Journal of Laryngology and Voice最新文献_第7页

Oswal–Hunton metallic endotracheal tubes in pediatric obstructed airway Oswal-Hunton金属气管内管在小儿气道阻塞中的应用

Journal of Laryngology and Voice Pub Date : 2017-01-01 DOI: 10.4103/JLV.JLV_4_17

S. Naik, Jitendra Kshirsagar, S. Gandhi, R. Bidaye

引用次数: 0

Botulinum toxin application in the facial muscles for the treatment of stuttering 肉毒杆菌毒素应用于面部肌肉治疗口吃

Journal of Laryngology and Voice Pub Date : 2017-01-01 DOI: 10.4103/jlv.JLV_6_17

A. Abramovitz, C. Goyeneche, A. Cánchica, Tamsin Burgues, E. Sucupira

{"title":"Botulinum toxin application in the facial muscles for the treatment of stuttering","authors":"A. Abramovitz, C. Goyeneche, A. Cánchica, Tamsin Burgues, E. Sucupira","doi":"10.4103/jlv.JLV_6_17","DOIUrl":"https://doi.org/10.4103/jlv.JLV_6_17","url":null,"abstract":"Stuttering is a psychosomatic condition with a high degree of social dysfunction characterized by involuntary interruptions in the flow of speech. The etiology is considered to be multifactorial. Speech therapy is the first-line treatment, and therapeutic alternatives have been proposed with different pharmacological agents. In this case report, we describe the use of botulinum toxin type A (BTX-A) in the facial muscles for treating a patient with developmental stuttering which showed a significant temporary improvement after undergoing the procedure. This is a single-subject study. In the current medical literature, there are a few descriptions of using BTX-A injections in the intrinsic laryngeal muscles with favorable results, but no reports of its use in facial muscles for the treatment of stuttering. Therefore, this report may be important to highlight BTX-A as a safe and effective option when managing to stutter. Hopefully, it will assist in the search for effective treatment and form part of the multi-disciplinary approach in the treatment of stuttering, helping these patients to reduce their social dysfunction and improve their speech and their lives.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"18 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":"116639058","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: 1

Fiberoptic endoscopic evaluation of swallowing in poststroke dysphagia - Seeing is believing 中风后吞咽困难的纤维内窥镜评估-眼见为实

Journal of Laryngology and Voice Pub Date : 2017-01-01 DOI: 10.4103/JLV.JLV_2_17

Sneha Grandhe, Roshan Marie Thomas, J. Poduval

引用次数: 0

Configuration of vocal folds during and after tube phonation in patients with voice disorders: A computerized tomographic study 声音障碍患者在管式发声期间和之后的声带结构:一项计算机断层扫描研究

Journal of Laryngology and Voice Pub Date : 2016-07-01 DOI: 10.4103/JLV.JLV_16_16

Marco Guzmán, Gonzalo Miranda, Daniel Muñoz, Rodrigo Jara, J. Pino, C. Olavarría, S. Madrid

{"title":"Configuration of vocal folds during and after tube phonation in patients with voice disorders: A computerized tomographic study","authors":"Marco Guzmán, Gonzalo Miranda, Daniel Muñoz, Rodrigo Jara, J. Pino, C. Olavarría, S. Madrid","doi":"10.4103/JLV.JLV_16_16","DOIUrl":"https://doi.org/10.4103/JLV.JLV_16_16","url":null,"abstract":"Purpose: The study aims to observe whether any systematic change in vocal fold configuration occurs during and after phonation into a tube using computerized tomography (CT). Materials and Methods: Ten participants diagnosed with functional dysphonia were included in the study. CT was performed when participants produced the sound (a:), phonated into a drinking straw and when repeating (a:) after the exercise. Similar procedure was performed with a stirring straw after 20 min of vocal rest. Anatomic variables included: (1) glottal area, (2) glottal width, (3) vertical vocal fold thickness, (4) vocal fold area, and (5) vocal fold length. Each vocal fold was separately analyzed. Results: Only glottal area for stirring straw was statistically different throughout the three time points. This variable increased during tube phonation compared to conditions pre- and post-tube. Discussion: Since vocal fold length did not change during tube phonation, the increment in glottal area was likely due to increased amplitude of vibration. Increased vibratory amplitude has been found in previous studies with high-speed imaging, suggesting an increased subglottic pressure. From the physiologic point of view, transglottal pressure plays an important role in vocal fold amplitude of vibration. Conclusions: Tube phonation seems to cause increased glottal area during exercise. This change is more prominent during exercise with a higher degree of airflow resistance. Therefore, the degree of flow resistance is an important clinical variable to be considered when choosing the right voice exercises regarding the voice status/phonatory pattern of patients during voice therapy.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127049927","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: 6

Surgical management of bilateral abductor vocal cord paralysis using Coblation technology 消融技术治疗双侧外展声带麻痹

Journal of Laryngology and Voice Pub Date : 2016-07-01 DOI: 10.4103/JLV.JLV_11_16

