International journal of phonosurgery and laryngology最新文献

{"title":"Rigid Endoscopic Examination of Neonatal Larynx in OPD as a Screening Procedure","authors":"Harish Chandra Reddy Pingili, S. Kumar, P. Murthy","doi":"10.5005/JP-JOURNALS-10023-1042","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1042","url":null,"abstract":"Objectives/hypothesis: To describe a novel method of examination of neonatal larynx, using a 70° rigid 4 mm fiber optic endoscope in OPD as a screening procedure for evaluation of neonatal stridor/hoarse cry. Study design: Examination technique and safety profile of a novel method of examination of neonatal larynx in OPD using widely available 70° rigid 4 mm endoscope. Results: Ten neonates, underwent laryngoscopy as described below, whose age and weight in kilograms were recorded. The pulse rate, O2 saturation levels and mean arterial pressure were recorded during the procedure to know the effect of the procedure on hemodynamics and respiration of the neonates. Time taken for the procedure for satisfactory view of larynx is also recorded and tabulated. Conclusion: The novel method of examination of neonatal larynx using 70° 4 mm rigid endoscope in OPD/ward is a safe procedure and gives excellent view/recording of neonatal larynx in its native anatomical and functional status.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124024625","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":"Supraglottic Laryngeal Paraganglioma: A Rare Clinical Entity Managed by Lateral Pharyngotomy Approach","authors":"Sudhir M. Naik, P. Murthy","doi":"10.5005/JP-JOURNALS-10023-1041","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1041","url":null,"abstract":"Background/objectives: Laryngeal paragangliomas are benign slow growing tumors with symptoms resembling squamous cell carcinoma. Hoarseness or dysphasia is the commonest presenting symptom and usually it presents as a submucosal mass on laryngoscopy. A total of 90% of these tumors occur in the supraglottic larynx and the rest in the glottis and the subglottic region. Functional activity is seen in a few (2.9%), none are associated with paraneoplastic syndromes. Setting: Department of Head and Neck Oncosurgery, Kidwai Memorial Institute of Oncology, Bengaluru. Case report: A 35-year-old male presented to us with hoarseness of voice since 4 months duration. Contrast arteriography demonstrated that the left superior thyroid artery supplied greater than 80% of the blood supply to the laryngeal mass. Superselective embolization was done from the right femoral under local anesthesia and sedation which was uneventful. Intervention: The tumor was excised from lateral pharyngotomy approach with an elective tracheostomy. Microscopy suggested it to be paraganglioma and immunohistochemistry confirmed it. Conclusion: Complete surgical resection or partial laryngectomy with meticulous dissection of surrounding tissues and preservation of neurovascular structures give an excellent prognosis as far as oncological clearance is concerned. Malignant paragangliomas of the larynx are rare and a major meta-analysis is necessary to provide a true biological behavior of this tumor.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126272572","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":"Anaplastic Lymphoma Kinase-positive Primary Diffuse Large B-cell Lymphoma of the Larynx: A Rare Clinical Entity","authors":"Sudhir M. Naik, A. Nanjundappa, Rajshekar Halkud, C. Premlatha, C. Ramarao, L. Appaji, S. Gupta, P. Murthy","doi":"10.5005/JP-JOURNALS-10023-1038","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1038","url":null,"abstract":"Background: Primary lymphomas amount to less than 1% of the primary laryngeal tumors. It is the second most common primary hematologic tumor of the larynx after plasmacytoma. Although squamous cell carcinoma amounts to 90% of the laryngeal tumors, diagnosis of laryngeal lymphoma is very important as nonsurgical management is indicated in all stages of this disease. Case report: A case of 10-year-old boy with hoarseness of voice with direct laryngoscopic biopsy reported as diffuse B-cell lymphoma. The sections were positive for epithelial membrane antigen (EMA), LCA, CD138, CD4 and Mum1 and ALK. He was managed under MCP 842 protocol. He had complete response after the treatment and was symptom free after 13 months of therapy. Conclusion: Primary laryngeal lymphoma is a rare entity and should be managed with current chemotherapeutic protocol. Differentiating it between squamous cell carcinoma is important as management protocol in lymphoma is nonsurgical. Aid of immunohistochemistry helps in early diagnosis and management of these cases.