scholarly journals FUNCTIONAL RESULTS AFTER VOCAL CORD MEDIALIZATION PROCEDURE WITH SCULPTURED SILICON BLOCK

2003 ◽  
Vol 42 (147) ◽  
pp. 133-136
Author(s):  
Toran KC ◽  
S Shrestha
Keyword(s):  
Vocal Cord ◽  
Revision Surgery ◽  
Vocal Cord Paralysis ◽  
Voice Disorders ◽  
Functional Results ◽  
Laryngeal Framework Surgery ◽  
Glottal Insufficiency ◽  
Quality Of Voice ◽  
The Voice

ABSTRACTMedialization technique has remained as a mainstay for the treatment of glottal insufficiency. This form oflaryngeal framework surgery not only improves the quality of voice but also protects the lungs from aspiration.We present six patients who underwent vocal cord medialization surgery. Of the six patients only onepatient had required revision surgery. Since these form of surgeries are performed under local anesthesiathe quality of the voice can be assessed per-operatively. This kind of surgery appears to be still new in the Nepalese context.Key Words: Isshiki Thyroplasty, Laryngoplasty, Laryngeal framework surgery,vocal cord paralysis, Voice disorders, glottal insufficiency.

Injection and Removal of Teflon for Unilateral Vocal Cord Paralysis

1992 ◽  
Vol 101 (1) ◽  
pp. 81-86 ◽  
Author(s):  
Herbert H. Dedo
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Thyroid Cartilage ◽  
Indirect Laryngoscopy ◽  
Air Leak ◽  
Vocal Cords ◽  
Laryngeal Framework Surgery ◽  
The Voice ◽  
Major Defect ◽  
Unilateral Vocal Cord Paralysis

For over 70 years, reinnervation attempts have been unsuccessful in restoring motion to paralyzed vocal cords, in spite of occasional claims to the contrary. Fortunately, the major defect of unilateral vocal cord paralysis, a soft and breathy voice, can be eliminated if the edge of the paralyzed vocal cord is moved to the midline. This permits the mobile vocal cord to adduct and therefore to vibrate firmly against the edge of the paralyzed vocal cord during phonation, eliminating the air leak between the vocal cords. Teflon injection of the paralyzed vocal cord does this effectively. It is accomplished most easily and reliably via indirect laryngoscopy under local anesthesia, so the effect on the voice can be monitored during the injection. Teflon can be easily removed from the vocal cord via direct laryngoscopy. The disadvantages of trying to medialize the edge of a paralyzed vocal cord via a window in the thyroid cartilage (laryngeal framework surgery) will be discussed.

scholarly journals The quality of voice and speech before and after surgical treatment of bilateral recurrent laryngeal nerve paralysis

2017 ◽  
Vol 70 (5-6) ◽  
pp. 146-149
Author(s):  
Maja Bogdan ◽  
Rajko Jovic ◽  
Tanja Arbutina
Keyword(s):  
Surgical Treatment ◽  
Recurrent Laryngeal Nerve ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Recurrent Laryngeal Nerve Paralysis ◽  
Bilateral Vocal Cord Paralysis ◽  
Nerve Paralysis ◽  
Quality Of Voice ◽  
Voice And Speech

Introduction. Bilateral recurrent laryngeal nerve paralysis usually occurs after thyroid surgery. In bilateral vocal cord paralysis, the voice is clear or slightly hoarse. The aim of this study was to determine whether the quality of voice and speech significantly deteriorates after the surgical treatment of bilateral recurrent laryngeal nerve paralysis. Material and Methods. The study included 16 patients with bilateral vocal cord paralysis and 16 age- and sex-matched healthy controls. The patients underwent partial arytenoidectomy with posterior cordectomy at the Clinical Center of Vojvodina in the period from January to April 2014. The quality of voice and speech was determined before and after surgical treatment by subjective, objective, aerodynamic voice analysis, and analysis of spontaneous speech, and then compared to the control group. Results. The results of this study showed that in patients with bilateral vocal cord paralysis the voice and speech quality was significantly worse compared to the healthy subjects. The results of subjective and aerodynamic analysis showed that there was a statistically significant deterioration in voice quality after the surgical treatment (p<0.05; p=0.001). The values of objective analysis and analysis of spontaneous speech parameters did not significantly change after the surgery (p>0.05; p=0.401). Conclusion. The patients with bilateral vocal cord paralysis have a poorer voice and speech quality compared to the healthy subjects. After the surgical treatment, patients presented with a lower voice quality, but there were no significant changes regarding the ability of spontaneous speech.

