T. Zacharia, P. D'souza, Minton Mathew, Gwendalene D'souza, J. James, M. Baliga
{"title":"Effect of circadian cycle on voice: A cross-sectional study with young adults of different chronotypes","authors":"T. Zacharia, P. D'souza, Minton Mathew, Gwendalene D'souza, J. James, M. Baliga","doi":"10.4103/jlv.JLV_15_18","DOIUrl":"https://doi.org/10.4103/jlv.JLV_15_18","url":null,"abstract":"Background: Circadian rhythm (CR) which is termed as the “physical, mental, and behavioral changes that follow a roughly 24 h cycle responding primarily to light and darkness in an organism's environment” has an important role in human health. A literature study indicates that there are no studies addressing the effect of CR on voice. The current study was conducted to understand the effect of CR on voice, pitch, jitter and shimmer in healthy young adults. Methodology: The study consisted of 216 participants (98 males and 118 females). The volunteers were asked to fill the Horne–Ostbery Morningness-Eveningness Scale questionnaire followed by an acoustic analysis using the voice analyzing software PRAAT using a dynamic unidirectional microphone at four time points of the day (morning [7.30–8.30 am], mid-day [12.30–1.30 pm], early evening [4.30–5.30 pm] and night [8.30–9.30 pm]). Results: The results of the current study indicate that the CR has got a very strong relationship with jitter, pitch and shimmer in the voice and how these parameters vary across evening type, intermediate type, and morning type through the day. Conclusions: The findings of the current study are very important for professional voice users as they can select their time slot for the performance based on their CR and be effective in their duties/job.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"3 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":"122556439","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":"Case series reporting hypothyroidism induced dysarthria : An unusual entity","authors":"Navgeet Mathur, M. Mathur","doi":"10.4103/JLV.JLV_3_18","DOIUrl":"https://doi.org/10.4103/JLV.JLV_3_18","url":null,"abstract":"Hypothyroidism is a common endocrinal disorder which may present as an unusual presentation like dysarthria. Knowledge about unusual presentations in hypothyroidism may help to make correct diagnosis and treatment. This case series includes two cases of hypothyroidism-induced dysarthria. Both cases were misdiagnosed on previous medical consultations. Complete recovery was achieved after correct diagnosis and thyroxin replacement.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125008064","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":"Arytenoid dislocation subsequent to difficult intubation","authors":"A. Venugopal, Y. Dabholkar, A. Saberwal","doi":"10.4103/JLV.JLV_8_18","DOIUrl":"https://doi.org/10.4103/JLV.JLV_8_18","url":null,"abstract":"Dislocation of arytenoid cartilage from the crico-arytenoid joint is an uncommon complication due to intubation of larynx. In many cases, it is frequently mistaken as vocal cord paresis, laryngospasm, or laryngeal edema. Early diagnosis of the arytenoid dislocation and prompt treatment with reduction is crucial to avoid the need for more invasive methods and for a better prognosis of the condition. We report the case of a 50-year-old male with arytenoid dislocation following an uneventful coronary artery bypass graft surgery. He complained of persistent hoarseness following 15 days of the surgery. On fiber-optic laryngoscopic examination, the right vocal cord was immobile with minimal movement of arytenoid. A surgical reduction was performed by the otolaryngologist. The patient was relieved of the symptom postreduction.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124715635","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":"Sequential swallow ability of 100 ml carbonated thin liquids in healthy young adults","authors":"Thejaswi Dodderi, M. Shaju, AL Thomas","doi":"10.4103/JLV.JLV_7_17","DOIUrl":"https://doi.org/10.4103/JLV.JLV_7_17","url":null,"abstract":"Context: Using sour liquids to enhance sensory stimulation is practiced widely in oropharyngeal dysphagia. However, dysphagic population reports sour taste as unpalatable and difficult to adopt for daily meals. To overcome this, carbonated thin liquids (CTLs) are adopted by dysphagia practitioners. Yet, there are limited scientific experiments in this clinically significant area. Aims: The present study was undertaken to investigate any potential differences in swallowing ability between CTL in comparison with non-CTL (NCTL) using timed test of swallow in healthy young adults. Settings and Design: A cross-sectional comparative design was used for the study. Subjects and Methods: Thirty healthy young adults within the age range of 18–24 years ingested CTL and NCTL of 100 ml capacity in a 120 ml throwaway cup. In CTL, neutral, sweet, and sour taste was adopted. Based on which three swallow indices, namely, volume/swallow (V/S), time/swallow (T/S), and swallow capacity (SC) were derived. Statistical Analysis Used: Descriptive statistics and repeated measures of ANOVA were applied on the data. Results: In V/S, sweet CTL had higher volume intake, while sour CTL had least. In the temporal parameter, NCTL had the shortest T/S and sour CTL had increased T/S. Finally, sweet CTL had highest SC. These differences were not statistically significant. Conclusions: The data of the study suggest that sweet CTL promotes swallow performance, while sour CTL inhibits SC. These findings have practical implications in promoting safe swallow.