Journal of Laryngology and Voice最新文献_第5页

Taste disturbance following microlaryngoscopic surgery 显微喉镜手术后味觉障碍

Journal of Laryngology and Voice Pub Date : 2018-07-01 DOI: 10.4103/jlv.JLV_25_18

U. Gurung, Yash Anand

{"title":"Taste disturbance following microlaryngoscopic surgery","authors":"U. Gurung, Yash Anand","doi":"10.4103/jlv.JLV_25_18","DOIUrl":"https://doi.org/10.4103/jlv.JLV_25_18","url":null,"abstract":"Aims: Taste disturbance following microlaryngoscopic surgery (MLS), although reported, is not a commonly discussed complication. This study was conducted to assess the frequency and recovery of taste disturbances following MLS and its relation with operative time. Subjects and Methods: It was a prospective, observation study conducted in a tertiary center. Fifty-nine patients underwent MLS for benign laryngeal lesions between July 2014 and January 2016. Chemogustometry using tastants' sucrose, salt, citric acid, and caffeine was done a day before surgery, on 1st postoperative day (POD) and 3 weeks postoperatively to assess taste disturbance. The tongue compression by laryngoscope during MLS was taken as operative time. SPSS 16.0 for Windows™ was used for statistical analysis. Genderwise taste disturbance and the recovery of taste disturbance from first POD to 3rd postoperative week were analyzed using Yates's Chi-squared test. Mann–Whitney test was used to compare the mean operative time between patients with and without taste disturbance. The level of statistical significance was set at P < 0.05. Results: Eight out of fifty-nine (13.5%) patients had taste disturbance on first POD. The operative time ranged from 18 to 33 min (mean 21.3 min ± 4.89) in patients with taste disturbance while the time ranged from 10 to 20 min (mean 13.68 ± 2.33) for patients with no taste disturbance; the difference was statistically significant (P < 0.001). At 3 weeks' postoperative follow-up, only two patients (3.2%) had taste disturbance while six recovered. Conclusions: Transient taste disturbance following MLS is likely more so with longer operative time; hence, preoperative discussion about this potential risk is essential.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128132254","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}

引用次数: 0

Type I thyroplasty for unilateral vocal fold palsy: Silastic or titanium implant? I型甲状腺成形术治疗单侧声带麻痹:硅橡胶还是钛?

Journal of Laryngology and Voice Pub Date : 2018-07-01 DOI: 10.4103/jlv.JLV_10_17

N. Maggon, A. Sethi, A. Mishra, A. Mallick

引用次数: 0

A case of primary mucosa-associated lymphoid tissue lymphoma of the larynx 喉部黏膜相关淋巴组织淋巴瘤1例

Journal of Laryngology and Voice Pub Date : 2018-07-01 DOI: 10.4103/jlv.JLV_23_18

M. Al-Mendalawi

{"title":"A case of primary mucosa-associated lymphoid tissue lymphoma of the larynx","authors":"M. Al-Mendalawi","doi":"10.4103/jlv.JLV_23_18","DOIUrl":"https://doi.org/10.4103/jlv.JLV_23_18","url":null,"abstract":"© 2019 Journal of Laryngology and Voice | Published by Wolters Kluwer Medknow Sir, I read with interest the case report by Gandhi et al.[1] on primary mucosa‐associated lymphoid tissue (MALT) lymphoma of the larynx in an Indian patient. The authors described nicely the clinical presentation, results of videolaryngostroboscopic examination, findings of histopathological analysis and immunohistochemical staining, and cycles of chemotherapy in the studied patient. I assume that the rarity of the tumor to affect the larynx should alert the authors to consider defective immune status in the studied patient. Among conditions associated with defective immune states, human immunodeficiency virus (HIV) infection is of great importance. My assumption is based on the following point. It is obvious that individuals infected with HIV are more vulnerable to various types of tumors compared to healthy individuals. The increased vulnerability has been suggested to be related to various factors, including low immunity, coinfection with oncogenic viruses, and prolongation of life due to the use of antiretroviral therapy.[2] Among tumors, MALT lymphoma has been reported in HIV‐positive patients.[3] To my knowledge, India is one of the Asian countries significantly facing the serious health aftermaths of HIV infection. The available data pointed out to 0.26% HIV seroprevalence compared with a global average of 0.2%.[4] Hence, defining HIV status in the studied patient by the diagnostic panel of blood CD4 lymphocyte count and viral overload estimations was envisaged. If that cluster of tests were to disclose HIV reactivity, the case in question could be surely regarded a novel case report. This is because HIV‐associated laryngeal MALT lymphoma has never been reported in the world literature so far.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115597290","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}