scholarly journals A comparative study of the voice-related quality of life among Egyptian elderly with and without voice complaints

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Nesreen Fathi Mahmoud ◽  
Huda Zahran ◽  
Sherif Abdelmonam
Keyword(s):  
Quality Of Life ◽  
Elderly Population ◽  
Life Quality ◽  
Voice Disorders ◽  
The Elderly ◽  
Different Types ◽  
Related Quality ◽  
The Impact ◽  
The Voice

Abstract Background This study focuses on the self-perception of the voice in the elderly as assessed by the Voice-Related Quality of Life (V-RQOL) questionnaire. This work aimed to compare differences in the voice-related quality of life outcomes between (1) elderly with and without voice disorders, (2) female and male elderly with voice disorders, and (3) different types of voice disorders, and to explore the correlation between the V-RQOL and perceptual analysis done by the clinician. Forty-three dysphonic and 44 non-dysphonic elderly filled out the Voice-Related Quality of Life (V-RQOL) protocol that analyzes the impact of dysphonia on life quality. Vocal perceptual assessment of each subject with dysphonia was made by three voice therapists, followed by a flexible nasofibrolaryngoscope. Results A significant statistical difference was found between the means of total V-RQOL scores and its subdomains for each group (dysphonic and non-dysphonic). No significant differences were found between male and female elderly with dysphonia. The statistical analysis showed a significant correlation with the vocal assessment made by the clinicians and the V-RQOL self-assessment made by the subjects. Conclusions This study provides valuable information regarding the risk factors that contribute to vocal quality in the elderly population. Our results revealed that different types of voice disorders are common among the elderly population with significant negative effects on quality of life. It was observed that the poorest score on the V-RQOL was for functional voice disorders, followed by neoplastic lesions, whereas MAPLs had the best score on the V-RQOL.

Idiopathic posterior laryngeal web on an adult patient

2021 ◽  
Vol 14 (5) ◽  
pp. e242561
Author(s):  
Georgios Chrysovitsiotis ◽  
Spyridon Potamianos ◽  
Spyros Katsinis ◽  
Efthymios Kyrodimos
Keyword(s):  
Adult Patient ◽  
Vocal Cord ◽  
Revision Surgery ◽  
Initial Treatment ◽  
Vocal Cord Paralysis ◽  
Adult Life ◽  
Patient Treatment ◽  
Prolonged Intubation ◽  
Careful Investigation

Posterior laryngeal webs are uncommon pathologies that are usually acquired at some point in adult life. Prior and prolonged intubation is the leading cause for developing such lesions. In certain rare cases of posterior laryngeal webs, no identifiable cause can be associated with the development of this pathology. We present a case with such an idiopathic lesion. Surgery is the treatment of choice. Several techniques and modifications can be used, to achieve maximum airway release and, at the same time, ensure that restenosis will be avoided. Our patient recurred following initial treatment and a more complex revision surgery was necessary. Special attention should be given in differentiating these lesions from abductor vocal cord paralysis. Furthermore, careful investigation of the cause and individualisation of patient treatment are crucial.

