International journal of phonosurgery and laryngology最新文献

{"title":"Primary Laryngeal Amyloidosis: A Discussion of 10 Cases with a Review of the Literature","authors":"N. Nerurkar, A. Sapre, R. Gosavi","doi":"10.5005/jp-journals-10023-1159","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1159","url":null,"abstract":"Primary laryngeal amyloidosis is rare, accounting for 0.2 to 1.2 % of its benign tumors. However, it is the most common site in the upper aerodigestive tract for isolated primary amyloidosis. The most common symptom is hoarseness of voice, and depending on the extent of involvement, it may present with varying degrees of breathlessness. Diagnosis requires accurate histopathology using special staining by Congo red stain which demonstrates the typical apple-green birefringence when seen under polarized light. Diagnosis is often missed in the absence of special stains. Treatment requires as complete an excision as possible preferably with a laser. Periodic follow-ups are needed for the detection of recurrences. We present a series of 10 patients with primary laryngeal amyloidosis attending the voice clinic from March 2011 to February 2018, with a discussion of their management and a review of literature.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132813283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Voice Handicap Index Scores and Treatment Outcomes Between Professional and Non-professional Voice Users with Hoarseness","authors":"U. Menon, S. Sureshkumar","doi":"10.5005/jp-journals-10023-1150","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1150","url":null,"abstract":"","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133395822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphonia and its Correlation with Acoustic Voice Parameters","authors":"Kavita Sachdeva, T. Shrivastava","doi":"10.5005/jp-journals-10023-1151","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1151","url":null,"abstract":"Aim: To evaluate the laryngeal causes of dysphonia, correlation of acoustic voice analysis with Indirect laryngoscopic/ endoscopic findings in various voice disorders. Study design: Hospital based prospective observational study. Materials and methods: Forty patients attending the ear nose throat (ENT) outpatient department (OPD) at a Tertiary Care Government Hospital in one year, with dysphonia for more than 15 days were selected. History, examination, endoscopy, voice analysis was done. For consensus auditory-perceptual evaluation of voice (CAPE-V), the voice was analyzed under the following parameters: roughness, breathiness, strain, pitch, loudness, overall severity. Scores were given out of 100. For acoustic analysis, a computer-based software Praat was used based on jitter, shimmer, noise-harmonic ratio and mean pitch. Result: Benign lesions were most common in adults of age group 21 to 40 years, and malignancy in 41 to 50 years and 61 to 70 years; with male preponderance (4.7:1). Isolated vocal cord palsy (32.5%) was the most common lesion presenting with dysphonia, followed by malignancy (25%). Out of benign lesions, vocal polyp (10%) and nodule (10%) were the commonest, with equal incidence. On analyzing the voice, jitter and shimmer were found to be important parameters depicting the perturbation in frequency and amplitude, respectively. These parameters, indirectly, gave an idea about the vibratory motion of the vocal cords. On statistical analysis, jitter and shimmer showed significant direct correlation with the severity of dysphonia (jitter>shimmer). Noise to harmonic ratio (NHR) was raised in a significant number of dysphonic patients, with direct correlation with an increase in jitter. Although a significant relationship between the variation in mean pitch and CAPE V could not be established in this study; instrumental analysis was still useful in documentation and quantification of mean pitch in various dysphonic samples. Conclusion: Acoustic measurement of voice is a simple yet powerful tool to analyze the patients with dysphonic voice.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129749414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sulcus Vocalis: Our Experience","authors":"Soumitra Ghosh, Baisakhi Bakat, Abhishek Gupta, Sukamal Das, Chandan Saha, B. K. Roychaudhuri","doi":"10.5005/JP-JOURNALS-10023-1156","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1156","url":null,"abstract":"","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125425088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Age on Swallowing Parameters in an Electroglottographic Study","authors":"I. Chatterjee, A. Roychoudhury, Bhaskar Dey, Samriddha Kumar, A. Shahi","doi":"10.5005/JP-JOURNALS-10023-1152","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1152","url":null,"abstract":"Aim: To establish age as an essential factor in the assessment of swallowing Materials and methods: Sixty subjects were divided into two age groups (18 to 33 