引用次数: 0

High-frequency jet ventilation: An invaluable tool for anesthesia in microlaryngoscopy with carbon dioxide laser 高频喷射通气:二氧化碳激光显微喉镜麻醉的宝贵工具

Journal of Laryngology and Voice Pub Date : 2018-07-01 DOI: 10.4103/jlv.JLV_11_18

S. Naik

引用次数: 0

Primary aspergillosis of bilateral vocal cords in an immunocompetent individual 免疫功能正常个体双侧声带原发性曲菌病

Journal of Laryngology and Voice Pub Date : 2018-07-01 DOI: 10.4103/JLV.JLV_20_18

S. Gandhi, Supreetha B. Shenoy

引用次数: 1

Effect of vocal loading on throat temperature in young phono-normal adults 发声负荷对幼年发声正常成人咽喉温度的影响

Journal of Laryngology and Voice Pub Date : 2018-01-01 DOI: 10.4103/JLV.JLV_6_18

Lokheshwar Shanmugasundaram, R. Rajasudhakar

{"title":"Effect of vocal loading on throat temperature in young phono-normal adults","authors":"Lokheshwar Shanmugasundaram, R. Rajasudhakar","doi":"10.4103/JLV.JLV_6_18","DOIUrl":"https://doi.org/10.4103/JLV.JLV_6_18","url":null,"abstract":"Background: Infrared thermography is used to detect heat on the surface and subsurface and online monitoring of process. Vocal loading has been defined as acoustic changes in the voice as a result of prolonged voice use. Vocal loading involves continuous oscillation of vocal folds where the colliding forces between the vocal folds for longer period would generate and dissipate heat. Aims: The primary objective of the study was to determine any difference in temperature (near the neck region) and fundamental frequency (F0) pre- and post-vocal loading task. The secondary objective was to find the influence of gender on these parameters during pre- and post-vocal loading task. Study Design: Pretest-posttest design. Subjects and Methods: The study included two groups: Group I and Group II which included ten phono-normal males and ten phono-normal females, respectively, between the age range of 18 and 24 years. Throat temperature and F0 (phonation sample) were measured before and after vocal loading task (reading a material in English at 70–75 dB for 40 min). The F0 was measured using PRAAT software and temperature using SmartView software. Results: Within-group and between-group comparisons were made using mixed ANOVA for both temperature and F0. There was a significant difference in temperature within groups; however, there was no significant difference between the groups. Comparison of temperature pre- and post-vocal loading revealed significant difference within groups; however, it was not significantly different between the two groups. Pre- and post-vocal loading comparison of F0 revealed significant difference within and between groups. Conclusions: Group II had more temperature and F0 when compared to Group I, that is, higher temperature and higher F0, whereas Group II individuals are vulnerable to get voice problems if they continue to use prolonged loud speech as their vocal behaviors.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"780 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115757945","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}

引用次数: 2

Primary laryngeal tuberculosis: A frequently misdiagnosed disease 原发性喉结核:一种常被误诊的疾病

Journal of Laryngology and Voice Pub Date : 2018-01-01 DOI: 10.4103/JLV.JLV_5_18

S. Swain, M. Sahu, S. Kar

引用次数: 2

Endoscopic phonomicrosurgery of an anterior commissure polyp using McCoy laryngoscope in a patient with difficult laryngeal exposure McCoy喉镜下前连合息肉的内镜显微手术治疗

Journal of Laryngology and Voice Pub Date : 2018-01-01 DOI: 10.4103/JLV.JLV_12_18

S. Sindhu, S. Naruka, A. Chawla

引用次数: 0

Tumor size affects the quality of voice in oral and pharyngeal cancers: A preliminary study 肿瘤大小影响口腔癌和咽癌的声音质量:一项初步研究

