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Philipp P Caffier, Tatjana Salmen, Tatiana Ermakova, Eleanor Forbes, Seo-Rin Ko, Wen Song, Manfred Gross, Tadeus Nawka
There are few data demonstrating the specific extent to which surgical intervention for vocal fold nodules (VFN) improves vocal function in professional (PVU) and non-professional voice users (NVU). The objective of this study was to compare and quantify results after phonomicrosurgery for VFN in these patient groups. METHODS: In a prospective clinical study, surgery was performed via microlaryngoscopy in 37 female patients with chronic VFN manifestations (38±12 yrs, mean±SD). Pre- and postoperative evaluations of treatment efficacy comprised videolaryngostroboscopy, auditory-perceptual voice assessment, voice range profile (VRP), acoustic-aerodynamic analysis, and voice handicap index (VHI-9i)...
December 2017: Medical Problems of Performing Artists
Ashwini Joshi, Michael M Johns
OBJECTIVES/HYPOTHESIS: The aim of this study was to understand current protocols for voice rest implemented by laryngologists immediately after phonomicrosurgery for benign vocal fold lesions. STUDY DESIGN: Cross-sectional survey. METHODS: A 24-item survey was sent via electronic mail to laryngologists across the country to gather data on their recommendations of type and dosage of voice rest, factors involved in this decision, and recommendations for other behavioral modifications...
November 6, 2017: Laryngoscope
A Nacci, S O Romeo, S Berrettini, J Matteucci, M D Cavaliere, V Mancini, E Panicucci, F Ursino, B Fattori
The purpose of this study is to understand if there is any alteration in the posture of patients affected by organic dysphonia and describe possible postural modifications after phonomicrosurgery on the vocal folds. Forty subjects (22 males, 18 females; mean age 32.6 ± 7.5 years) suffering from organic dysphonia (15 cases of polyps, 11 submucosal retention cysts, 10 bilateral fibrous vocal fold nodules and 4 bilateral Reinke's oedema) were examined by open-eye and closed-eye posturography while breathing spontaneously before surgery, 24 hours after surgery and after 6 months...
August 2017: Acta Otorhinolaryngologica Italica
Mami Kaneko, Shigeru Hirano
PURPOSE OF REVIEW: This article aims to review previous research reports and to summarize current strategies for the optimal duration of voice rest and the effect of phonatory stimulation after phonomicrosurgery. RECENT FINDINGS: Voice rest is commonly recommended after laryngeal surgery to prevent worsening of vocal fold injuries. However, there are no established standard protocol for voice rest, and the type and duration of voice rest vary among clinicians. The most effective duration of voice rest is unknown...
December 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
Rudolf Reiter, Thomas Hoffmann
Introduction Voice disorders caused by pseudotumors of the vocal folds or paralysis of the vocal folds with incomplete glottis closure frequently require phonomicrosurgery. These interventions were analyzed with regard to quality of voice after surgery and safety of the intervention. Methods Retrospective analysis of 400 consecutive phonomicrosurgery interventions. The following parameters were collected: distribution of pathologies of the vocal folds, rating of the voice quality by both the surgeon (RBH-system) and patient and videolaryngstroboscopy six weeks after the intervention compared to the state prior to surgery, complications and results of histological examination...
September 2017: Laryngo- Rhino- Otologie
Maria E Powell, Dimitar D Deliyski, Robert E Hillman, Steven M Zeitels, James A Burns, Daryush D Mehta
Purpose: Videostroboscopy (VS) uses an indirect physiological signal to predict the phase of the vocal fold vibratory cycle for sampling. Simulated stroboscopy (SS) extracts the phase of the glottal cycle directly from the changing glottal area in the high-speed videoendoscopy (HSV) image sequence. The purpose of this study is to determine the reliability of SS relative to VS for clinical assessment of vocal fold vibratory function in patients with mass lesions. Methods: VS and SS recordings were obtained from 28 patients with vocal fold mass lesions before and after phonomicrosurgery and 17 controls who were vocally healthy...
November 1, 2016: American Journal of Speech-language Pathology
Maria Rosaria Barillari, Umberto Volpe, Giuseppina Mirra, Francesco Giugliano, Umberto Barillari
OBJECTIVE: Phonomicrosurgery is generally considered to be the treatment of choice for removing vocal fold polyps. However, specific techniques of voice therapy may represent, in selected cases and under certain conditions, a noninvasive therapeutic option for the treatment of such laryngeal lesions. The aim of the present study is to longitudinally assess, in terms of clinical outcomes and quality of life, two groups of patients with cordal polyps, treated either with standard surgery plus standard voice therapy or with a specific training of voice therapy alone, which we have called "Voice Therapy Expulsion...