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115858810","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":"Narrow-band imaging in chronic granulomatous laryngeal tuberculosis","authors":"R. Srivastava, A. Agarwal, G. Peretti","doi":"10.4103/jlv.JLV_4_18","DOIUrl":"https://doi.org/10.4103/jlv.JLV_4_18","url":null,"abstract":"Context: The study analyzes the vascular pattern on narrow-band imaging (NBI) in laryngeal tuberculosis (TB) and its differentiation from premalignant and malignant lesions. Objective: NBI is an optical image enhancement technology using light of 415 nm and 540 nm wavelength. These have different depths of penetration and highlight the mucosa and submucosa. NBI has a proven role in the detection of premalignant and malignant lesions. This study analyzes the vascular pattern on NBI in laryngeal TB and its differentiation from premalignant and malignant lesions. Materials and Methods: A prospective study was done at a tertiary care center on patients presenting with hoarseness, breathing, or swallowing difficulty. An endoscopic examination of the larynx was done, and biopsy was taken on suspicion of a neoplastic lesion. A diagnosis of TB was made in nine patients. These patients were included in the study. NBI examination of the larynx was done to analyze the vascular pattern on the vocal folds. The margin and center of the lesion were analyzed in detail. Results: Two patients had primary laryngeal lesions and seven had laryngeal and lung involvement. History and clinical examination, supportive investigations, and NBI helped in the diagnosis. The intrapapillary capillary loop pattern seen in early premalignant or malignant lesion was not observed in any of the cases on NBI. Conclusion: NBI is not confined to the diagnosis of premalignant or malignant lesions. It is equally useful in ruling out malignancy in suspicious lesions on white-light endoscopy. The latter should be carefully evaluated before transoral surgery.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"219 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115079373","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":"Postintubation recurrent laryngeal nerve palsy: A review","authors":"R. Matta, B. Halan, Kavita Sandhu","doi":"10.4103/JLV.JLV_5_16","DOIUrl":"https://doi.org/10.4103/JLV.JLV_5_16","url":null,"abstract":"Endotracheal intubation is one of the most common procedures performed in the Operating Theatre, Intensive Care Unit or wards, either on an elective or emergency basis. Recurrent laryngeal nerve injury leading to vocal cord paralysis is a lesser known but important complication of intubation. It is important to identify and monitor these patients to prevent confusion with regard to etiology and outcome. This article explores the etiopathogenesis of recurrent laryngeal nerve palsy following intubation and the various risk factors and possible mechanisms which contribute to this complication. Techniques to prevent and recognize this injury are also discussed. PubMed was the main database searched for articles related to the topic which were found through the period 1972–2017.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114343248","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}
S. Gandhi, Shashank Gupta, S. Joshi, Suvojit Ghosh
{"title":"A case of primary mucosa-associated lymphoid tissue lymphoma of the larynx","authors":"S. Gandhi, Shashank Gupta, S. Joshi, Suvojit Ghosh","doi":"10.4103/JLV.JLV_9_17","DOIUrl":"https://doi.org/10.4103/JLV.JLV_9_17","url":null,"abstract":"Mucosa- associated Lymphoid Tissue (MALT) Lymphoma is a Non-Hodgkin Lymphoma. This marginal zone lymphoma is typically a low-grade neoplasm. Primary Laryngeal MALT Lymphoma is an extremely rare entity. No case has been reported from India till now. We present a case of Laryngeal MALT Lymphoma in a 49 year old lady with complain of progressive hoarseness of voice since 6 months and history of orbital pseudo-tumour. MALT Lymphoma was diagnosed after biopsy and managed with 6 cycles of R-Benda Chemotherapy. The patient has had uneventful follow-up for past 3 years. Primary MALT lymphoma is a rare but curable disease and clinicians should keep it in mind while forming differential diagnosis for a suspicious mass during laryngeal evaluation.