{"title":"Usefulness of the reflux symptom index in laryngopharyngeal reflux","authors":"S. Thejas, G. Rajamohan, M. Sindu, K. Swarna","doi":"10.4103/jlv.JLV_11_20","DOIUrl":"https://doi.org/10.4103/jlv.JLV_11_20","url":null,"abstract":"Introduction: Laryngopharyngeal reflux (LPR) is highly prevalent in the general population and its impact on health systems is growing dramatically by the day. The term reflux means back flow. The contents of the stomach flowing back into the esophagus, pharynx, and larynx because of a transient relaxation of the lower esophageal sphincter cause of a spectrum of symptoms diagnosed with LPR and gastroesophageal reflux disease. Aims and Objectives: To study in detail the symptoms caused in LPR and to ascertain if and how they hamper the routine of an individual by using the reflux symptom index (RSI). Materials and Methods: The RSI is a self-administered nine-item outcomes instrument for LPR. Ninety-one patients with clinically diagnosed LPR were taken up for this study and were issued the RSI (translated into the local language for better results) before and after treatment. Data were assessed at the end of 3 months and 6 months. Observations and Results: The tabulated data showed significant improvement in the symptomatic index after treatment. Conclusion: It can thus be concluded that RSI is still highly valid in the follow-up for patients with LPR because of it can be easily administered and gives excellent validation for accurate results.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129079159","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}
Kamalpreet Singh, A. Mishra, Arun Gupta, Amrindarjeet Kour
{"title":"Concomittant epiglottic and multiple vallecular cyst: An exceptioally rare case report","authors":"Kamalpreet Singh, A. Mishra, Arun Gupta, Amrindarjeet Kour","doi":"10.4103/jlv.jlv_13_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_13_20","url":null,"abstract":"Laryngeal cysts are rare and are often diagnosed incidently as majority of the patients are symptom free or have nonspecific complaints. Here, we describe single large epidermoid inclusion epiglottic cyst and multiple small mucosal retention vallecular cysts presenting concomitantly which has not been described previously in literature.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114614338","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":"Etiology of unilateral vocal cord paralysis: A 16-year retrospective review","authors":"S. Gandhi, S. Bhatta, Nilanjan Bhowmick","doi":"10.4103/jlv.jlv_18_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_18_20","url":null,"abstract":"Introduction: Vocal fold paralysis is a common clinical entity. Vocal fold immobility is defined as the restriction of movement of the vocal folds secondary to neuropathy or mechanical fixation. Neurogenic immobility may result from damage to the vagus and recurrent laryngeal nerve. Unilateral vocal cord paralysis (UVCP) is a highly variable clinical entity that warrants a thorough evaluation to assess the functional status of the larynx and to determine the etiology. Vocal fold paralysis is a sign of an underlying disease, not a disease in itself, and finding its etiology determines its prognosis and management options. Aims and Objectives: To study the etiology of unilateral vocal cord paralysis in patients in a tertiary referral centre Materials and Methods: The present study was conducted in a tertiary referral center between January 2003 and December 2019. A retrospective review of the case records of all patients diagnosed with UVCP who presented to us was carried out. A total of 435 cases who met the inclusion criteria were considered. The etiology of UVCP was determined using history, examination and appropriately directed investigations. Observation and Results: The most common identifiable cause of UVCP in our study was found to be surgical trauma, followed by non laryngeal malignancies. Conclusion: Though surgical trauma has been found to be the most common etiological factor in UVCP, a large proportion of patients had idiopathic UVCP and further research as to the pathophysiology of these cases is warranted.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126032855","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 paan masala on voice parameters","authors":"K. Sandhya, N. Priyanka, C. Chethan","doi":"10.4103/jlv.JLV_6_20","DOIUrl":"https://doi.org/10.4103/jlv.JLV_6_20","url":null,"abstract":"Introduction: Ingestion of paan masala (a mixture of areca nut with catechu, slaked lime, and added flavoring agents) is one of the means of smokeless tobacco usage which can also have adverse effect on voice such as dryness in vocal folds which in turn may result in depletion of mucosal layer of the vocal folds. Aim: Aim of the study was to investigate the consequence of paan masala usage on voice parameters and to compare the acoustic parameters amid two groups who were paan users and non paan users respectively. Method: A total of 120 samples (3 trials of phonation of sustained vowel /a/) were obtained from male participants between age ranges of 18 – 40 years. 60 recordings were taken from 20 individuals who indulged in intake of paan masala from past 5-10 years. Another 60 recordings were from 20 individuals who were non paan masala users. The recorded samples were subjected to two types of analysis viz. perceptual evaluation was carried out by 10 qualified speech language pathologists based on standardized voice rating scale and acoustic analysis was done using clinically acceptable software. Results: Results of perceptual analysis indicated increased breathiness which was supported by acoustical NNE. Greater values in jitter, shimmer and Normalized Noise Energy (NNE) in paan users indicates of being at risk of having vocal pathologies. These parameters of voice had a significant difference between paan users and individuals who do not consume paan. Conclusion: The results do indicate that consumption of paan poses an impending threat to voice which is evident in abnormal acoustical findings and it is essential for people to be aware of the consequences of devouring paan for mere pleasure of minutes.