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Voice surgery

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23 papers 25 to 100 followers
By Mohammad Mahdi Salem Otolaryngologist and head and neck surgen
https://www.readbyqxmd.com/read/26509739/innervation-of-the-cricothyroid-muscle-by-extralaryngeal-branches-of-the-recurrent-laryngeal-nerve
#1
Akira Miyauchi, Hiroo Masuoka, Ayako Nakayama, Takuya Higashiyama
OBJECTIVES/HYPOTHESIS: A major concern in thyroid surgery is possible changes in the patient's voice due to dysfunction of the laryngeal muscles. The classical understanding of the anatomy is that the cricothyroid muscle (CTM) is innervated solely by the external branch of the superior laryngeal nerve (EBSLN), and the endolaryngeal muscles are covered only by the recurrent laryngeal nerve (RLN). Meticulous anatomical studies found communication between these nerves. Recent neurophysiological studies revealed cross-innervations among these nerve-muscle sets...
May 2016: Laryngoscope
https://www.readbyqxmd.com/read/26526375/thyroplasty-in-the-previously-irradiated-neck-a-case-series-and-short-term-outcomes
#2
James R White, Diana M Orbelo, Daniel B Noel, Rebecca L Pittelko, Nicolas E Maragos, Dale C Ekbom
OBJECTIVES/HYPOTHESIS: External beam radiation to the neck is widely considered a contraindication for thyroplasty due to concern for infection and implant extrusion. We present a case series of our experience regarding thyroplasty performed in a previously radiated field. STUDY DESIGN: Retrospective case study at a tertiary academic referral center. METHODS: Using the institution's clinical notes search tool, records from 1999 through 2014 documenting thyroplasty and radiation were identified and reviewed...
August 2016: Laryngoscope
https://www.readbyqxmd.com/read/26553660/outcomes-of-laryngeal-reinnervation-for-unilateral-vocal-fold-paralysis-in-children-associations-with-age-and-time-since-injury
#3
Marshall E Smith, Daniel R Houtz
OBJECTIVE: Outcomes of laryngeal reinnervation with ansa-cervicalis for unilateral vocal fold paralysis (UVFP) may be influenced by age of the patient and time interval between laryngeal nerve injury and reinnervation, suggesting less favorable outcomes in older patients and greater than 2-year time interval after injury. This study examines these issues in the pediatric population. METHOD: Review of prospectively collected data set of 35 children and adolescents (1-21 years) that underwent ansa-recurrent laryngeal nerve (RLN) laryngeal reinnervation for UVFP...
May 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/26693452/voice-outcome-following-carbon-dioxide-laser-assisted-microlaryngeal-surgery
#4
Shilpa Divakaran, Arun Alexander, Sabarinath Vijayakumar, Sunil Kumar Saxena
Very few studies have been conducted in South Indian population to evaluate glottic function and voice outcome following carbon dioxide (CO2) laser assisted microsurgery for benign lesions of the larynx. This is a descriptive study which aims at assessing the voice outcome (perceptual and acoustic) and vocal fold function (stroboscopic) following CO2 laser excision in benign vocal fold lesions. 50 adult patients with benign laryngeal lesions were selected to undergo CO2 laser excision in super-pulse mode at power setting of 6 watts...
December 2015: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/26164798/changes-of-some-functional-speech-disorders-after-surgical-correction-of-skeletal-anterior-open-bite
#5
Mojca Knez Ambrožič, Irena Hočevar Boltežar, Nataša Ihan Hren
Skeletal anterior open bite (AOB) or apertognathism is characterized by the absence of contact of the anterior teeth and affects articulation parameters, chewing, biting and voice quality. The treatment of AOB consists of orthognatic surgical procedures. The aim of this study was to evaluate the effects of treatment on voice quality, articulation and nasality in speech with respect to skeletal changes. The study was prospective; 15 patients with AOB were evaluated before and after surgery. Lateral cephalometric x-ray parameters (facial angle, interincisal distance, Wits appraisal) were measured to determine skeletal changes...
September 2015: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/26183535/features-of-vocal-fold-adductor-paralysis-and-the-management-of-posterior-muscle-in-thyroplasty
#6
Ujimoto Konomi, Ryoji Tokashiki, Hiroyuki Hiramatsu, Ray Motohashi, Eriko Sakurai, Fumimasa Toyomura, Masaki Nomoto, Yuri Kawada, Mamoru Suzuki
OBJECTIVE: To present the pathologic characteristics of unilateral recurrent nerve adductor branch paralysis (AdBP), and to investigate the management of posterior cricoarytenoid (PCA) muscle on the basis of our experience of surgical treatment for AdBP. STUDY DESIGN: This is a retrospective review of clinical records METHODS: Four cases of AdBP, in which surgical treatment was performed, are presented. AdBP shows disorders of vocal fold adduction because of paralysis of the thyroarytenoid and lateral cricoarytenoid muscles...