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127614792","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":"Changing trends in indications of pediatric tracheotomy: A tertiary care center experience","authors":"J. Gill, Bhanu Bhardwaj, S. Singla","doi":"10.4103/JLV.JLV_5_17","DOIUrl":"https://doi.org/10.4103/JLV.JLV_5_17","url":null,"abstract":"Background: Tracheotomy is one of the oldest procedures in medical science. In children, its role began as an emergency procedure to relieve stridor of infectious origin. There has been a change in the indications of tracheotomy over the past few years due to change in the epidemiology of pediatric diseases and advanced medical facilities. Still, a severe lacuna exists in the literature regarding the timing and indications of pediatric tracheotomy. It is a dilema for an otolaryngologist as to when he is justified in giving a child this added morbidity. Aims: To study the changing indications in a pediatric tracheotomy at a tertiary care center. Materials and Methods: A prospective study of 56 children who underwent tracheotomy was carried out over 4 years period at a tertiary care hospital in Punjab. Results: Out of 56 children studied, 19% of children had a tracheotomy for infectious etiology, 41% had a tracheotomy for prolonged intubation 5.3% for laryngotracheal stenosis, and 16% for head injury. Conclusion: With the development of advanced pediatric anesthesia techniques and vaccinations the role of pediatric tracheotomy is changing from an emergency life savior to a more elective procedure. Globalization with regards to the timing and indications of pediatric tracheotomy is the need of the hour to improve the overall mortality of children from various diseases.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126775987","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":"Suprahyoid transverse pharyngotomy for schwannoma of larynx in an adolescent male: A case report","authors":"Kavita Sachdeva, V. Kaul","doi":"10.4103/JLV.JLV_1_17","DOIUrl":"https://doi.org/10.4103/JLV.JLV_1_17","url":null,"abstract":"Schwannomas are benign encapsulated nerve sheath tumors and are unusual in the larynx. Only about 100 cases have been reported worldwide. We report a case of an 18-years-old male having progressive dysphagia and dysphonia for 5 months. We have discussed clinicopathological and radiological findings and surgical management.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"02 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124469773","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}
Purushothaman Ganesan, Prakash Boominathan, Ravikumar Arunachalam, S. Mahalingam, D. S. Vijayakumar
{"title":"Gastroesophageal reflux disorder: Lifestyle, symptomatology, and voice profile","authors":"Purushothaman Ganesan, Prakash Boominathan, Ravikumar Arunachalam, S. Mahalingam, D. S. Vijayakumar","doi":"10.4103/JLV.JLV_3_17","DOIUrl":"https://doi.org/10.4103/JLV.JLV_3_17","url":null,"abstract":"Background: “Lifestyle changes and gastroesophageal reflux disorder [GERD]” is an increasingly emerging concept in voice practice (ENT and speech-language pathologist [SLP]) in India. The treatment protocol in vogue is initially a change in lifestyle with or without medical therapy. Materials and Methods: This study profiled lifestyle patterns and acoustic analysis findings of voice in 30 participants who were clinically diagnosed (symptoms and laryngoscopy findings) with GERD, and compared them with 30 participants without symptoms of GERD. Results: In this study, the highest frequency of occurrence of GERD was found in the fourth decade of life. More than 70% of the participants were nonvegetarians, coffee “lovers,” and consumed high-fat laden food rich with Indian spices. Eating habits, stress levels, voice use, and sleep habits were dependent on occupation. Majority (94%) of the participants were in sedentary, “high-stress” jobs, that induce such habits. Common symptoms reported were retrosternal burning sensation, water brash, throat irritation and pain, dry cough, and voice change. Perceptual analysis revealed low-pitched phonation, hoarseness, and breathiness (moderate to severe) as the most deviant parameters. Acoustic analysis showed deviant frequency and perturbation measures compared to participants without GERD symptoms (P < 0.05). Conclusion: The possible causes and factors contributing to voice changes with GERD that pertains to this geographical location, culture, food habits, and ethnic group are explained in this article.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"4 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129224713","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}