International journal of phonosurgery and laryngology最新文献

{"title":"A Rare Case of Herpes Zoster with Pharyngolaryngeal, Facial, and Vestibulocochlear Nerve Involvement","authors":"Nitty Mathew, R. Suresh, Ganamukhi M Shivaputra, S. Hasan","doi":"10.5005/JP-JOURNALS-10023-1149","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1149","url":null,"abstract":"Herpes zoster virus (HZV) infection can present as various symptoms according to site of involvement. We present a case of herpes zoster with multiple cranial nerve palsies. Patient presented with initial symptoms of otalgia, dysphagia and odynophagia. Her condition progressed to herpetic rashes over the ear, facial nerve palsy,sensorineural hearing loss and vocal cord paresis. All the lesions tended to lateralize to the right side.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"29 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":"116354398","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":"Evaluation of Validity of Voice Handicap Index among Indian Population","authors":"Deepti D Sapkale","doi":"10.5005/JP-JOURNALS-10023-1145","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1145","url":null,"abstract":"Introduction: The field of voice disorders has seen numerous advances in diagnostic and therapeutic modalities in the recent past. Unfortunately, none of these assessments reflects the “true” suffering of the patients or the level of handicap that a patient is suffering from as a result of the voice disorder. Aims and objectives: (1) To compare Voice Handicap Index (VHI) of normal person with VHI of patient with change in voice. (2) To compare VHI of different conditions of change in voice. Materials and methods: The study is a prospective cohort study with 100 subjects enrolled in the cases or the dysphonic group and 100 patients enrolled as controls. Both the study groups were then asked the VHI questionnaire. The VHI consists of questions on how the voice change has affected the patient’s daily routine life and how the functional, physical, and emotional aspect of voice is impaired is checked. Results: Among gender analysis, females had high VHI scores along with VHI subscales in both dysphonics and control group. Among the vocal cord lesions, the VHI scores and subscores were compared. The mean VHI score was maximum in patients with Reinke’s edema, then in case of vocal cord polyp, followed by vocal cord palsy, vocal cord cyst, vocal cord nodules, vocal sulcus, and least was in cases of vocal cord varix. Conclusion: The VHI questionnaire is a brief, relevant, and valid self-rating questionnaire to add to the routinely used clinicians’ assessment battery to contribute to the complex decisionmaking process (diagnosis, therapy, counseling) and outcome.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"10 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":"116592569","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":"Role of Reflux Symptom Index and Reflux Finding Score in Evaluation of Treatment Outcome in Patients with Laryngopharyngeal Reflux","authors":"A. Bhargava, P. Varshney, S. Saxena, M. Shakeel, Amit Srivastava, E. Agarwal","doi":"10.5005/jp-journals-10023-1141","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1141","url":null,"abstract":"","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"56 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":"122164175","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":"Epidemiological Profile of Larynx Cancer at a Tertiary Care Center in Faridkot, Punjab, India","authors":"Jyoti Singh, J. Davessar, N. Arora","doi":"10.5005/JP-JOURNALS-10023-1143","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1143","url":null,"abstract":"Introduction: Head and neck cancer constitutes about 5 to 50% among all the cancers found in the world. In India, head and neck cancer constitutes about 30% of all the cancers, and laryngeal cancer is the second among all head and neck cancers. A high percentage of laryngeal cancers have been linked to tobacco and alcohol use. Smoking is considered as a major risk factor for laryngeal carcinoma, with alcohol use having synergistic effect. The purpose of our study is to highlight the incidence according to age and sex, site of distribution, risk factors involved, and clinical stage at presentation of the laryngeal cancer. Materials and methods: It is a cross-sectional study conducted from January 2014 to November 2014. Patients in the age group 21 to 70 years, of either gender, with a histologically proven malignancy of larynx presenting to the ear, nose, and throat (ENT) outpatient department were enrolled in the study. Patients were observed for age and sex distribution, tumor staging, location and metastasis, commonly associated risk factors, and most common site involved by the disease. Results: Laryngeal cancers are seen more commonly in males than females. It is seen most commonly in the age group of 51 to 60 years. Supraglottis is the commonest site involved. Synergistic history of smoking and alcohol intake was the most significant risk factor associated. T1 and T2 is the most common primary T stage. Neck metastasis occurs most commonly at N2 stage. The most commonly involved lymph node level is level 2. Conclusion: We conclude that laryngeal cancers most commonly involve supraglottic region, present at advanced age with synergistic smoking and alcohol intake being the most common risk factor involved, and mostly presents with advanced neck metastasis due to late case presentation, subsequently decreasing the 5-year survival rate by about 50%. Hence, there is a great need to create awareness about the signs and symptoms of laryngeal cancers, especially among local doctors practicing in villages so that the patients can be referred to a qualified ENT doctor as soon as possible.