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https://www.readbyqxmd.com/read/28887674/robot-assisted-transaxillary-thyroidectomy-ratt-a-series-appraisal-of-more-than-250-cases-from-europe
#1
Gabriele Materazzi, Lorenzo Fregoli, Piermarco Papini, Sohail Bakkar, Malince Chicas Vasquez, Paolo Miccoli
BACKGROUND: Robot-assisted transaxillary thyroidectomy (RATT) is widely accepted in Asian countries. However, concerns regarding the balance between its real advantages and safety and cost have been raised by North American authorities. In Europe, assessments have been limited by small numbers since now. The purpose here is to report a large European experience with RATT. METHODS: A retrospective analysis was conducted of 257 patients who underwent RATT for nodular disease between February 2012 and September 2016...
September 8, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28872158/stabilometric-findings-in-patients-affected-by-organic-dysphonia-before-and-after-phonomicrosurgery
#2
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
https://www.readbyqxmd.com/read/28844607/is-voice-therapy-effective-for-the-treatment-of-dysphonic-patients-with-benign-vocal-fold-lesions
#3
REVIEW
Makoto Ogawa, Hidenori Inohara
OBJECTIVE: To update our knowledge regarding the effectiveness of voice therapy for the treatment of vocal disturbance associated with benign vocal fold lesions, including vocal polyps, nodules and cysts, and for determining the utility of voice therapy in treating organic voice disorders, while highlighting problems for the future development of this clinical field. METHODS: We conducted a review of the most recent literature on the therapeutic effects of voice therapy, vocal hygiene education or direct vocal training on vocal quality, the lesion appearance and discomfort felt by patients due to the clinical entity of benign vocal fold mass lesions...
August 22, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28828909/voice-outcomes-of-adults-diagnosed-with-pediatric-vocal-fold-nodules-and-impact-of-speech-therapy
#4
Brian H Song, Maqdooda Merchant, Luke Schloegel
Objective To evaluate the voice outcomes of adults diagnosed with vocal fold nodules (VFNs) as children and to assess the impact of speech therapy on long-term voice outcomes. Study Design Prospective cohort study. Setting Large health care system. Subjects and Methods Subjects diagnosed with VFNs as children between the years 1996 and 2008 were identified within a medical record database of a large health care system. Included subjects were 3 to 12 years old at the time of diagnosis, had a documented laryngeal examination within 90 days of diagnosis, and were ≥18 years as of December 31, 2014...
August 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28759458/pharyngolaryngeal-symptoms-associated-with-thyroid-disease
#5
Inn-Chul Nam, Young-Hak Park
PURPOSE OF REVIEW: The current review summarizes previous reports on laryngopharyngeal symptoms associated with thyroid disease. This review also includes pharyngolaryngeal symptoms caused by thyroidectomy. However, we focus on pharyngolaryngeal symptoms following uncomplicated thyroidectomy, as this is an important issue in the fields of otolaryngology. RECENT FINDINGS: An enlarged thyroid gland, as in thyroiditis, multinodular goiter, or large nodules, can cause compressive symptoms...
July 28, 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/28732751/voice-improvement-in-patients-with-functional-dysphonia-treated-with-the-proprioceptive-elastic-proel-method
#6
E Lucchini, A Ricci Maccarini, E Bissoni, M Borragan, M Agudo, M J González, V Romizi, A Schindler, M Behlau, T Murry, A Borragan
The objective of the study was to analyze the outcome of the proprioceptive-elastic (PROEL) voice therapy method in patients with functional dysphonia (FD). Fifty-two patients with FD were involved in the study; they were composed of three subgroups of patients with (1) FD without glottal insufficiency (n = 28), (2) FD and glottal insufficiency (n = 9), and (3) FD, glottal insufficiency, and vocal nodules (n = 15). A multidimensional assessment protocol including videolaryngostroboscopy; maximum phonation time; perceptual evaluation of dysphonia with the Grade, Instability, Roughness, Breathiness, Asthenia, and Strain (GIRBAS) scale; and 10-item version of the Voice Handicap Index was conducted before and after 15 sessions of voice therapy...
July 18, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28726141/transoral-robotic-thyroidectomy-lessons-learned-from-an-initial-consecutive-series-of-24-patients
#7
Hoon Yub Kim, Young Jun Chai, Gianlorenzo Dionigi, Angkoon Anuwong, Jeremy D Richmon
BACKGROUND: Transoral thyroid surgery is an ideal method for minimally invasive thyroidectomy, as there is less flap dissection during the procedure and no postoperative scars. Nonetheless, technical obstacles have precluded the wide dissemination of this procedure. We present the surgical procedures and outcomes of transoral robotic thyroidectomy (TORT). METHODS: From September 2012 to June 2016, we performed TORT at Korea University Hospital. We used three intraoral ports and a single axillary port for the system's four robotic arms...