March 2016: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/26188930/long-term-outcome-of-endoscopic-shortening-and-stiffening-of-the-vocal-folds-to-raise-the-pitch
#7
Ahmed Geneid, Heikki Rihkanen, Teemu J Kinnari
In this study, we aimed to assess the long-term effects of the mucosal layer plastic surgery of the vocal folds performed on the voices of male-to-female transgenders. This retrospective cohort study enrolled 22 patients who were operated during 2004-2010 by a combined technique of transmucosal anterior suturing and stiffening of the vocal folds through a longitudinal cordotomy incision using CO2 laser. Long-term effects were assessed based on completed questionnaires on four different categories including subjective evaluation of patient's own voice perception and a standardized voice inventory (VHI), as well as an acoustic assessment and videolaryngoscopic examination...
December 2015: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/26235099/voice-and-respiratory-outcomes-after-permanent-transoral-surgery-of-bilateral-vocal-fold-paralysis
#8
MULTICENTER STUDY
Tadeus Nawka, Christian Sittel, Christoph Arens, Ruth Lang-Roth, Claus Wittekindt, Rudolf Hagen, Andreas H Mueller, Ahmed I Nasr, Orlando Guntinas-Lichius, Gerhard Friedrich, Markus Gugatschka
OBJECTIVES/HYPOTHESIS: Bilateral vocal fold paralysis (BVFP) is a rare but life-threatening condition mostly caused by iatrogenic damage to the peripheral recurrent laryngeal nerve. Endoscopic enlargement techniques have been the standard treatment for decades. However, prospective studies using internationally accepted phoniatric and respiratory evaluation guidelines are rare. STUDY DESIGN: Prospective observational multicenter study. METHODS: Twelve clinical centers screened 61 patients, of whom 36 were eligible according to the study protocol...
December 2015: Laryngoscope
https://www.readbyqxmd.com/read/26237931/-care-of-voice-among-transgender-people
#9
REVIEW
Jaana Sellman, Heikki Rihkanen
In some cases transgender people spontaneously find vocal expression that is acceptable. The testosterone medication usually lowers the female voice (F to M) enough. Feminization of the male voice (M to F) needs more often care. Speech and voice therapy is usually the primary treatment. In some cases pitch-elevating surgery is needed. This will raise the pitch or at least eliminate spontaneous male voicing (cough, laughter). If cosmetically unacceptable, a prominent Adam's apple will be removed.
2015: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/26296271/idiopathic-subglottic-stenosis-factors-affecting-outcome-after-single-stage-repair
#10
Haifeng Wang, Cameron D Wright, John C Wain, Harald C Ott, Douglas J Mathisen
BACKGROUND: Idiopathic subglottic stenosis is a rare inflammatory condition affecting the subglottic larynx. We have treated 263 patients (only 2 were male) with this condition. The purpose of this study is to determine factors affecting outcome and predisposing to complications. METHODS: Information was gathered from chart reviews, surveys, and a prospective database. RESULTS: Median time from diagnosis to surgery was 24 months. Antinuclear antibodies when measured were positive in 76 patients (47%)...
November 2015: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26334411/-transgender-women-and-the-gender-reassignment-process-subjection-experiences-suffering-and-pleasure-in-body-adaptation
#11
Analídia Rodolpho Petry
OBJECTIVE: This article seeks to understand the experiences of transgender women in relation to the hormone therapy and sex reassignment surgery that make up the Gender Reassignment Process. METHOD: It is a qualitative study inserted into the field of cultural and gender studies. Data collection used narrative interviews, conducted in 2010 and 2011, with seven transsexual women who had been undergoing the Gender Reassignment Process for at least two years. The data was submitted to a thematic analysis...
June 2015: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/26335288/comorbidities-and-factors-associated-with-endoscopic-surgical-outcomes-in-adult-laryngotracheal-stenosis
#12
Pelin Kocdor, Eric R Siegel, James Y Suen, Gresham Richter, Ozlem E Tulunay-Ugur
This study which is a retrospective chart review aims to characterize the comorbidities associated with adult laryngotracheal stenosis and evaluate the relationship of these with stenosis grade, length, surgical interventions, and surgical intervals. Patients' demographics, medical and surgical comorbidities, grade of stenosis, quantity and degree of balloon dilations, dilation intervals, open airway procedures, and tracheotomy status were recorded from 2002 to 2012, at a tertiary voice and airway center. Surgical outcomes were evaluated in relation to patient comorbidities, stenosis quality, and surgical procedures...
February 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/26024910/the-mayo-clinic-arizona-spasmodic-dysphonia-experience-a-demographic-analysis-of-718-patients
#13
Alpen B Patel, Stephen F Bansberg, Charles H Adler, David G Lott, Lisa Crujido
OBJECTIVE: Analyze demographic data collected over a 25-year experience of 718 patients with spasmodic dysphonia (SD) who have been treated with botulinum toxin-A (BoNT-A) and compare our data with previously published studies. METHODS: Seven hundred eighteen patients with SD were treated with 6621 BoNT-A injections at Mayo Clinic Arizona between 1989 and 2014. All patients were treated by the same physician team. Background demographic data for each patient were recorded...