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124925958","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":"Acquired subglottic stenosis in a child: A diagnostic dilemma","authors":"P. Saravanam, S. Eswaran, N. Zaffrullah","doi":"10.4103/jlv.jlv_12_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_12_20","url":null,"abstract":"The most common benign cause of laryngotracheal stenosis is postintubation injury caused by mechanical ventilation in intensive care units. The incidence of postintubation laryngotracheal stenosis in pediatric population is found to be 11.3%. In this report, we present a case of Soft Subglottic Stenosis(SGS) following recurrent intubation in a 3 year old child. Elective tracheostomy and serial dilatation with tracheal intubation stylets was performed which resulted in significant improvement of airway and the child was successfully decannulated. This case report highlights the importance of high index of suspicion in diagnosis of postintubation SGS in a child and reviews the literature in regard to challenges that are faced during evaluation and management of children presenting with stridor.A","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130387453","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":"New frontiers of nerve regeneration in ear, nose, and throat surgery","authors":"H. Raja, S. Anastasiadou, A. Sultana","doi":"10.4103/jlv.jlv_20_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_20_20","url":null,"abstract":"Nerve injury is common in various specialties. Apart from the traditional end-to-end direct repair in limited nerve injuries, there are many new techniques that are being investigated worldwide. At the moment, synthetic nerve grafts, called scaffolds, made by tissue-friendly materials and covered by different kinds of cells such as Schwann cells or stem cells are being tested. In order to maximize the tissue integration and accelerate the nerve regeneration, various nerve growth factors are being used as well with promising results. Otolaryngology patients will certainly benefit from most of these techniques as facial nerve, recurrent laryngeal nerve, ear hair cells, and other kinds of nerves could be generated using innovative treatments in the future. The aim of this article is to review the main advancements in ear, nose, and throat (ENT) nerve regeneration. A literature review was performed in PubMed and Medline databases using the following keywords: nerve regeneration, neuroregeneration, otolaryngology, ENT, head, and neck. A significant number of articles and reviews were found as well as trials on nerve regeneration in otolaryngology. Many different techniques are being investigated currently in order to regenerate damaged nerves. It is a very complex procedure as it requires axonal regrowth in the correct direction as well as sensory and motor function restoration to full. The gold standard nowadays remains the end-to-end primary repair; nevertheless, there are various other methods with very promising results.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122564659","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}
A. Ramavat, N. Hage, Manjul Muraleedharan, N. Panda
{"title":"Low-cost modified face shield for safe outpatient fiberoptic laryngoscopy amid COVID-19 pandemic: An innovation","authors":"A. Ramavat, N. Hage, Manjul Muraleedharan, N. Panda","doi":"10.4103/jlv.jlv_15_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_15_20","url":null,"abstract":"Healthcare professionals globally are facing challenges with the on-going COVID-19 pandemic. Otolaryngologists are at a higher risk of exposure to aerosols from potential sources. Innovations to mitigate aerosols and deliver optimum patient care are the need of the hour. We aim to highlight a modified face shield that can be safely used for outpatient fiberoptic laryngoscopy.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121561357","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}
Neeraj Kumar, Abhyuday Kumar, Prabhat K. Singh, Amarjeet Kumar
{"title":"Modified technique for obtaining nasopharyngeal swab in a suspected COVID-19 patient","authors":"Neeraj Kumar, Abhyuday Kumar, Prabhat K. Singh, Amarjeet Kumar","doi":"10.4103/jlv.JLV_16_20","DOIUrl":"https://doi.org/10.4103/jlv.JLV_16_20","url":null,"abstract":"","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130873122","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":"A comparative study on steady and fluctuating semi-occluded vocal tract exercises between phonation of/a/and/E/","authors":"Dheeraj Dhruw, I. Chatterjee, N. Chatterjee","doi":"10.4103/jlv.jlv_3_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_3_20","url":null,"abstract":"Context: Semi-occluded vocal tract exercises (SOVTEs) helps to change the acoustic vocal tract impedance in relation to the glottal impedance, improving voice quality. SOVTE has been divided into two groups: steady and fluctuating SOVTEs based on their source of vibration and acoustic characteristics. Aims: The aim of the study was to examine and compare the difference between steady and fluctuating SOVTE with phonation of/a/and/E/on electroglottography and F1–F0 analysis. Settings and Design: Survey design. Study Type: Consort type of study. Materials and Methods: Hundred male participants within the age range of 18–25 years were selected for the study. All the participants were asked to phonate (a) and (E) vowels at a constant pitch for at least 3 s, then all samples were recorded. Assessment of contact quotient percentage value in electroglottography and PRAAT software were used for F1–F0 analysis. Data processing was done on Excel spreadsheet and scoring was processed by SPSS software. Statistical analysis used: One-way analysis of variance (ANOVA) in SPSS Statistics was used for statistical analysis. Results: Mean ± standard deviation and one-way ANOVA revealed that the significant difference was obtained at P < 0.05 in between the steady and fluctuating SOVTEs with phonation of/a/and/E/on EGG parameter and acoustic measure (F1–F0). Conclusions: The study suggested that contact quotient percentage and F1–FO (Hz) value in phonation of/E/are more than/a/. It indicates that phonation of/E/with SOVTEs has more effective in voice disorders than the phonation of/a/and that can be beneficial for treatment of organic voice disorders.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129651762","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":"Modified Kleinsasser laryngoscope for use with high flow nasal cannula","authors":"R. Srivastava","doi":"10.4103/jlv.jlv_10_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_10_20","url":null,"abstract":"","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134559948","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}