July 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28686378/-common-benign-lesions-of-the-vocal-fold-diagnostic-criteria-and-management
#8
Anne-Claude Guinchard, Valérie Schweizer
The vocal cord or vocal fold is a remarkable structure, capable to support significant physical constraints. When the voice malmenage becomes chronic, it may appear an organic alteration causing nodules, polyps or Reinke edema even a lesion of the posterior glottis, the granuloma. These lesions are benign but lead to dysphonia that can be invalidating. Treatment can be a speech therapy with correction of breath and posture and, in some cases, a surgical treatment. In this article, we describe these common lesions with their histological characteristics and pathophysiological hypotheses which lead to their appearance and treatment...
October 5, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28671180/-evaluation-of-the-notification-of-dysphonia-on-the-voice-profesionals-as-a-sentinel-event-in-navarra-period-2013-2015
#9
Sara Arrizabalaga Baigorri, Vega García López
OBJECTIVE: Among the lesions produced by the professional use of the voice since 2007, the Vocal Nodules (VN) are recognized in Spain as an Occupational Disease. With the aim of promoting its notification in Navarre, the Sentinel Program was incorporated in 2013 and, with this study, we seek to verify its efficacy. METHODS: The study population were voice professionals reported for dysphonia as sentinel events during the years 2013 to 2015 in Navarre. Its effectiveness was validated by the cumulative incidence of 100,000 workers for each of the years and Positive Predictive Value as an indicator of suspicion...
July 7, 2017: Revista Española de Salud Pública
https://www.readbyqxmd.com/read/28631682/-the-combined-treatment-of-dysphonia-in-the-subjects-engaged-in-the-voice-and-speech-professions
#10
Yu E Stepanova, T V Gotovyakhina, A A Korneenkov, E E Koren'
The objective of the present study was to evaluate the effectiveness of the application of homeovox for the combined treatment of small vocal cord nodules and acute laryngitis in the professional voice users. A total of 40 subjects presenting with dysphonia were examined after they were divided into two study groups and two groups of comparison depending on the nosological form of the pathological condition. The subjects comprising the study groups were given traditional therapy in the combination with the intake of homeovox whereas the patients included in the two groups of comparison received the traditional treatment alone...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/28606663/changes-after-voice-therapy-in-acoustic-voice-analysis-of-chinese-patients-with-voice-disorders
#11
Dan Lu, Fei Chen, Hui Yang, Rong Yu, Qi Zhou, Xinyuan Zhang, Jia Ren, Yitao Zheng, Xiaoyan Zhang, Jian Zou, Haiyang Wang, Jun Liu
OBJECTIVES: This study aimed to evaluate the effects of voice therapy on patients with voice disorders by comparing the acoustic parameter changes before and after treatment. STUDY DESIGN: This is a retrospective study. METHODS: Forty-five female patients with early-stage vocal nodules or polyps, postoperative patients, and patients with chronic laryngitis were divided into three subgroups. Videostroboscopic, acoustic analysis (fundamental frequency, jitter, shimmer, mean harmonics-to-noise ratio), and maximum phonation time (MPT) were measured before and after treatment...
June 9, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28577534/a-novel-variation-of-the-recurrent-laryngeal-nerve
#12
Gaosong Wu, Kun Wang
BACKGROUND: Injury to the recurrent laryngeal nerve is one of the most severe complications of thyroid surgery. Several anatomic variations of the nerve increase the likelihood of iatrogenic damage. CASE PRESENTATION: A 50-year-old woman was presented to our department with a nodule in the right thyroid lobe, and she reported no voice changes. She had no history of surgery or radiation to the head or neck. Fine-needle aspiration was recorded as papillary thyroid carcinoma...
June 2, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28551331/vocal-behavior-in-environmental-noise-comparisons-between-work-and-leisure-conditions-in-women-with-work-related-voice-disorders-and-matched-controls
#13
Annika Szabo Portela, Svante Granqvist, Sten Ternström, Maria Södersten
OBJECTIVES: This study aimed to assess vocal behavior in women with voice-intensive occupations to investigate differences between patients and controls and between work and leisure conditions with environmental noise level as an experimental factor. METHODS: Patients with work-related voice disorders, 10 with phonasthenia and 10 with vocal nodules, were matched regarding age, profession, and workplace with 20 vocally healthy colleagues. The sound pressure level of environmental noise and the speakers' voice, fundamental frequency, and phonation ratio were registered from morning to night during 1 week with a voice accumulator...
May 24, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28540836/vocal-cord-paresis-following-single-session-high-intensity-focused-ablation-hifu-treatment-of-benign-thyroid-nodules-incidence-and-risk-factors
#14
Brian H H Lang, Yu-Cho Woo, Keith Wan-Hang Chiu
BACKGROUND: Vocal cord paresis (VCP) may occur following high intensity focused ultrasound (HIFU) of thyroid nodules. We hypothesised its occurrence relates to the distance of the focus point (FP) of the HIFU beams from the recurrent laryngeal nerve (RLN) and the thermal power that this point received. Their relationships were examined. METHODS: One hundred and three patients who underwent HIFU for symptomatic benign thyroid nodule from October 2015 to March 2017 were analysed...
