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Vocal folds paralysis

Jacob T Cohen, Alma Cohen, Limor Benyamini, Yossi Adi, Joseph Keshet
BACKGROUND: Voice analysis has a limited role in a day-to-day voice clinic. We developed objective measurements of vocal folds (VF) glottal closure insufficiency (GCI) during phonation. METHODS: We examined 18 subjects with no history of voice impairment and 20 patients with unilateral VF paralysis before and after injection medialization laryngoplasty. Voice analysis was extracted. We measured settling time, slope, and area under the fundamental frequency curve from the phonation onset to its settling-time...
February 14, 2019: Head & Neck
Tuan-Jen Fang, Hsiu-Feng Chuang, Hui-Chen Chiang, Yu-Cheng Pei
OBJECTIVES/HYPOTHESIS: Wide variation in postinjury functional recovery is a hallmark of unilateral vocal fold paralysis (UVFP), ranging from zero to full recovery. The present study examined the impact of cricothyroid (CT) muscle involvement on recovery using quantitative laryngeal electromyography (LEMG) of the thyroarytenoid-lateral cricoarytenoid (TA-LCA) muscle complex at multiple times postinjury. STUDY DESIGN: Prospective cohort study in a medical center...
February 13, 2019: Laryngoscope
Meng Li, Hongliang Zheng, Shicai Chen, Donghui Chen, Minhui Zhu
OBJECTIVE: To evaluate the extent of airway improvement and voice quality in patients with bilateral vocal fold paralysis (BVFP) who underwent selective laryngeal reinnervation surgery. METHODS: Seven patients with BVFP caused by thyroid surgeries were enrolled. They underwent selective laryngeal reinnervation surgery. Videostroboscopy data, voice perceptual data (grade [G]), acoustic data, laryngeal electromyography data, and pulmonary function test data were obtained preoperatively and postoperatively...
February 12, 2019: Laryngoscope
Jennifer P Rodney, Jess L Thompson, Michael P Anderson, Harold M Burkhart
OBJECTIVES: To study the incidence, sequelae, follow up, and recovery rate of vocal fold motion impairment (VFMI) after complex aortic arch reconstruction in neonates. STUDY DESIGN: Retrospective case control study. METHODS: We retrospectively evaluated 105 neonates who underwent complex aortic arch reconstruction from 2014 to 2016. We compared patients that did have VFMI compared to a control group of patients with normal vocal fold movement...
February 5, 2019: International Journal of Pediatric Otorhinolaryngology
O Erdur, O Gul, K Ozturk
OBJECTIVE: To evaluate dysphagia and manometric changes in the upper oesophageal sphincter in patients with unilateral vocal fold paralysis. METHODS: Thirty patients with unilateral vocal fold paralysis due to vagal nerve paralysis scheduled for evaluation were enrolled in the study group; 24 healthy subjects were included in the control group. Upper oesophageal sphincter basal and residual pressure, relaxation time, and pharyngeal pressure values were evaluated by manometry...
February 1, 2019: Journal of Laryngology and Otology
Andrea Lovato, Maria Rosaria Barillari, Luciano Giacomelli, Lisa Gamberini, Cosimo de Filippis
OBJECTIVES: The aim of this study was to investigate if any clinical and phoniatric characteristics or quality-of-life measures could predict the outcome of unilateral vocal fold paralysis (UVFP) initially managed with speech therapy. METHODS: Forty-six patients with UVFP were evaluated using laryngostroboscopy, the GIRBAS (grade, instability, roughness, breathiness, asthenia, and strain) scale, acoustic analysis, and the Voice Handicap Index-10 (VHI-10) questionnaire...
January 29, 2019: Annals of Otology, Rhinology, and Laryngology
Kenichi Watanabe, Takeshi Sato, Yohei Honkura, Ai Kawamoto-Hirano, Kazutaka Kashima, Yukio Katori
PURPOSE: This study was performed to evaluate the characteristics of the Voice Handicap Index (VHI), a self-assessment measure, for patients with unilateral vocal fold paralysis (UVFP) who underwent arytenoid adduction (AA), in comparison with postoperative vocal function examinations. METHODS: A retrospective chart review was conducted for patients who underwent AA at Tohoku University Hospital during the period between 2014 and 2017. VHI was compared before and after surgery; moreover, correlations were assessed between the VHI and other voice measurements, including perceptual assessment of voice, as well as aerodynamic and acoustic measures...
