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https://www.readbyqxmd.com/read/29775020/-the-treatment-of-partial-co%C3%A2-laser-arytenoidectomy-for-bilateral-vocal-fold-paralysis
#1
Y T Wang, X Sun, W Y Ji
Objective: To assess the efficacy of partial CO₂ laser arytenoidectomy in cases with bilateral vocal fold paralysis. Method: A total number of 11 patients with bilateral vocal fold paralysis who undergone partial CO₂ laser arytenoidectomy was included in this retrospective study. The efficacy of the treatment was evaluated by compare the form of glottis, the scale of dyspnea and the change of voice preoperatively and postoperatively, as well as the occurrence of surgery complications such as dysphonia and dysphagia...
February 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29773324/comparison-of-pitch-strength-with-perceptual-and-other-acoustic-metric-outcome-measures-following-medialization-laryngoplasty
#2
Adam D Rubin, Cristina Jackson-Menaldi, Lisa M Kopf, Katherine Marks, Jean Skeffington, Mark D Skowronski, Rahul Shrivastav, Eric J Hunter
INTRODUCTION: The diagnoses of voice disorders, as well as treatment outcomes, are often tracked using visual (eg, stroboscopic images), auditory (eg, perceptual ratings), objective (eg, from acoustic or aerodynamic signals), and patient report (eg, Voice Handicap Index and Voice-Related Quality of Life) measures. However, many of these measures are known to have low to moderate sensitivity and specificity for detecting changes in vocal characteristics, including vocal quality. OBJECTIVE: The objective of this study was to compare changes in estimated pitch strength (PS) with other conventionally used acoustic measures based on the cepstral peak prominence (smoothed cepstral peak prominence, cepstral spectral index of dysphonia, and acoustic voice quality index), and clinical judgments of voice quality (GRBAS [grade, roughness, breathiness, asthenia, strain] scale) following laryngeal framework surgery...
May 14, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29768730/biofilm-in-voice-prosthesis-a-prospective-cohort-study-and-laboratory-tests-using-sonication-and-sem-analysis
#3
Jacopo Galli, Lea Calo', Duino Meucci, Monica Giuliani, Daniela Lucidi, Gaetano Paludetti, Riccardo Torelli, Maurizio Sanguinetti, Claudio Parrilla
OBJECTIVE: The objective of the study was to compare the biofilm growing pattern and its morphological extent on silicone and a teflon-like material using a sonication process and a Scanning Electron Microscope (SEM). DESIGN: A prospective cohort study and a laboratory study. SETTING: Otolaryngology -Head and Neck surgery Department and the Microbiology Institute. PARTICIPANTS: The participants included fifteen laryngectomized patients with phonatory prostheses, which were removed due to device failure, and two different kinds of phonatory prostheses from the laboratory (Provox 2 and ActiValve) that were artificially colonized by Candida albicans...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29764014/-comprehensive-treatment-of-335-patients-with-pyriform-sinus-carcinoma-by-surgery-via-the-paraglottic-space-approach
#4
W M Li, D M Wei, Y Qian, S D Cao, Y Xu, D Y Liu, D P Lei, X L Pan
Objective: To report the experience in comprehensive surgical treatment of pyriform sinus carcinoma via the paraglottic space approach. Methods: Three hundred and thirty-five cases with pyriform sinus carcinoma (according to UICC 2012 criteria, stage Ⅰ, 12 cases; Ⅱ, 36; Ⅲ, 79; Ⅳ, 208; T1, 26; T2, 139; T3, 121; T4, 49; cN0, 83; cN1, 61; cN2a-b, 118; cN2c, 71; cN3, 2) treated between 2006 and 2013 were retrospectively reviewed. There were 323 males and 12 females. Age aged from 36 to 80 years old with a median of 60 years old...