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"7 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":"133345333","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":"Pleomorphic Sarcoma of Larynx","authors":"D. Khosla, H. Verma, Shilpi Budhiraja, P. Agrawal","doi":"10.5005/JP-JOURNALS-10023-1148","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1148","url":null,"abstract":"Background: Malignant fibrous histiocytoma (MFH) is a malignant type of sarcoma with uncertain origin and it may arise from bone and soft tissue. In 3% cases it involves head and neck and it is rare in larynx. Case report: We present a rare case of a 55-year-old male diagnosed as pleomorphic sarcoma (PS) of larynx. Conclusion: Plemorphic sarcoma, commonest subtype of MFH, should be kept in mind as a differential diagnosis in aggressive tumors of larynx. Clinical significance: Pleomorphic sarcoma of larynx may be diagnosed as rare tumor of larynx and may need aggressive treatment.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"5 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":"122920648","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":"Successful Treatment of Dysphagia in a Case of Lateral Medullary Syndrome","authors":"J. Roy, Bhaskar Dey, R. Pradhan, Susmita Ghosh, Samriddha Kumar, Abhijith N. Das","doi":"10.5005/JP-JOURNALS-10023-1146","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1146","url":null,"abstract":"Background: Lateral medullary syndrome is a known cause for apraxia, dysarthria, and dysphagia. It is caused by lesion in the posterolateral area of the medulla oblongata. Dysphagia, being a life-threatening condition, deserves immediate attention of the medical team and is of prime concern to Speech Language Pathologists (SLPs). Aim: The aim of the study was to document a successful case of dysphagia management in lateral medullary syndrome (LMS). Case report: This study documents a successful management of dysphagia in an individual with LMS. Assessment (perceptual and instrumental) showed reduction of peripheral capillary oxygen saturation (SpO2) during feeding, slow laryngeal elevation with pooling of food and saliva in bilateral pyriform fossa, along with a high risk of penetration followed by aspiration. Weak tongue movement and improper lip closure were observed. Combinations of manual therapy and compensatory techniques were used for treating dysphagia. Oromotor exercises and respiratory exercises were used along with supraglottic maneuver, Masako maneuver, chin-tuck with effortful swallow, and Shaker’s exercise. Within 2 weeks of initiation of swallow therapy, the subject could start safe oral intake with pureed food and maintain normal SpO2 level during feeding. Conclusion: This case report demonstrates that dysphagia in LMS can be successfully treated with appropriate selection of combination of techniques in swallow therapy. Supraglottic swallow, Masako maneuver, chin-tuck, and Shaker’s exercise were found effective in this case study. We further conclude that early initiation of therapy is the key to faster recovery. Clinical significance: It is often seen in many of the patients with LMS that they end up with either Rhyle’s tube or percutaneous endoscopic gastrostomy (PEG) tube feeding until complete recovery. This case report highlights the importance of early initiation of therapy and combination of swallowing therapy techniques in order to avoid prolonged artificial tube feeding in these patients. Case RePORt 1,2,4Speech Swallow Pathologist, 3Consultant, 5,6Director 1,2,5,6Department of Neurology, AMRI Hospitals Mukundapur Kolkata, West Bengal, India 3Department of ENT, AMRI Hospitals Mukundapur, Kolkata West Bengal, India 4OKTO Health Care Unit, Kolkata, West Bengal, India Corresponding Author: Bhaskar Dey, Speech Swallow Pathologist, Department of Neurology, AMRI Hospitals Mukundapur, Kolkata, West Bengal, India, Phone: +917980182679 e-mail: dj.bd2009@gmail.com 10.5005/jp-journals-10023-1146","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"61 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":"123309339","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":"Management of Unilateral Vocal Cord Palsy: Case Series with Review of Literature","authors":"Priyanka Hardikar, J. Dabholkar, R. Vasan, N. Sathe","doi":"10.5005/JP-JOURNALS-10023-1144","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1144","url":null,"abstract":"Aim: To find out the vocal outcome of conservative management and temporary medialization in unilateral vocal cord palsy (UVCP) and their effectiveness in reducing the need for permanent medialization. Materials and methods: Thirty adult patients with UVCP, without structural vocal cord lesion or laryngeal malignancy were initially treated conservatively, and those without adequate response at 3 months were treated with temporary medialization. They were followed up for 6 months. Preand posttreatment voice was compared using grade, roughness, breathiness, asthenia, strain (GRBAS) scale, Voice Handicap Index (VHI), and maximum phonation time (MPT). Results: The results show 40% cases were idiopathic, whereas 33.33% had iatrogenic cause, majority, following thyroidectomy; 66.67% responded well to the conservative management. Ten patients (33.33%) did not show satisfactory improvement in the first 3 months and were treated with temporary medialization. Both the groups were comparable at the first visit. At 6 months, the improvement in all parameters was significantly more in the temporary medialization group than the conservative management group compared with their values at 3 months. Two of the 10 patients treated with injection laryngoplasty were considered for permanent medialization. The final outcome was similar in both the groups. Conclusion: Conservative management of UVCP is the standard of care. Injection laryngoplasty at 3 months achieves better voice outcome in those not fully improved by conservative management. Medialization thyroplasty should be suggested in patients failing to show the desired improvement after injection laryngoplasty. Clinical significance: The study guides in the management of UVCP, in terms of its likely cause and approach to treatment.