Quality-of-Life Assessment in Patients with Unilateral Vocal Cord Paralysis

2001 ◽  
Vol 125 (3) ◽  
pp. 176-182 ◽  
Author(s):  
Brian C. Spector ◽  
James L. Netterville ◽  
Cheryl Billante ◽  
Janye Clary ◽  
Lou Reinisch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Life Assessment ◽  
Quality Of Life Assessment ◽  
Unilateral Vocal Cord Paralysis

scholarly journals Glottal Function Index and GRBAS Scale of Patients Undergoing Vocal Cord Medialization: A Series of Five Patients

2013 ◽  
Vol 28 (2) ◽  
pp. 14-17
Author(s):  
Enrique C. Papa ◽  
Emmanuel S. Samson ◽  
Francisco A. Victoria
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Voice Quality ◽  
Silicone Implant ◽  
Subjective Symptoms ◽  
Medialization Thyroplasty ◽  
Function Index ◽  
Glottal Insufficiency ◽  
Unilateral Vocal Cord Paralysis

Objectives: Vocal cord paralysis or immobility is a debilitating condition that may result from neural injury or mechanical fixation of the vocal cord (VC).  When permanent, therapy is aimed at improving closure by modifying the position of the vocal cord. Whatever surgical intervention is chosen, pre - and post - operative voice evaluation is important. This study aimed to investigate the usefulness of the Glottal Function Index (GFI) and Grade, Roughness, Breathiness, Asthenia, Strain (GRBAS) Scale in the evaluation of treatment outcomes in patients with unilateral vocal cord paralysis (UVCP) who underwent medialization thyroplasty type 1 with a modified lock-in soft silicone implant. Methods: Study Design: Descriptive Case Series Setting: Tertiary Government Hospital Patients: Five Results:  Five patients (3 females, 2 males) consulting due to hoarseness underwent rigid endoscopy.  Four (2 right, 2 left) had unilateral paramedian VC paralysis while one had bilateral paresis with bowing of the left vocal cord.  One of those with left VC paralysis was diagnosed as idiopathic; the four were iatrogenic (3 from thyroid surgery, 1 from multiple surgical procedures). All patients underwent medialization thyroplasty type 1 using locked-in soft silicone implant. The GFI and GRBAS scale were utilized for pre-operative and post-operative perceptual evaluation of voice.  The GFI showed severe glottic insufficiency among all five patients prior to surgery with improvement of subjective symptoms one day and one week post-surgery in four patients. Likewise, the Hirano GRBAS scale showed improvement of voice quality and correlated well with the improvement of the patient’s subjective symptoms from the GFI scores. However, case 5 with bilateral vocal cord paresis, showed no improvement of voice quality despite recovery from subjective symptoms. Conclusion: For glottal insufficiency, perceptual voice evaluation using self-administered GFI and GRBAS scale assessment are important parameters in determining quality of life among patients with glottal insufficiency undergoing medialization laryngoplasty. Keywords: Hoarseness, unilateral vocal cord paralysis, medialization thyroplasty, Glottal Function Index, Hirano GRBAS Score

scholarly journals Impact of subclinical mental disorders of voice function and quality of life in voice-speaking professions during the COVID-2019 pandemic

2021 ◽  
pp. 47-53
Author(s):  
Iryna O. Sinaiko ◽  
Vasyl I. Troyan ◽  
Elena V. Lobova ◽  
Veronica M. Kryshtal
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Positive Relationship ◽  
Depression Scale ◽  
Voice Disorders ◽  
Vocal Folds ◽  
Anxiety And Depression ◽  
Perceptual Assessment ◽  
The Voice