May 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29763895/voice-and-swallowing-outcomes-after-hyoid-suspension-surgery-in-patients-with-obstructive-sleep-apnea
#5
Sherif M Askar, Amal S Quriba, Elham M Hassan, Ali M Awad, Ahmad A Bessar
OBJECTIVE: The role of hyoidthyroidpexia (HTP) surgery in the management of patients with obstructive sleep apnea (OSA) is well described with good reported outcomes. The effect of HTP on other laryngeal functions is not well discussed. This study was designed to evaluate voice and swallowing outcomes after HTP. PATIENTS AND METHODS: This study was applied on a selected group of OSA patients. HTP (as a sole procedure) was performed in 17 patients and 14 patients had simultaneous palatal procedures (e...
May 15, 2018: Folia Phoniatrica et Logopaedica
https://www.readbyqxmd.com/read/29760831/current-status-of-organ-preservation-in-carcinoma-larynx
#6
REVIEW
Tapesh Bhattacharyya, Cessal Thommachan Kainickal
Organ preservation in carcinoma larynx is a long debated topic. There are multiple organ preserving approaches in the management of carcinoma larynx depending on various factors. Radical radiotherapy (RT) and conservation laryngeal surgery have shown equivalent results in early laryngeal cancer. Concurrent chemoradiation (CTRT) is the standard treatment in stage III and IV laryngeal cancer with intact cartilage and functional larynx. Patients with cartilage destruction or dysfunctional larynx are not the candidates for organ preservation...
April 2018: World Journal of Oncology
https://www.readbyqxmd.com/read/29754713/endoscopic-partial-arytenoidectomy-for-bilateral-vocal-fold-paralysis-medially-based-mucosal-flap-technique
#7
Taner Yılmaz
PURPOSE: Endoscopic partial arytenoidectomy (EPA) is one of the static operations for treatment of bilateral vocal fold paralysis (BVFP). Improvement in airway may cause voice loss and aspiration. The author reports his experience on EPA using medially based mucosal flap to enlarge posterior glottis without removing any part of membranous vocal fold. MATERIALS AND METHODS: Sixty-four consecutive patients with BVFP underwent EPA. Pre- and postoperative evaluations included Voice Handicap Index-30, aerodynamic and acoustic analysis, flow volume loops, perceptual evaluation of pre- and postoperative voice using grade, roughness, breathiness, asthenia, strain (GRBAS) scale, speech intensity, breathing ability evaluation, and functional outcome swallowing scale...
May 10, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29737737/-clinical-analysis-of-vocal-fold-firbrous-mass
#8
Hao Chen, Jing Wu Sun, Guang Lun Wan, Yan Ming Hu
OBJECTIVES: To explore the character of laryngoscopy finding, voice, and therapy of vocal fold fibrous mass. METHODS: Clinical data, morphology, voice character, surgery and pathology of 15 cases with vocal fold fibrous mass were analyzed. RESULTS: The morbidity of vocal fold fibrous mass might be related to overuse of voice and laryngopharyngeal reflex. Laryngoscopy revealed shuttle line appearance, smoothness and decreased mucosal wave of vocal fold...
March 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29737733/-utility-of-preoperative-voice-therapy-on-the-voice-recovery-of-vocal-cord-polyps-patients-undergoing-the-microsurgery
#9
Ling Gao, Rui Qing Wang, Xu Ge Huang, Wei Feng Chen, Yan Chao Jiao, Yan Li Ma, Pei Yun Zhuang
OBJECTIVES: To evaluate the therapeutic effect on the voice recovery of patients with vocal cord polyps undergoing the microsurgery of preoperative voice therapy. METHODS: Twenty-six patients diagnosed with unilateral vocal cord polyp under stroboscope, who needed to undergo vocal cord loss resection under supportive laryngoscope, were randomly divided into control group (non-voice training) and treatment group (voice training), with each group of 13 patients. Patients in control group were just treated with surgical operation...
March 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29737732/-clinical-analysis-of-arytenoid-cartilage-reposition-with-snake-mouth-forceps-for-the-arytenoid-cartilage-dislocation
#10
Qing Xiang Zhang, Shuang Ba He, Zi Gang Che, Hui Ying Hu, Ya Qun Liu, Yuan Yuan Lu, Zhen Kun Yu
OBJECTIVES: To investigate the clinical effect of the arytenoid cartilage reposition using snake mouth reduction forceps under general anesthesia. METHODS: Data of twenty-six cases accepted arytenoid cartilage reposition under intravenous general anesthesia were analyzed, nineteen cases accepted laryngeal CT scan and cricoarytenoid joint reconstruction, all patients underwent endolaryngeal muscle electromyography examination. According to the position of cartilage dislocation prompted by laryngoscope and CT, the arytenoid cartilage was repositoned under the visual laryngoscope using special snake mouth reduction forceps...