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"30 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":"126744517","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":"Combined Endoscopic and External Surgical Approach for Lateralization of Vocal Cord in Bilateral Abductor Palsy using Suture Technique: Our Experience","authors":"Ramesh Babu, K. Chaitanya, L. Kumar","doi":"10.5005/JP-JOURNALS-10023-1142","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1142","url":null,"abstract":"Introduction: Bilateral vocal cord paralysis is a rare but dangerous condition which results in shortness of breath and poor quality of voice. Only patients with severe bilateral vocal cord immobility require surgical intervention. In the present study, we describe the procedure of combined endoscopic and external surgical approach for lateralization of vocal cord in bilateral abductor palsy. Objective: The objective of this study is to analyze the surgical outcome of combined endoscopic and external surgical approach for lateralization of vocal cord using suture technique in bilateral abductor palsy. Materials and methods: An observational study was conducted on 17 patients presenting in ENT Department during May 2014 to July 2016 with laryngeal lesions of bilateral abductor palsy with posterior glottic chink of 3 mm or less, stridor at rest, and significant limitation of physical activity due to airway narrowing. Observations: In the present study, we have performed suture lateralization of vocal cords in 17 patients. Of these, 11 (64.70%) were female and 5 (29.41%) were male with slight female preponderance. Mean age of performing procedure was 39 years with the patients in age group of 18 to 60 years. When clinical etiology of the patients leading to bilateral vocal cord palsy was observed, patients presenting with postsurgical causes appeared to develop bilateral vocal cord palsy in 47.05% of patients. During the study, it was observed that improvement in respiration was adequate in 16 (94.11%) patients, and voice quality was socially acceptable in 16 (94.11%) patients. Discussion and conclusion: Surgery of laterofixation can provide immediate and long-lasting adequate airway and can be considered as minimally invasive with minimal alterations to laryngeal mucosa and subsequent preservation of laryngeal functions. This procedure appears efficient in management of bilateral vocal cord palsy.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"28 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":"115027545","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":"Dysphagia — Finally getting the Attention It needed","authors":"J. Menon","doi":"10.5005/IJOPL-7-1-IV","DOIUrl":"https://doi.org/10.5005/IJOPL-7-1-IV","url":null,"abstract":"","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117337314","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":"Contribution of Different Tastes on 100 mL Water Swallow Test","authors":"D. Thejaswi, Sukriti Kunwar, Biya Mathew","doi":"10.5005/JP-JOURNALS-10023-1115","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1115","url":null,"abstract":"Introduction: The complex sensory motor activity of swallow consists of transferring food from the mouth to the stomach. Several evidences on swallow biomechanics reveal different tastes leading to variations in swallow. However, there exists dearth of studies exploring this area using simple noninvasive effective procedure like 100 mL water swallow test. Aims: The present study focused to observe swallow ability across 100 mL neutral, sweet, salt, sour, and bitter liquids in healthy young adults. Materials and methods: A total of 30 healthy adults within the age of 18 to 23 years participated. All were given lukewarm neutral, sweet, sour, salt, and bitter tastes to swallow individually in a handheld 120 mL cup. Simultaneously, the clinician monitored total time taken to swallow and number of hyolaryngeal movements to calculate volume per swallow, time per swallow, and swallow capacity. Subjects also ingested 10 mL of each taste to estimate the taste threshold which were rated on a minima of 0point to a maxima of 10-point visual analog scale. Results: Statistical test and repeated measures of Analysis of Variance (ANOVA) revealed no significance at 95% confidence level. However, clinical difference was noted with neutral taste having highest volume per swallow, increased swallow capacity, and least time per swallow. Following this, sweet taste had higher volume per swallow and swallow capacity while sour taste had increased time per swallow. Conclusion: The present study helps in understanding the wide dynamic nature of swallow which modulates the physiology as per the bolus ingested.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133744574","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}