A. Sethi, V. Anand, Avinash Das, D. Sethi

{"title":"Surgical management of bilateral abductor vocal cord paralysis using Coblation technology","authors":"A. Sethi, V. Anand, Avinash Das, D. Sethi","doi":"10.4103/JLV.JLV_11_16","DOIUrl":"https://doi.org/10.4103/JLV.JLV_11_16","url":null,"abstract":"Objective: Management of bilateral abductor paralysis of vocal folds often poses a surgical challenge. Among various surgical modalities, surgical transaction/excision of posterior aspect of the vocal folds is an established modality. The objective of the present study is to evaluate the effectiveness and safety of the technique using Coblation technology. Study Design: This was a retrospective review. Setting: This study was conducted in a tertiary health care center. Materials and Methods: Fourteen consecutive patients meeting inclusion criterion undergoing posterior cordectomy using Coblator were included in this study. Preoperative subjective voice analysis was done and compared with measurements at 6 months postprocedure. Parameters studied included voice handicap index (VHI), the need for repeat procedures, effect of decannulation, and subjective improvement in respiratory distress. Results: There was a significant improvement in the airway as adjudged by the postoperative subjective improvement in respiratory distress (in 2 nontracheostomized patients) and uneventful decannulation (in 12 tracheostomized patients). However, the postoperative VHI scores showed no statistically significant difference with the preoperative assessment. One of the patients required the procedure to be repeated owing to recurrence of respiratory distress. No untoward incident was reported in any of the surgical procedures. Conclusion: Posterior cordectomy using a Coblator offers a safe and efficacious option for the management of compromised airway secondary to bilateral abductor paralysis of vocal folds. It offers a significant airway improvement without any significant effect on voice.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"59 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127382153","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: 1

Metachronous necrotizing sialometaplasia larynx 喉异时性坏死性唾液化生

Journal of Laryngology and Voice Pub Date : 2016-07-01 DOI: 10.4103/JLV.JLV_9_16

Sanjeev Gupta, S. Pradhan, M. Baisakh, Saumitra Satapathy

引用次数: 0

Comparison of acoustic analysis of voice parameters in children with cochlear implants and normal hearing 耳蜗植入儿童与正常听力儿童声参数的声学分析比较

Journal of Laryngology and Voice Pub Date : 2016-07-01 DOI: 10.4103/2230-9748.216705

A. Srividya, B. Premalatha, Madhuri Gore

{"title":"Comparison of acoustic analysis of voice parameters in children with cochlear implants and normal hearing","authors":"A. Srividya, B. Premalatha, Madhuri Gore","doi":"10.4103/2230-9748.216705","DOIUrl":"https://doi.org/10.4103/2230-9748.216705","url":null,"abstract":"Context: Auditory feedback controls segmental and non-segmental features of speech. The lack of auditory feedback in children with impaired hearing affects voice, speech production and speech perception skills. In children using hearing aids or cochlear implants, better auditory feedback is seen and thus voice and speech skills are improved. The present study looks at the comparison of voice parameters in children with cochlear implants and those with normal hearing. Aims: The study aims to compare voice parameters across a group of male and female children with cochlear implant and normal hearing. Study Design: The design of the study was cross sectional with one time evaluation of the objective voice parameters. Method and Materials: The 15 children with cochlear implant were of the mean age 3.99 years and 1.5 of hearing age for males and mean age of 4.39 years and 1.4 years of hearing age for females. The control group with normal hearing had 30 children with a mean age of 3.81 years. The two groups were evaluated for their voice parameters with MDVP 5105 software of CSL instrument, for sustained vowel /a/. Statistical Analysis: Mean, SD, t-test and significance of variance (p<0.05) were done to compare the voice parameters across both groups of gender. Results: Results showed that significant differences (< 0.05) were seen in parameters mean fundamental frequency, perturbation and shimmer among females and including jitter for males when both groups were compared. VTI = Voice turbulence index; SPI = Soft phonation index did not show any significant difference. Conclusion: The study concludes that with early intervention and training, the children with cochlear implants are able to achieve normal voice parameters though the range of variability is higher compared to normal hearing children.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114777273","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: 3

Leadership and the persona of the academic surgeon 领导力和学术外科医生的角色

Journal of Laryngology and Voice Pub Date : 2016-07-01 DOI: 10.4103/JLV.JLV_11_17

C. Cummings

引用次数: 0

Monophasic synovial sarcoma of the hypopharynx excised by transoral laser microsurgery 经口激光显微手术切除下咽单纯性滑膜肉瘤

Journal of Laryngology and Voice Pub Date : 2016-07-01 DOI: 10.4103/JLV.JLV_17_16

T. Shi, G. Scott, B. Wehrli, K. Fung

引用次数: 0

Suture lateralization for bilateral vocal fold immobility: A review of various techniques 侧边缝合治疗双侧声带不动:各种技术综述

Journal of Laryngology and Voice Pub Date : 2016-01-01 DOI: 10.4103/JLV.JLV_15_16

S. Gandhi, R. Bidaye, D. Bansal

引用次数: 4