March 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29730784/voice-quality-preservation-in-thyroid-surgery-with-neuromonitoring
#11
Beata Wojtczak, Krzysztof Sutkowski, Krzysztof Kaliszewski, Zdzisław Forkasiewicz, Bartłomiej Knychalski, Michał Aporowicz, Marek Bolanowski, Marcin Barczyński
PURPOSE: Voice problems are common after thyroidectomy. The aim of this study was to assess the voice related quality of life after thyroidectomy with neuromonitoring. The sociodemographic and treatment factors influencing the quality of voice after the operation were investigated. METHODS: A total of 40 patients after thyroidectomy with neuromonitoring were enrolled into the study. The voice outcome was analyzed pre and postoperatively by two validated self-assessment questionnaires: Voice Handicap Index and Voice-Related Quality of Life survey...
May 5, 2018: Endocrine
https://www.readbyqxmd.com/read/29712504/preliminary-assessment-of-dynamic-voice-ct-in-post-airway-reconstruction-patients
#12
Mathieu Bergeron, Robert J Fleck, Caleb Middlebrook, Stephanie Zacharias, Shea Tolson, Liran Oren, David Smith, Alessandro de Alarcon
Objectives To compare the ability of the dynamic voice computed tomography (CT) scan to characterize laryngeal function in airway reconstruction patients vs bedside endoscopic nasopharyngolaryngoscopy and videolaryngostroboscopy. Study Design Case series with chart review. Settings Pediatric tertiary care center. Subjects and Methods Retrospective case series of children and young adults with a history of complex airway surgeries with subsequent dysphonia. We analyzed clinical data for all patients who underwent an airway reconstruction procedure between January 1, 2010, and April 30, 2016, and also had a dynamic voice CT and bedside endoscopic exam during the same period...
April 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29710208/comparison-between-patient-perceived-voice-changes-and-quantitative-voice-measures-in-the-first-postoperative-year-after-thyroidectomy-a-secondary-analysis-of-a-randomized-clinical-trial
#13
Heidi Kletzien, Cameron L Macdonald, Jason Orne, David O Francis, Glen Leverson, Elizabeth Wendt, Rebecca S Sippel, Nadine P Connor
Importance: Voice changes after thyroidectomy are typically attributed to recurrent laryngeal nerve injury. However, most postoperative voice changes occur in the absence of clinically evident vocal fold paralysis. To date, no study has compared the prevalence, duration, and consequences of voice-related disability from the patient perspective with use of quantitative vocal measures. Objectives: To assess the quality-of-life consequences of postthyroidectomy voice change from the perspective of patients with thyroid cancer and to compare patient-perceived voice changes with changes in quantitative vocal variables at 5 time points in the first postoperative year...
April 18, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29708204/through-the-hololens%C3%A2-looking-glass-augmented-reality-for-extremity-reconstruction-surgery-using-3d-vascular-models-with-perforating-vessels
#14
Philip Pratt, Matthew Ives, Graham Lawton, Jonathan Simmons, Nasko Radev, Liana Spyropoulou, Dimitri Amiras
Precision and planning are key to reconstructive surgery. Augmented reality (AR) can bring the information within preoperative computed tomography angiography (CTA) imaging to life, allowing the surgeon to 'see through' the patient's skin and appreciate the underlying anatomy without making a single incision. This work has demonstrated that AR can assist the accurate identification, dissection and execution of vascular pedunculated flaps during reconstructive surgery. Separate volumes of osseous, vascular, skin, soft tissue structures and relevant vascular perforators were delineated from preoperative CTA scans to generate three-dimensional images using two complementary segmentation software packages...