years and 55 to 70 years) and were further divided into males and females. Each subject was made to swallow four times each with different food consistency (dry, water, puree, and solid). The electroglottograph (EGG) was done during the swallowing process, and each swallow was depicted by a peak and a trough in the EGG. The X-axis in the EGG showed time while the Y-axis shows percentage amplitude. With the help of web plot digitizer software, the change in time and the change in percentage amplitude were obtained from the point of onset and offset of the peak and trough in the graph and the highest and lowest point on the peak and trough in the graph respectively. Results: A significant effect of age on dry swallow time and percentage amplitude, water swallow time and percentage amplitude, puree swallow time and percentage amplitude, solid swallow time and percentage amplitude was obtained. Conclusion: The results indicated that as age increased there was a significant increase in the change in time and a significant decrease in the change in percentage amplitude parameter. Clinical significance: Age should be considered as an important factor in the process of assessment of swallowing. The altered physiology with an increase in age should influence the clinician’s perception of normalcy and prognostic predictions.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127819783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between Voice Handicap Index and Voice Symptom Scale by Subjective Analysis of Voice Disorders","authors":"S. Joshi, Hemendra Bamaniya, Shiv K Vaishnav, H. S. Bhuie, R. Saxena","doi":"10.5005/JP-JOURNALS-10023-1153","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1153","url":null,"abstract":"","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127208632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle Tension Dysphonia—The Untold Story","authors":"A. Roychoudhury","doi":"10.5005/IJOPL-8-1-IV","DOIUrl":"https://doi.org/10.5005/IJOPL-8-1-IV","url":null,"abstract":"Human voice production involves coordinated functioning of the vocal folds and regulated airflow from the lungs to the oropharynx. A synchronized activity of respiratory, phonatory, resonatory and articulatory systems lead to the optimal phonatory outcome. Smaller intrinsic muscles and larger extrinsic muscles need to work in harmony, to produce voice, which is appropriate to age, sex, and society. The excessive tension of the laryngeal or extralaryngeal muscles or both result in suboptimal phonatory function. Muscle tension dysphonia (MTD) is a condition characterized by varying degree of dysphonia and other associated symptoms, primarily due to tension and uncoordinated activity of intrinsic and extrinsic muscles of the larynx. This is generally subdivided into primary and secondary type. In primary MTD, there is no structural or neurological abnormality associated with muscle tension. The secondary type usually occurs as a compensatory mechanism for underlying glottic insufficiency or mucosal lesion. On the other hand, long-term untreated MTD may itself turn out to be a precursor of phonotraumatic mucosal lesion. Earlier, these patients with vocal dysfunction with no apparent structural lesion or neurological dysfunction were stamped under the category of functional voice disorders. Subsequently, extensive work by many authors has led to the understanding of this complex condition. Evolution of classification has also resulted in the addition of a plethora of terminologies to the literature namely hyperfunctional dysphonia, muscle misuse voice disorder, musculoskeletal tension dysphonia, hyperkinetic dysphonia, laryngeal isometric disorder, laryngeal tension fatigue syndrome and many more. Finally, “muscle tension dysphonia” has emerged to be the universally accepted nomenclature. Multifactorial etiology of this condition is well established. Anxiety and stress, coupled with vocal abuse and misuse are the major causative factors; personality plays an important role. Besides, compensatory maladaptation for any structural lesion can lead to secondary MTD. An MTD, either primary or secondary is one of the most commonly encountered diagnoses in any voice clinic. Patients may present with a mild degree of hoarseness to extremely strained voice, along with odynophonia. A careful history of vocal demand and usage along with any history of underlying stress often provides diagnostic clue. External neck inspection is of paramount importance to detect the position of larynx and muscle tension during phonation. Palpation of suprahyoid, thyrohyoid and cricothyroid space usually elicits tenderness of specific muscles, even at rest. The endolaryngeal examination should ideally be done with a flexible nasolaryngoscope, to detect supraglottic muscle tension during the larynx in action. Stroboscopy helps identify any associated mucosal lesion leading to MTD. Intrinsic muscle tension at the supraglottic or glottic level