Assessment of swallow function pre and post‐endoscopic CO2 laser medial arytenoidectomy: a case series

2021 ◽  
Author(s):  
Maral J Rouhani ◽  
Isobel Morley ◽  
Lindsay Lovell ◽  
Justin Roe ◽  
Yadsan Devabalan ◽  
...  
Keyword(s):  
Co2 Laser ◽  
Case Series ◽  
Swallow Function

scholarly journals CO2 Laser Division of Neo-Vallecula Improves Dysphagia in the Postlaryngectomy Patient: A Case Series and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Mohamad Z. Saltagi ◽  
Chelsey A. Wallace ◽  
Avinash V. Mantravadi ◽  
Michael W. Sim
Keyword(s):  
Co2 Laser ◽  
Free Flap ◽  
Total Laryngectomy ◽  
Harmonic Scalpel ◽  
Case Series ◽  
Review Of The Literature ◽  
Closure Technique ◽  
Endoscopic Procedures ◽  
Diagnosis And Management ◽  
Pharyngeal Reconstruction

Objectives. To review the literature on neo-vallecula diagnosis and management and to report our findings regarding 3 patients who developed neo-vallecula in the context of free-flap pharyngeal reconstruction following total laryngectomy. Methods. This case series reports three patients who developed a neo-vallecula following a laryngectomy and free-flap pharyngeal reconstruction. All three patients were treated with a CO2 laser endoscopic procedure. Results. Neo-vallecula formation is thought to be related to tension on the neopharyngeal closure or closure technique following total laryngectomy. Diagnosis may be obtained with swallow studies, videofluoroscopy, or endoscopy. Treatment has included external excision and endoscopic procedures such as stapling, harmonic scalpel excision, and laser removal. We utilized an endoscopic approach entailing the use of a CO2 laser to divide the neo-vallecula, and all our patients reported improvement in their dysphagia. Conclusions. Treatment of an anterior neo-vallecula endoscopically using a CO2 laser is an effective way to treat dysphagia in patients following total laryngectomy with free-flap pharyngeal reconstruction.

C02 Laser-assisted Phonosurgery for Benign Glottic Lesions

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P48-P48
Author(s):  
Marcel Geyer ◽  
Gian-Peppino Ledda ◽  
Neil C Tan ◽  
Roberto Puxeddu Consultant
Keyword(s):  
Co2 Laser ◽  
Vocal Fold ◽  
Voice Quality ◽  
Case Series ◽  
Functional Results ◽  
Disease Recurrence ◽  
Wilcoxon Test ◽  
Control Group ◽  
Retrospective Case ◽  
False Vocal

Objective (1) To determine glottic function following carbon dioxide (CO2) laser-assisted phonosurgery of benign laryngeal disease. (2) To evaluate post-operative glottic morphology and disease recurrence rate. Methods Comparative retrospective case series of patients with benign glottic pathology treated by laser-assisted phonosurgery over 10 years. 235 consecutive patients had pre- and postoperative data collected from objective laryngeal examination, videostroboscopy recording of vocal fold mucosal wave movement, electroacoustic voice analysis of fundamental frequency, jitter, shimmer, and harmonics to noise ratio, as well as perceptual voice evaluation. This data was also compared to that of 20 healthy volunteers. (Statistical analysis: Wilcoxon test and Mann-Whitney test respectively). Definitive voice and morphologic evaluation was completed after 6 months. Results Evaluation of the pre- and postoperative functional results demonstrated a statistically significant improvement in all spectrographically analysed objective voice parameters (p<0.001), with a restored voice quality as good as the control group (p<0.001). Postoperative morphological analysis using videostroboscopic examination confirmed 3 recurrences of granuloma and 1 of Reinke's oedema. Recurrence was estimated objectively if the lesion was analogous to the original pathology. Glottic closure was complete in 96.5% of cases. False vocal fold adduction was normal in 88.5% of cases, with forced hyper-adduction being present in 11.5%. Phonatory vibration was cord-cord type in 100% of cases. Conclusions Our study demonstrates a statistically significant improvement in all acoustic parameters recorded. Postoperative vocal fold function and mucosal wave morphology were largely restored. CO2 laser-assisted voice restoration for benign glottic disease is effective.

scholarly journals CO2 Laser Treatment in Idiopathic Scrotal Calcinosis: A Case Series

2020 ◽  
Vol 11 (4) ◽  
pp. 500-501
Author(s):  
Giovanni Cannarozzo ◽  
Luigi Bennardo ◽  
Francesca Negosanti ◽  
Steven Paul Nisticò
Keyword(s):  
Laser Treatment ◽  
Co2 Laser ◽  
Case Series ◽  
Co2 Laser Treatment

scholarly journals Co2 laser therapy improving the sexual life of women after breast cancer treatment (38 cases)

Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Jackson Roberto de Moura ◽  
Jackline Zonta de Moura ◽  
Jackson Roberto de Moura ◽  
Jardel Antônio da Silva Moura ◽  
Áquilla Henrique Gonçalves Teixeira
Keyword(s):  
Sexual Activity ◽  
Laser Therapy ◽  
Co2 Laser ◽  
Statistical Significance ◽  
Case Series ◽  
Sexual Life ◽  
Vaginal Dryness ◽  
Case Series Study ◽  
Prospective Case Series ◽  
Series Study