Objective: To investigate the risk of mental distress during the COVID-19 pandemic in individuals of the voice-speech professions and the possibility of its impact on voice function and quality of life. Materials and Methods: The study involved 33 people of voice-speech professions who were treated at the University Clinic of Zaporizhzhia State Medical University in 2020. The presence of mental disorders was determined by questionnaires using the hospital anxiety and depression scale (HADS). The patients were divided into 2 groups, depending on the absence and presence of significantly expressed symptoms. A specialized phoniatric examination using functional loads (measuring the time of maximum phonation (PMF), perceptual assessment of the voice according to the GRBAS scale), videostroboscopy of the larynx were carried out. The assessment of the mental impact of voice disorders on the quality of life was carried out according to the Voice Handicap Index (VHI) questionnaire. The statistical significance of the comparative indicators and the connection of their changes were established using the Spearman's rank correlation coefficient. Results: It was found that among the surveyed 33 people, 22 patients (group 1) had subclinical anxiety and depression, and 11 (group 2) had no significant symptoms. Patients with subclinically severe mental disorders (n = 22) showed a significant increase in the emotional indicator by 85.37% (p≤0.01). A high positive relationship was found between subclinical levels of anxiety and depression and disturbances in the phonatory cycle of the larynx. When conducting a Spearman correlation analysis between the data of perceptual assessment of the voice according to the GRBAS system, data of video stroboscopy of the larynx, indicators of anxiety and depression, and the results of the VHI questionnaire, a positive relationship of a high degree was established between the level of anxiety and vibratory insufficiency of the vocal folds (rs=0.95; p≤0.05), negative with the Navy (rs=-0.59; p≤0.05), as well as physical (rs=0.75; p≤0.05) and emotional (rs=0.79; p≤0.05) components of average quality of life. The data obtained indicate a significant effect of subclinical disorders of the mental state on impaired voice function and the emotional component of the quality of life in persons of vocal-speech professions. Conclusions: Screening of mental health in persons of voice-speech professions together with a baseline assessment of voice function and quality of life are important steps for monitoring potential voice disorders and the formation of risk groups in order to carry out preventive and therapeutic measures for voice disorders.

scholarly journals The voice of patients with laryngeal carcinoma after oncosurgery

2005 ◽  
Vol 13 (2) ◽  
pp. 76-78 ◽  
Author(s):  
Slobodan Mitrovic ◽  
Ljiljana Jovancevic
Keyword(s):  
Acoustic Analysis ◽  
Individual Characteristics ◽  
Secondary Importance ◽  
Laryngeal Function ◽  
Objective Parameter ◽  
Laryngeal Carcinomas ◽  
Before And After ◽  
Quality Of Voice ◽  
The Voice

The voice of patients indicated for surgical procedures in treating of dysphonia is already damaged before the operation. The problem, which exists at the level of glottis patients usually try to solve by compensative mechanisms. The quality of voice after the interventions in larynx depends on the type and width of resection, disturbance of physiological phonation mechanisms, and ability to establish optimal phonation automatism. The damage of laryngeal structure, especially its glottic part and vocal cords as its central part, no matter if they are just fibrous or they are partially or totally absent, leads into the development of substitutive phonation mechanisms. The most frequent substitutive mechanisms are: vestibular, ventricular, and chordoventricular phonation. There are some variations of these phonation mechanisms, which are conditioned not only by applied surgical technique, but as they are also individual characteristics, they can be the consequence of applied rehabilitation methods. The diagnosis of voice condition before and after the oncosurgical procedure is done by: laryngostroboscopy, subjective acoustic analysis of voice, and objective acoustic analysis of voice (sonography or computer analysis of acoustic signal). The most of laryngeal carcinomas appear in glottic region, so the function of phonation imposes itself as the objective parameter to measure the quality of life after the oncosurgery of larynx. That is the reason why according to the priority, it is just behind the principle of "oncologic radicalism". Phonation as the most complex laryngeal function seems to have secondary importance. All known operative techniques, especially partial resections, have the preservation of phonation as their goal.

scholarly journals Voice Pathology Identification using Deep Neural Networks

2019 ◽  
Vol 8 (4) ◽  
pp. 7447-7450
Keyword(s):  
Deep Neural Networks ◽  
External Factors ◽  
Mel Frequency Cepstral Coefficients ◽  
Vocal Cords ◽  
Voice Change ◽  
Human Voice ◽  
Quality Of Voice ◽  
The Voice ◽  
Voice Modulation

The human voice construction is a complex biological mechanism capable of Changing pitch and volume. Some Internal or External factors frequently damage the vocal cords and change quality of voice or do some alteration in the voice modulation. The effects are reflected in expression of speech and understanding of information said by the person. So it is important to examine problem at early stages of voice change and overcome from this problem. ML play a major role in identifying whether voice is pathological or normal in nature. Voice features are extracted by Implementing Mel-frequency Cepstral Coefficients (MFCC) method, and examined on the Convolutional Neural Network (CNN) to identify the category of voice.

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