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131862032","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":"Lasers in Laryngology; Current Status","authors":"K. Handa","doi":"10.5005/IJOPL-1-2-VI","DOIUrl":"https://doi.org/10.5005/IJOPL-1-2-VI","url":null,"abstract":"","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128559527","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":"Evolution of Phonosurgery with its Inception and Progress in India","authors":"V. Phaniendrakumar","doi":"10.5005/ijopl-1-1-vi","DOIUrl":"https://doi.org/10.5005/ijopl-1-1-vi","url":null,"abstract":"Successful phonosurgical treatment commenced with the injection of substances into the paraglottic space in cases of paralytic dysphonia. Burning introduced injection technique for unilateral vocal fold paralysis in 1911 using intracordal paraffin by means of a novel injecting device that he designed. It was not until the 1950s to 1960s, however, when Arnold championed injection medialization that it become the mainstay of phonosurgical treatment for paralytic dysphonia. Medialization of the vocal fold edge by means of neural reinnervation (phrenic or descending hypoglossal to recurrent laryngeal nerve) was introduced by Balance in 1924 and advanced in recent years by Tucker and Crumley. Although this approach has not become mainstream, it has significant promise for the future.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131267653","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":"Pinch, Burn, Cut Parathyroid-sparing Thyroidectomy Saves Recurrent and Superior Laryngeal Nerves Conventional Thyroidectomy, Pinch, Burn, Cut Surface Thyroidectomy and Harmonic Scalpel Compared","authors":"Raghavendra Prasad, J. Rao, M. Hameed, P. Murthy","doi":"10.5005/jp-journals-10023-1104","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1104","url":null,"abstract":"","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125102756","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":"Videostroboscopy in Laryngopharyngeal Reflux Disorder","authors":"S. Raghunandhan, Jawahar Nagasundaram, K. Natarajan, S. Prashanth, M. Kameswaran, P. Murthy","doi":"10.5005/JP-JOURNALS-10023-1013","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1013","url":null,"abstract":"Introduction: Acid reflux disease of the larynx has been established as a separate clinical entity in the present day, requiring the nuances of a skilled laryngologist for its early diagnosis and appropriate management. Clinical presentations of laryngopharyngeal reflux disorder may vary from very subtle to mammoth proportions, ranging across a panorama of features like chronic laryngitis, indolent laryngeal ulcers or granulomas, onto life-threatening glottic/sub-glottic stenosis and laryngeal malignancies very rarely. With the advent of videostroboscopy, laryngologists have now acquired a ‘cutting-edge’ sensitive tool to look into the intricacies of the larynx and thereby study the pathological effects of laryngopharyngeal reflux in great detail. Objective: To assess the efficacy of videostroboscopy with voice analysis, as a diagnostic and prognostic tool in a cohort of patients with laryngopharyngeal reflux disorder. Study method: This prospective study was conducted over a two-year period, among 50 patients with hoarseness of voice and features of reflux laryngitis, who underwent videostroboscopy with voice analysis at initial diagnosis and at routine follow-up, to objectively study the response and outcome of anti-reflux therapy on the larynx. Observation and result: Videostroboscopy provided a vivid picture of the changes in larynx due to chronic acid reflux and proved efficacious in precisely judging the treatment responses. Conclusion: Our study reflects the recent concept highlighted in world literature that videostroboscopy is an ideal, sensitive tool for early diagnosis and in prognosis of acid induced laryngeal disorder.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126833794","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":"Glottic Papilloma in Pregnancy","authors":"R. Mittal, H. Verma, N. Mathur, H. S. Bhuie, P. Murthy","doi":"10.5005/JP-JOURNALS-10023-1080","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1080","url":null,"abstract":"Respiratory papilloma (RP) is the most common benign neoplasm of the larynx, both in children and in adult. The etiology of recurrent respiratory papilloma is human papilloma virus (HPV), which has propensity to lay in normal epithelium, hence the high rate of recurrence. We report a case of an adult onset large glottic papilloma seen in a female with 3rd trimester pregnancy, which was excised under microscope under local anesthesia. The effect of pregnancy and latest modalities of treatment are discussed in this article.