is usually graded on the basis of various","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133513679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Laser Cordotomy Versus Coblator Cordectomy: Our Experience in Managing Bilateral Abductor Paralysis","authors":"A. Sethi, A. Mishra, D. Sethi","doi":"10.5005/JP-JOURNALS-10023-1154","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1154","url":null,"abstract":"Introduction: Bilateral abductor vocal fold paralysis is a potentially challenging surgical entity. Various surgical options have been proposed for managing this condition. The present study aims to share our experience of using two established surgical modalities in managing this condition. Study design: Retrospective review. Setting: Tertiary health care center. Materials and methods: Twenty-three consecutive patients meeting inclusion criteria undergoing posterior cordotomy using CO2 laser (n = 9) and posterior cordectomy using coblator (n = 14) were included in this study. Preoperative subjective voice analysis was done and compared with measurements at 6 months post procedure. Parameters studied included voice handicap index (VHI), the need for repeat procedures, the effect of decannulation and subjective improvement in respiratory distress. Results: In all the patients undergoing these surgical procedures, there was a significant improvement in the airway as adjudged by the postoperative subjective improvement in respiratory distress (in five non-tracheostomized patients) and uneventful decannulation (in 18 tracheostomized patients). However, there was no statistically significant difference in either of the two techniques. The postoperative VHI scores showed no statistically significant difference with the preoperative assessment using either of the techniques. Two of the patients in the CO2 laser group and one patient in the coblator group required the procedure to be repeated owing to recurrence of respiratory distress. Conclusion: Both CO2 laser-assisted posterior cordotomy and coblator assisted posterior cordectomy are safe and efficacious options for the management of compromised airway secondary to bilateral abductor paralysis of vocal folds with comparable outcomes.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124861998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Neuromuscular Electrical Stimulation on Neurological Pharyngeal Dysphagia","authors":"J. Roy, A. Roychoudhury, Bhaskar Dey, R. Pradhan, Abhijith N. Das, Susmita Ghosh","doi":"10.5005/JP-JOURNALS-10023-1155","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1155","url":null,"abstract":"This study was done to find the effectiveness of neuromuscular electrical stimulation (NMES) over anterior neck muscles. Sixteen patients, age range 50 to 80 years with pharyngeal dysphagia of neurological origin were included for study. A similar age-matched control group of 16 patients was taken from medical records. Detailed history, clinical assessment, investigations that are a flexible endoscopic evaluation of swallowing (FEES) and videofluoroscopic study of swallowing (VFS) was done. Subjective response (percentage of total diet taken orally) and penetration-aspiration scale (PAS) score at the beginning of treatment were noted. NMES was given to the study group along with swallow therapy. The suprahyoid muscles were stimulated regularly for 2 weeks. The reassessment was done after 2 weeks. The control group received only swallow therapy but no NMES. The results of the control group were also noted. Changes in the percentage of the total quantity of diet taken orally were asked. Upgradation in PAS score was assessed using FEES and VFS. The satisfactory improvement was found within 2 weeks in the study group. This took about 2 months in the control group. Hence, NMES was found to be an effective tool for dysphagia management.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131193471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fungal Laryngitis in Immunocompetent Individuals: Not so Uncommon","authors":"A. Sapre, R. Gosavi","doi":"10.5005/JP-JOURNALS-10023-1147","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1147","url":null,"abstract":"Fungal laryngitis (FL) in immunocompetent individuals has been described as a rare entity. Management of 11 cases of suspected isolated FL in immunocompetent patients is discussed. Fungal laryngitis was suspected if white smooth plaques with surrounding inflammation were seen on the larynx. Suspected patients were given 200 mg OD oral fluconazole for 3 to 4 weeks. In those who showed no improvement at 2 weeks, complete excision of the lesion was performed (five patients). Eight patients gave history of having received a course of oral steroids, one of inhaled steroids. The average erythrocyte sedimentation rate (ESR) of the patients was 42.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122050870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}