Objective: To verify the response to CO2 laser therapy in vaginal dryness among women submitted to treatment in a service in the State of Minas Gerais, Brazil. Methods: Descriptive, prospective case series study based on cases that were treated by the same staff from January 2019 to December 2019, storing predefined information and analyzing the data using the software R and SPSS PC. Results: Thirty eight women with mean age of 62.5 years + 9.1 (ranging from 48 to 82 years of age) were treated in the service for vaginal dryness. We observed total improvement of vaginal dryness in 94% of the cases. Improvement in sexual activity was observed in 83% of the cases, and increase in sexual relations, 71%. The satisfaction with the treatment was of 95%. We did not find statistical significance for the use of tamoxifen, anastrozole, previous chemotherapy and interval between surgery and laser therapy (p>0.05). Conclusion: The study shows good results of CO2 laser therapy in the improvement of vaginal dryness and sexual activity; however, the sample is limited for the statistical analysis of subgroups.

scholarly journals Treatment of the Hailey-Hailey disease with fractional CO2 laser: a three-case series

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Vanessa da Nóbrega Vilela ◽  
Catarina Gonçalves da Silva Carvalho ◽  
Gustavo de Sá Menezes Carvalho ◽  
Ângela Cristina Rapela Medeiros ◽  
Valter Kozmhinsky ◽  
...  
Keyword(s):  
Co2 Laser ◽  
Case Series ◽  
Fractional Co2 Laser

The Safety, Tolerability, and Impact of Respiratory–Swallow Coordination Training and Expiratory Muscle Strength Training on Pulmonary, Cough, and Swallow Function Surrogates in Amyotrophic Lateral Sclerosis

2020 ◽  
Vol 5 (6) ◽  
pp. 1603-1615
Author(s):  
Cara Donohue ◽  
James L. Coyle
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Outcome Measures ◽  
Case Series ◽  
Diaphragm Thickness ◽  
Expiratory Muscle ◽  
Small Case Series ◽  
Coordination Training ◽  
Expiratory Muscle Strength Training ◽  
Swallow Function ◽  
Lateral Sclerosis

Purpose This feasibility study examined the safety, tolerability, and impact of expiratory muscle strength training (EMST) combined with respiratory–swallow coordination training (RST) in comparison to EMST alone, and no treatment on pulmonary function, cough function, surrogates of swallow function, and diaphragm thickness in a pre–post small case series of people with amyotrophic lateral sclerosis (ALS). Method This prospective, nonrandomized, delayed intervention case series consisted of six people with ALS: three patients assigned to EMST + RST, two patients assigned to EMST only, and one patient who received no intervention. Patients undergoing treatment underwent a 5-week no-treatment lead-in period before undergoing their respective 5 weeks of treatment with an optional maintenance period for an additional 5 weeks ( n = 4). Primary outcome measures included pulmonary function measurements, scores on the Eating Assessment Tool-10 and Swallowing Related Quality of Life, and diaphragm thickness. Results Descriptive statistics were used to describe outcome measures and individual patient performance. Results revealed that EMST + RST was a safe and well-tolerated intervention, and that both respiratory interventions led to maintenance and improvement of some outcome measures in most patients within this small case series. Conclusion This exploratory study provides preliminary support regarding the tolerability and efficacy of a combined respiratory intervention in a small case series of people with ALS.

Systematic Review of Validated Quality of Life and Swallow Outcomes after Transoral Robotic Surgery

2019 ◽  
Vol 161 (4) ◽  
pp. 561-567 ◽  
Author(s):  
Alexa Castellano ◽  
Arun Sharma
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Case Series ◽  
Transoral Robotic Surgery ◽  
Swallow Function ◽  
Swallowing Outcomes

Objective To systematically review the available evidence on the effects of transoral robotic surgery (TORS) on the posttreatment quality of life (QOL) and swallow function of patients with head and neck cancer. Data Sources PubMed and Ovid electronic databases were searched from inception to July 6, 2016. Specific database functions were applied to maximize the search. Review Methods Articles in the database were reviewed for inclusion by 2 independent reviewers according to predetermined eligibility criteria. The references of relevant articles were then hand-searched to identify additional manuscripts. For included articles, the study characteristics and relevant data were extracted. Results Of 103 articles screened, 20 reporting validated measures of QOL and/or swallow outcomes for 659 patients were eligible for inclusion. Fourteen were observational studies or case series and did not compare the TORS group with another intervention. Two were prospective nonrandomized clinical trials that compared outcomes between TORS and primary chemoradiation. Four were cohort studies comparing TORS with other treatment approaches and modalities, including open surgical approaches and transoral laser microsurgery. Overall, most patients who underwent TORS ± adjuvant therapy reported a return to baseline QOL and swallow function by 6 to 12 months posttreatment. Several studies demonstrated superior QOL and swallowing outcomes when compared with primary chemoradiation or open approaches. Conclusions Available evidence suggests that patients who undergo TORS for head and neck cancer have good QOL and swallowing outcomes after treatment, but outcomes are dependent on baseline function, T stage, and adjuvant treatment status.

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