May 2017: Journal of Voice: Official Journal of the Voice Foundation
Mami Kaneko, Osamu Shiromoto, Masako Fujiu-Kurachi, Yo Kishimoto, Ichiro Tateya, Shigeru Hirano
OBJECTIVES: Voice rest is commonly recommended after phonomicrosurgery to prevent worsening of vocal fold injuries. However, the most effective duration of voice rest is unknown. Recently, early vocal stimulation was recommended as a means to improve wound healing. The purpose of this study is to examine the optimal duration of voice rest after phonomicrosurgery. STUDY DESIGN: Randomized controlled clinical study. METHODS: Patients undergoing phonomicrosurgery for leukoplakia, carcinoma in situ, vocal fold polyp, Reinke's edema, and cyst were chosen...
January 2017: Journal of Voice: Official Journal of the Voice Foundation
Alfonso Fiorelli, Salvatore Mazzone, Giuseppe Costa, Mario Santini
Herein, we described a novel method as the use of AcuBlade robotic microsurgery system to manage idiopathic subglottic stenosis in a 73-y-old lady. Compared to traditional CO2 lasers, AcuBlade facilitated the scar resection by the generation of different shape of beams (straight, curved, or disk). The same setting used for phonomicrosurgery (1-mm beam length, power of 10 W and pulse duration of 0.05-s) allowed to obtain fast, long, and uniform cuts. In addition, the reduction of the number of laser passes over the same area prevented injury of adjacent tissue and thus reduced the risk of recurrence...
February 2018: Clinical Respiratory Journal
Ryo Suzuki, Yoshitaka Kawai, Takuya Tsuji, Nao Hiwatashi, Yo Kishimoto, Ichiro Tateya, Tatsuo Nakamura, Shigeru Hirano
OBJECTIVES/HYPOTHESIS: Vocal fold scarring, which causes severe hoarseness, is intractable. The optimal treatment for vocal fold scarring has not been established; therefore, prevention of scarring is important. The aim of this study was to clarify the effectiveness of basic fibroblast growth factor (bFGF) for prevention of postsurgical vocal fold scarring. STUDY DESIGN: Prospective animal experiments with controls. METHOD: The vocal folds of Sprague-Dawley rats were injured unilaterally or bilaterally after local application of a 10 μL solution of bFGF...
February 2017: Laryngoscope
Ting Chen, Andrew C Vamos, Seth H Dailey, Jack J Jiang
OBJECTIVES/HYPOTHESIS: To observe the learning curve of the head-mounted microscope in a phonomicrosurgery simulator using cumulative summation (CUSUM) analysis, which incorporates a magnetic phonomicrosurgery instrument tracking system (MPTS). STUDY DESIGN: Retrospective case series. METHODS: Eight subjects (6 medical students and 2 surgeons inexperienced in phonomicrosurgery) operated on phonomicrosurgical simulation cutting tasks while using the head-mounted microscope for 400 minutes total...
October 2016: Laryngoscope
Tatjana Salmen, Tatiana Ermakova, Andreas Möller, Matthias Seipelt, Sebastian Weikert, Julius Rummich, Manfred Gross, Tadeus Nawka, Philipp P Caffier
OBJECTIVE: This study aimed to present vocal extent measure (VEM), demonstrate its changes with phonomicrosurgical treatment in patients with vocal fold polyps (VFPs), and to compare its performance to that of established vocal parameters. STUDY DESIGN: This is an individual cohort study. METHODS: Microlaryngoscopic ablation was executed in 61 patients with manifestation of VFP (28 male, 33 female; 45 ± 13 years [mean ± SD]). Analysis of treatment outcome was based on pre- and postoperative voice function diagnostics and videolaryngostroboscopy...
January 2017: Journal of Voice: Official Journal of the Voice Foundation
Elizabeth A Zambricki, Jennifer L Bergeron, Elizabeth E DiRenzo, C Kwang Sung
OBJECTIVES/HYPOTHESIS: To introduce the use of a new phonomicrosurgical trainer using easily accessible materials, and to establish the effectiveness of the model. STUDY DESIGN: The model uses a grape imbedded in gelatin, a microscope, and microlaryngeal instruments. The study was designed to test baseline differences in training levels, as well as improvement in performance after training with the simulation model. METHODS: Thirty subjects enrolled in the Stanford University School of Medicine otolaryngology training program performed microlaryngeal surgery tasks on a grape...