Journal of Laryngology and Voice Pub Date : 2018-01-01 DOI: 10.4103/jlv.jlv_1_18

P. D'souza, S. Rao, T. Zacharia, Gwendelen D'souza, Pratima Rao, M. Baliga

{"title":"Tumor size affects the quality of voice in oral and pharyngeal cancers: A preliminary study","authors":"P. D'souza, S. Rao, T. Zacharia, Gwendelen D'souza, Pratima Rao, M. Baliga","doi":"10.4103/jlv.jlv_1_18","DOIUrl":"https://doi.org/10.4103/jlv.jlv_1_18","url":null,"abstract":"Objective: Clinical observations indicate that the growth of cancers in the oral and pharyngeal region affects the voice of the individual. Literature study indicates that most of the studies have been on laryngeal cancers and that there are no reports, indicating the impact of tumor growth on the quality of voice in people afflicted by cancer in the oral and pharyngeal regions. For the first time, we have attempted at understanding the impact of tumor growth on voice (pitch, jitter, and shimmer) in people with cancer in the oral or pharyngeal regions. Methodology: This was a prospective study and was done in newly diagnosed oral and pharyngeal cancer patients with confirmed histopathological reports. The voice analysis software PRAAT and a dynamic unidirectional AUD-59 × LR microphone were used to record the voice in a soundproof recording laboratory. Voice was also recorded of healthy age-matched volunteers and used as positive control. The results of the voice parameters accrued were analyzed according to the gender (male or female), the region (oral and pharyngeal), and the tumor size using analysis of variance with Bonferroni's multiple comparison. Results: The results of the study indicate that when compared to the healthy controls, the pitch was decreased in people with cancers and was more prominent for females (P = 0.001). The jitter increased and was significant for both oral and pharyngeal cancers (males P = 0.001; females P = 0.002). With respect to shimmer, there was a decrease in men even as it increased in women with oral cancers, while it increased in both the genders in pharyngeal cancers (P = 0.035 and P = 001). Conclusions: The results indicate that there was a significant alteration in the pitch, jitter, and shimmer in people with cancers in the oral and pharyngeal regions and that these changes were dependent on the size of the tumor.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123215151","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}

引用次数: 0

Oncologic outcomes of transoral laser microsurgery for early glottic carcinoma 经口激光显微手术治疗早期声门癌的肿瘤预后

Journal of Laryngology and Voice Pub Date : 2018-01-01 DOI: 10.4103/jlv.JLV_13_18

S. Gandhi, Abren Santocildes, Shashank Gupta

{"title":"Oncologic outcomes of transoral laser microsurgery for early glottic carcinoma","authors":"S. Gandhi, Abren Santocildes, Shashank Gupta","doi":"10.4103/jlv.JLV_13_18","DOIUrl":"https://doi.org/10.4103/jlv.JLV_13_18","url":null,"abstract":"Introduction: Laryngeal carcinoma comprises 2%–5% of all malignant diseases. Treatment options for early glottic cancers are open partial laryngectomy, radiotherapy (RT), and transoral laser microsurgery (TLM). The goals of management of early glottic carcinoma are complete oncological clearance, organ preservation, and functional preservation (voice, swallowing, and airway). This study aims to review oncologic results of TLM for management of early glottic carcinoma at our institute. Methodology: Patients with early glottic squamous cell carcinoma, i.e., Tis, T1, and T2 stage lesions managed with TLM from January 2011 to 2014 were included in the study. Medical records were analyzed to acquire data. Results: Sixty-six patients underwent TLM for management of early glottic cancer between 2011 and 2014. Tumor-free margins were obtained after TLM in all 10 cases with Tis. For T1a, T1b, and T2 lesions, surgery obtained tumor-free margins in 89.5%, 77.8%, and 77.8% cases, respectively. Nine patients were found to have a positive margin and they underwent revision surgery. The overall local cure rate obtained by TLM was 92.4%. The overall 3-year survival rate was 98.5%. One patient died of myocardial infarction 2 years after TLM, giving a disease-specific 3-year survival rate of 100%. Conclusion: TLM is a safe and effective treatment option for management of early glottic cancer. Its outcomes are comparable to those of RT, and it has lesser cost, treatment duration, and morbidity.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124359285","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}

引用次数: 0