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116012873","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":"Reliability and Validity of a Questionnaire to Assess Swallowing Disorders in Parkinson’s Disease Cases","authors":"U. Menon, S. Radhakrishnan, K. Sundaram, P. Murthy","doi":"10.5005/JP-JOURNALS-10023-1127","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1127","url":null,"abstract":"Introduction: Swallowing problems have significant subjective component. Their evaluation necessitates the use of questionnaires to know both extent of symptoms and effect on quality of life. These should be designed to get maximum information with minimum trouble to the patient. Parkinson’s disease (PD) involves swallowing disorder as a symptom, often unreported. Hence, this needs to be assessed separately. Aim: To develop a questionnaire, in the vernacular, to check for the presence of swallowing problems in PD patients and to study its reliability and validity. Materials and methods: We developed an 11-item questionnaire in English, modeled on the Tel Aviv swallowing disturbance questionnaire (SDQ), chosen for its brevity. This was translated into the vernacular (Malayalam, native tongue of the state of Kerala in India) and administered to patients (n = 106) attending the weekly PD clinic of a tertiary care center, in consultation with the attending n in charge of movement disorder patients. The same questionnaire was also administered to age-matched controls (patients without any swallowing disorders) (n = 63) attending the ear, nose, and throat (ENT); neurology; and geriatric clinics. The scores were documented and statistical analysis done, to check for internal reliability and validity. Results: Comparison of mean total scores between cases (2.89) and controls (1.51) showed a statistically significant difference, indicating statistical validity (p = 0.009). Guttman’s split-half correlation showed fairly good reliability for both cases (0.812) and controls (0.851). Conclusion: The present questionnaire to assess dysphagia in PD patients has been found to be reliable and valid for use. We recommend it as a screening tool in the neurology outpatient department (OPD). RESEARCH ARTICLE 1Associate Professor, 2,3Professor 1Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala India 2Department of Neurology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi Kerala, India 3Department of Biostatistics, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi Kerala, India Corresponding Author: Unnikrishnan Menon, Associate Professor, Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham Kochi, Kerala, India, Phone: +919447831755, e-mail: unnikrishnanmenon8@gmail.com 10.5005/jp-journals-10023-1127","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129631753","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 Laryngotracheal Stenosis by Laryngoplasty","authors":"G. Murthy, R. Bhimeshwar, M. V. Kumar, P. Murthy, S. U. Chanukya","doi":"10.5005/JP-JOURNALS-10023-1061","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1061","url":null,"abstract":"This is a prospective study done on six cases of laryngotracheal stenosis. They were operated by laryngoplasty with muco­ perichondrial grafting stenting (temporary and permanent). The purpose of the study was to determine the role of laryngoplasty in the treatment of acquired subglottic stenosis. In this study, six patients who presented to the Government General Hospital from March 2011 to April 2012, with subglottic stenosis were enrolled. The details of their etiology, time period with endotracheal intubation, duration between extubation and onset of symptoms, treatment and postoperative recovery on follow­up were recorded and analyzed. It was found that laryngoplasty with cartilage grafting along with T­tube or Dumonts silicone stent placement carries good success rate, with no recurrence.","PeriodicalId":258448,"journal":{"name":"International journal of phonosurgery and laryngology","volume":"308 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116344987","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}