee Devor, Francis J Rogalski, Wilfredo Vergara, Ramalinga P Reddy, Nasreen Bhumbra
We report an unusual case of a neonate with aphonia due to epiglottitis with a concomitant methicillin-resistant S taphylococcus aureus (MRSA) infection of the genitalia and associated septic emboli to the groin area and mouth. We postulate that the MRSA infection caused a transient bacteremia that seeded the epiglottis, likely causing the epiglottitis. In the evaluation of a neonate with aphonia, while the two primary differentials to consider are vocal cord paralysis and laryngeal web, among other considerations is epiglottitis (supraglottitis)...
September 2014: Respirology Case Reports
Regina Helena Garcia Martins, Elaine Lara Mendes Tavares, Paula Ferreira Ranalli, Anete Branco, Adriana Bueno Benito Pessin
INTRODUCTION: Psychogenic dysphonia is a functional disorder with variable clinical manifestations. OBJECTIVE: To assess the clinical and vocal characteristics of patients with psychogenic dysphonia in a case series. METHODS: The study included 28 adult patients with psychogenic dysphonia, evaluated at a University hospital in the last ten years. Assessed variables included gender, age, occupation, vocal symptoms, vocal characteristics, and videolaryngostroboscopic findings...
November 2014: Brazilian Journal of Otorhinolaryngology
Kalyan Chakravarthi Kosuri, Nelluri Venumadhav, Siddaraju Ks
BACKGROUND: The ligamentum longitudinale anterius is a broad and strong band of fibrous tissue that runs along the anterior surfaces of the bodies of the vertebrae. AIM: The study was undertaken to evaluate the incidence of ossified ligamentum longitudinale anterius in adult dry human vertebra. MATERIALS AND METHODS: This study was carried out on 95 sets of dry human vertebral columns irrespective of age and sex at Mayo Institute of Medical Sciences- Barabanki,-UP, Melaka Manipal Medical College-Manipal University and Department of Anatomy, KMCT Medical College, Manassery- Calicut, India...
August 2014: Journal of Clinical and Diagnostic Research: JCDR
Megan A Morris, Abel N Kho
BACKGROUND: To begin to deliver patient-centered care, providers need to be aware of when a patient has a communication disability and what communication methods to use with the patient. The aim of the study was to describe if and how patients' communication disabilities are documented within electronic health records (EHR). METHODS: A retrospective manual chart review of all inpatient and outpatient clinical encounter notes within the EHR for patients who had undergone a laryngectomy at Northwestern Memorial Hospital (Chicago, IL) between 2000-2013...
2014: BMC Health Services Research
Feng-xiang Mai
No abstract text is available yet for this article.
April 2014: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Jaimala Vijay Shetye, Swati M Surkar, Niteen D Karnik, Amita A Mehta
Organophosphorus poisoning is a major global cause of health problems and the leading cause of mortality and morbidity in the developing countries. In this, the inhibition of acetyl-choline esterase and neurotoxic esterase along with nicotinic receptor involvement produces three well-identified and documented clinical phases: The initial cholinergic phase, which is a medical emergency often requiring management in an intensive care unit; the intermediate syndrome, during which prolonged ventilator care is necessary; and finally delayed neurotoxicity...
February 2014: Indian Journal of Critical Care Medicine
Jenny Iwarsson, Julie Fredsø
The occurrence of intermittent aphonia, perceived as sudden interruptions of voicing in connected speech, often reflects high stiffness of the vocal fold mucosa as part of a voice disorder. This retrospective study aimed to investigate the overarching hypothesis that the aphonic instances in voices with intermittent aphonia are not totally randomly appearing, but related to syllable stress and phonetic context. Recordings of 31 dysphonic patients with intermittent aphonia reading a standard text were analyzed perceptually...
October 2014: Clinical Linguistics & Phonetics
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