November 2016: Laryngoscope
Ting Chen, Andrew C Vamos, Seth H Dailey, Zhixian Geng, Jack J Jiang
OBJECTIVES/HYPOTHESIS: To study the different arm support postures used in phonomicrosurgery by using a magnetic-based phonomicrosurgery instrument tracking system (MPTS). Through quantitative motion parameter data collected from four arm support postures (elbow support [ES], forearm support [FS], forearm and hand support, and no support), phonomicrosurgical operation postures were analyzed and compared. STUDY DESIGN: Prospective cohort study. METHODS: Seven subjects operated on phonomicrosurgical simulation cutting tasks with four arm support postures while being monitored by MPTS...
April 2016: Laryngoscope
Sevtap Akbulut, Jackie L Gartner-Schmidt, Amanda I Gillespie, VyVy N Young, Libby J Smith, Clark A Rosen
OBJECTIVES/HYPOTHESIS: Benign midmembranous vocal fold lesions (BMVFLs) are common voice disorders, but interpretation of outcomes following treatment is difficult due to the lack of a standardized nomenclature system for these lesions. Outcome results are increasingly important to third party payers. This study aimed to investigate the outcomes of patients with BMVFLs using a previously validated nomenclature, and to provide incidences and outcome results for each diagnosis. METHODS: A retrospective chart review of BMVFL patients was performed...
February 2016: Laryngoscope
Bernard Rousseau, Michelle L Gutmann, Theodore Mau, David O Francis, Jeffrey P Johnson, Carolyn K Novaleski, Kimberly N Vinson, C Gaelyn Garrett
OBJECTIVE: This randomized trial investigated voice rest and supplemental text-to-speech communication versus voice rest alone on visual analog scale measures of communication effectiveness and magnitude of voice use. STUDY DESIGN: Randomized clinical trial. SETTING: Multicenter outpatient voice clinics. SUBJECTS: Thirty-seven patients undergoing phonomicrosurgery. METHODS: Patients undergoing phonomicrosurgery were randomized to voice rest and supplemental text-to-speech communication or voice rest alone...
March 2015: Otolaryngology—Head and Neck Surgery
Qingjia Gu, Yong Feng, Xiaoxu Yu, Jian'gang Fan, Debing Li, Gang He
OBJECTIVE: To investigate the efficacy of CO2 laser treatment for patients with precancerous laryngeal lesions under phonomicrosurgery and to explore the points for attention in operation. METHOD: They were all treated with phonomicrosurgery techniques as mucosal epitheliumablation or mucosal stripping by using CO2 laser. Eight patients with laryngeal papilloma were excised by CO2 laser. RESULT: All patients were treated with CO2 laser surgery successfully...
August 2014: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Mirjana Petrovic-Lazic, Nadica Jovanovic, Milan Kulic, Snezana Babac, Vladimir Jurisic
OBJECTIVE: The aim of the study was to assess the effect of endolaryngeal phonomicrosurgery (EPM) and voice therapy in patients with vocal fold polyps using perceptual and acoustic analysis before and after both therapies. METHODS: The acoustic tests and perceptual evaluation of voice were carried out on 41 female patients with vocal fold polyp before and after EPM and voice therapy. Both therapy strategies were performed. Used acoustic parameters were Jitter percent (Jitt), pitch perturbation quotient (PPQ), shimmer percent (Shim), amplitude perturbation quotient (APQ), fundamental frequency variation (vF0), noise-to-harmonic ratio (NHR), Voice Turbulence Index (VTI)...
March 2015: Journal of Voice: Official Journal of the Voice Foundation
Erhan Demirhan, İbrahim Çukurova, İlker Burak Arslan, Elcin Tadihan Ozkan, Erdem Mengi, Orhan Gazi Yigitbasi
The objective of this study was to evaluate the use of quantum molecular resonance (QMR) energy in phonomicrosurgery. Quantum molecular resonance energy (QMRE) is an innovative technology that provides low temperature cutting and coagulation of tissues and causes minimal tissue damage during the procedure. Because of these features, this technology may offer new possibilities in phonomicrosurgery. Twelve patients with vocal fold polyps underwent QMR-assisted phonomicrosurgery. The patients were evaluated before and after surgery at 1 and 3 months postoperatively by using the voice handicap index, laryngeal stroboscopy rating, acoustic voice analysis, and perceptual voice evaluation...
January 2015: Otolaryngology—Head and Neck Surgery
Giulio Dagnino, Leonardo S Mattos, Darwin G Caldwell
PURPOSE: Surgical quality in phonomicrosurgery can be improved by open-loop laser control (e.g., high-speed scanning capabilities) with a robust and accurate closed-loop visual servoing systems. A new vision-based system for laser scanning control during robot-assisted phonomicrosurgery was developed and tested. METHODS: Laser scanning was accomplished with a dual control strategy, which adds a vision-based trajectory correction phase to a fast open-loop laser controller...
February 2015: International Journal of Computer Assisted Radiology and Surgery
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