June 6, 2017: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/28538831/effects-of-laryngeal-manual-therapy-lmt-and-transcutaneous-electrical-nerve-stimulation-tens-in-vocal-folds-diadochokinesis-of-dysphonic-women-a-randomized-clinical-trial
#15
RANDOMIZED CONTROLLED TRIAL
Larissa Thaís Donalonso Siqueira, Kelly Cristina Alves Silverio, Alcione Ghedini Brasolotto, Rinaldo Roberto de Jesus Guirro, Christiano Giácomo Carneiro, Mara Behlau
Purpose: To verify and compare the effect of transcutaneous electrical nerve stimulation (TENS) and laryngeal manual therapy (LMT) on laryngeal diadochokinesis (DDK) of dysphonic women. Methods: Twenty women with bilateral vocal nodules participated and were equally divided into: LMT Group - LMT application; TENS Group - TENS application; both groups received 12 sessions of treatment, twice a week, with a duration of 20 minutes each, applied by the same therapist...
May 15, 2017: CoDAS
https://www.readbyqxmd.com/read/28528786/acoustic-perturbation-measures-improve-with-increasing-vocal-intensity-in-individuals-with-and-without-voice-disorders
#16
M Brockmann-Bauser, J E Bohlender, D D Mehta
OBJECTIVE: In vocally healthy children and adults, speaking voice loudness differences can significantly confound acoustic perturbation measurements. This study examines the effects of voice sound pressure level (SPL) on jitter, shimmer, and harmonics-to-noise ratio (HNR) in adults with voice disorders and a control group with normal vocal status. STUDY DESIGN: This is a matched case-control study. METHODS: We assessed 58 adult female voice patients matched according to approximate age and occupation with 58 vocally healthy women...
May 18, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28514362/-the-laryngeal-condition-in-the-patients-presenting-with-euthyroid-multinodular-goiter-as-evaluated-by-direct-laryngoscopy
#17
T N Panova, Yu V Nazarochkin, R D Mustafin, L I Lebedeva, A A Ob'etanov, I A Malafeev
The objective of the present study was to improve diagnostics of disturbances in the laryngeal condition of the patients presenting with euthyroid multinodular goiter with special reference to the condition of the upper respiratory passages. The preoperative characteristic of 398 patients included the description of the predominant clinical syndrome (the neoplastic and compressive variants) and specification of the morphological type of the disease to promote the decrease of operative activity with respect to colloidal proliferative goiter...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/28499735/turkish-standardized-reading-passage-for-the-evaluation-of-hard-glottal-attack-occurrence-frequency
#18
Melek Nur Uygun, Fatma Esen Aydınlı, Songül Aksoy, Esra Özcebe
OBJECTIVE: This study aimed to develop a Turkish reading passage that can be used in evaluating the frequency of hard glottal attack (HGA) and to assess its reliability. STUDY DESIGN: This is a prospective case-control study. METHODS: The Towne-Heuer reading passage is a valuable tool that can be used for the auditory-perceptual assessment of voice. The characteristics of the first four paragraphs of the reading passage were analyzed by a linguist...
May 9, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28490006/adenoid-cystic-carcinoma-of-the-larynx-presenting-as-a-thyroid-mass-and-brief-literature-review
#19
REVIEW
Sadegh Shirian, Maryam Maghbool, Azita Aledavood, Shahrzad Negahban, Bijan Khademi, Yahya Daneshbod
BACKGROUND: Adenoid cystic carcinoma (ACC) of the larynx and trachea is very rare. CASE: A 45-year-old man with ACC of the larynx presenting as a thyroid mass is reported in this study. Physical examination revealed a large solid thyroid nodule in the left lobe without any lymphadenopathy. A technetium thyroid scan showed multinodular goiter with cold nodules in the left lobe, isthmus, and functioning nodules in the right lobe. A large thyroid mass originating from the left side of the larynx, mostly the left vocal cord and the infraglottic part, was seen using enhanced magnetic resonance imaging after rupture of the thyroid cartilage on the left side...
2017: Acta Cytologica
https://www.readbyqxmd.com/read/28474427/robotic-thyroidectomy-and-parathyroidectomy-an-initial-experience-with-retroauricular-approach
#20
Mohammed Alshehri, Hossam Eldin Mohamed, Thomas Moulthrop, Emad Kandil
BACKGROUND: New approaches for robotic-assisted thyroidectomy were recently described. The purpose of this study was to present the report of our initial experience using a retroauricular approach for thyroid and parathyroid surgeries. METHODS: This is a prospective study that was conducted under institutional review board approval and all surgeries were performed by a single surgeon at a North American academic institution. Some patients underwent an additional concomitant neck lift surgery in addition to the thyroid surgery...
August 2017: Head & Neck
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