2018: European radiology experimental
https://www.readbyqxmd.com/read/29707500/functional-outcome-after-laryngo-tracheal-resection-and-reconstruction-for-acquired-benign-laryngo-tracheal-stenosis
#15
Simone T Timman, Christiana Schoemaker, Wilson W L Li, Henri A M Marres, Jimmie Honings, Wim J Morshuis, Erik H F M van der Heijden, Ad F T M Verhagen
Background: In this study we focus on functional outcomes after (laryngo)tracheal resection and reconstruction for acquired benign (laryngo)tracheal stenosis, with a specific interest in the impact of laryngeal involvement on postoperative outcome. Methods: All patients who underwent (laryngo)tracheal surgery for benign pathology between 1996 and 2017 in our centre were included in this retrospective study. Surgical outcomes were procedural success rate, and airway- and voice-related complications...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29678440/office-based-autologous-fat-injection-laryngoplasty-for-glottic-insufficiency-in-patients-under-50-years-old
#16
Hao-Chun Hu, Yi-Ting Hung, Shu-Yi Lin, Tao-Hsin Tung, Shyue-Yih Chang
OBJECTIVE: We sought to determine the outcomes of office-based autologous fat injection laryngoplasty in the treatment of patients under 50 years old with glottic insufficiency but without neurological problems or acquired organic lesions in the vocal fold. METHODS: We conducted a retrospective chart review of consecutive patients under 50 years of age who underwent office-based autologous fat injection laryngoplasty for glottic insufficiency. None of the patients presented neurological problems or acquired organic lesions in the vocal fold...
April 17, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29661332/voice-disorders-in-the-elderly
#17
REVIEW
Karen M Kost, Robert T Sataloff
Presbyphonia is more common than appreciated by most physicians, and it is associated with undesirable vocal characteristics such as hoarseness, weakness, breathiness, instability, and tremulousness. Hearing impairment in the patient or his or her friends, family, and associates exacerbates the problem, resulting in depression and social withdrawal, further reducing quality of life. Moreover, voice weakness and instability are all too often misinterpreted as reflecting intellectual instability. Expert diagnosis, medical treatment, voice therapy and training, and occasionally surgery usually can maintain or restore vocal stability and "youth...
May 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29651311/the-importance-of-the-occupational-vocal-load-for-the-occurence-and-treatment-of-organic-voice-disorders
#18
Miha Zabret, Irena Hočevar Boltežar, Maja Šereg Bahar
Introduction: The voice represents a basic working tool for carrying out certain occupations. Hoarseness, as a consequence of vocal fold lesions, presents an important cause of work-related absences for voice professionals. Methods: Our study was designed as a retrospective cohort one. Data on gender, workplace, vocal load and exposure to risk factors for voice disorders of the patients who had surgery in the 2014-2015 period at the tertiary centre due to benign vocal fold lesions were collected from their clinical records...
March 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29643624/effectiveness-of-proseal-laryngeal-mask-airway-and-laryngeal-tube-suction-in-elective-non-laparoscopic-surgeries-of-up-to-ninety-minutes-duration-a-prospective-randomized-study
#19
Swapnil Verma, S P Sharma
Background and Aims: Proseal laryngeal mask airway (LMA) and laryngeal tube suction (LTS) are both supraglottic devices with an esophageal suction port. In the present prospective, randomized study, the effectiveness of airway seal, hemodynamic variables, ability to pass orogastric tube, and postoperative complications with the two devices were evaluated. Material and Methods: This was a prospective, randomized, single-blind study conducted in a hospital-based setting...
January 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29629350/is-the-ghost-surgery-the-subject-of-legal-punishment-in-korea
#20
Seung Eun Hong, Min Ki Hong, Bo Young Park, Kyong Jae Woo, So Ra Kang
Purpose: Recently a controversy has arisen about so-called "ghost surgery" practices, and people have voiced their opinions for legal sanction against such practices, which clearly undermine the foundation of medical ethics. However, there has been a lack of legal basis for punishing those actions. The present study aims to examine which pre-existing legal provisions could be applied to regulate ghost surgery. Methods: The Korean Medical Service Act has a provision relating to informed consent to inhibit ghost surgery but does not include penalty provisions prohibiting ghost surgery itself...
April 2018: Annals of Surgical Treatment and Research
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