November 2015: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/26121983/airway-and-respiration-parameters-improve-following-vocal-fold-medialization-a-prospective-study
#14
M Burak Asik, Ozlem Karasimav, Hakan Birkent, Albert L Merati, Mustafa Gerek, Yavuz Yildiz
OBJECTIVES/HYPOTHESIS: Laryngeal medialization procedures such as injection laryngoplasty (IL) and thyroplasty type 1 (TT1) are standard techniques for the treatment of glottic insufficiency related to unilateral vocal fold paralysis (UVFP). These procedures reliably improve the voice and may also improve swallowing function. Despite the association of laryngeal paralysis with airway regulation, there is little published on the effect of UVFP and its surgical treatment on respiration...
December 2015: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/26110673/voice-outcomes-following-posterior-cordotomy-with-medial-arytenoidectomy-in-patients-with-bilateral-vocal-fold-immobility
#15
Alexander T Hillel, Laureano Giraldez, Idris Samad, Jennifer Gross, Adam M Klein, Michael M Johns
IMPORTANCE: Voice quality-of-life (VQOL) and perceptual voice outcomes are presumed to worsen following posterior cordotomy with medial arytenoidectomy for bilateral vocal fold immobility (BVFI); however, subjective and objective voice outcomes are not well studied in this postsurgical patient population. OBJECTIVE: To evaluate VQOL and perceptual voice outcomes following posterior cordotomy with medial arytenoidectomy for BVFI. DESIGN, SETTING, AND PARTICIPANTS: Retrospective medical record review of 15 patients with BVFI who underwent posterior cordotomy with medial arytenoidectomy at a tertiary care academic hospital from 2009 to 2012...
August 2015: JAMA Otolaryngology—Head & Neck Surgery
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/26116942/regenerative-approach-to-velopharyngeal-incompetence-with-fat-grafting
#17
REVIEW
Riccardo F Mazzola, Giovanna Cantarella, Isabella C Mazzola
Surgical management of velopharyngeal incompetence (VPI) aims at improving voice resonance and correcting nasal air escape by restoring a competent velopharyngeal sphincter. Assessment of VPI requires the examination of multiple variables. The dynamic study of movements of the velopharyngeal port during speech and the quantification of the closure gap, using flexible videonasoendoscopy and/or videofluoroscopy, is essential. Autologous fat injection represents a minimally invasive alternative to major surgery in the management of mild to moderate VPI that minimizes the risk of complications and sequelae, and can be performed without modifying the anatomy of the velopharyngeal port...
July 2015: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/26156306/neck-circumference-and-vocal-parameters-in-women-before-and-after-bariatric-surgery
#18
Lourdes Bernadete Rocha de Souza, Leandro de Araújo Pernambuco, Marquiony Marques dos Santos, Rayane Medeiros Pereira
BACKGROUND: Morbidly obese patients may suffer from vocal disorders, as vocal production is directly related to the volume of the vocal tract, and the large-scale accumulation of fat in this region may interfere with voice production. The aim of this study was to analyze the neck circumference, fundamental frequency, and maximum phonation time of a group of morbidly obese women before and after bariatric surgery. METHODS: An observational, longitudinal, and descriptive study was performed with patients of the Obesity and Related Diseases Surgery Unit of a university hospital...
March 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26028541/wendler-glottoplasty-and-voice-therapy-in-male-to-female-transsexuals-results-in-pre-and-post-surgery-assessment
#19
Juan C Casado, Carlos O'Connor, María S Angulo, José A Adrián
INTRODUCTION: With the development of new ENT techniques, many male transsexuals who wish to become women usually request a surgical procedure to raise the fundamental frequency of the voice (feminization). The ENT specialist and the voice-therapist have to use an interdisciplinary approach to this growing social demand. The aim of this study was to show the results in a group of transsexual patients after Wendler's anterior synechiae, with additional voice-therapy treatment. METHODS: Ten male transexulas who wish to become women patients who had Wendler glottoplasty and voice-therapy were assessed...
March 2016: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/26043420/hoarseness-causes-and-treatments
#20
Rudolf Reiter, Thomas Karl Hoffmann, Anja Pickhard, Sibylle Brosch
BACKGROUND: Hoarseness (dysphonia) is the reason for about 1% of all consultations in primary care. It has many causes, ranging from self-limited laryngitis to malignant tumors of the vocal cords. METHODS: This review is based on literature retrieved by a selective search in PubMed employing the terms "hoarseness," "hoarse voice," and "dysphonia," on the relevant guideline of the American Academy of Otolaryngology -Head and Neck Surgery, and on Cochrane reviews...
May 8, 2015: Deutsches Ärzteblatt International
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