January 5, 2019: Journal of Voice: Official Journal of the Voice Foundation
Young Hwan Choi, Hee-Jin Ahn, Mi Ri Park, Mi-Jung Han, Jin Ho Lee, Seong Keun Kwon
With increasing demand for treatment of glottal insufficiency, several injection materials have been examined. However, biological resorption, degradation of injected materials, and the subsequent need to perform multiple injections still remain major clinical problems. In this study, we fabricated two different growth factor (GF) [single basic fibroblast growth factor (bFGF), single hepatocyte growth factor (HGF), or dual bFGF/HGF]-immobilized polycaprolactone (PCL)/Pluronic F127 microspheres. These materials were investigated for their potential use as bioactive injection laryngoplasty agents...
December 29, 2018: Acta Biomaterialia
Geun-Hyo Kim, Jae-Seok Lee, Chang-Yoon Lee, Yeon-Woo Lee, In-Ho Bae, Hee-June Park, Byung-Joo Lee, Soon-Bok Kwon
Objectives: The purpose of this study was to explore the effects of injection laryngoplasty (IL) with hyaluronic acid in patients with vocal fold paralysis (VFP). Methods: A total of 50 patients with VFP participated in this study. Pre- and post-IL assessments were performed, which included analyzing the sustained vowel /a/ phonation, and the patient reading 1 Korean sentence from the "Walk" passage that comprised 25 syllables in 10 words. To investigate the effect of IL on vocal fold function, acoustic analysis (acoustic voice quality index, cepstral peak prominence, maximum phonation time, speaking fundamental frequency) was conducted and auditory-perceptual (grade and overall severity), visual judgment (gap), and self-questionnaire (voice handicap index-10) assessments were performed...
December 2018: Osong Public Health and Research Perspectives
Attapon Junlapan, C Kwang Sung, Edward J Damrose
OBJECTIVES/HYPOTHESIS: Overnight hospitalization is routinely advocated following type I thyroplasty (TP) because of concerns for airway compromise. Hospitalization increases cost and patient inconvenience, and may not necessarily be appropriate. This study evaluated complications following surgery and identified predictors for same to assess which patients benefit most from hospitalization. STUDY DESIGN: Retrospective chart review. METHODS: A study was conducted on patients who underwent TP with or without arytenoid repositioning procedures between June 2008 and March 2017...
December 24, 2018: Laryngoscope
Terence M Zimmermann, Diana M Orbelo, Rebecca L Pittelko, Stephanie J Youssef, Christine M Lohse, Dale C Ekbom
OBJECTIVE: Voice outcomes following medialization laryngoplasty (ML) for unilateral vocal fold paralysis (UVFP) were compared to those who underwent ML plus arytenoid adduction (AA) (ML+AA). METHODS: Single institution retrospective review of patients with UVFP undergoing ML and ML+AA (2009-2017). Demographic information and history of laryngeal procedures were collected. Preoperative and postoperative Voice Handicap Index-10 (VHI-10) and Consensus Perceptual Auditory Evaluation of Voice (CAPE-V) were assessed...
December 24, 2018: Laryngoscope
Molly L Naunheim, Katherine C Yung, Sarah L Schneider, Jennifer Henderson-Sabes, Hardik Kothare, Leighton B Hinkley, Danielle Mizuiri, David J Klein, John F Houde, Srikantan S Nagarajan, Steven W Cheung
OBJECTIVE: To evaluate brain networks for motor control of voice production in patients with treated unilateral vocal fold paralysis (UVFP). STUDY DESIGN: Cross-sectional comparison. METHODS: Nine UVFP patients treated by type I thyroplasty, and 11 control subjects were compared using magnetoencephalographic imaging to measure beta band (12-30 Hz) neural oscillations during voice production with perturbation of pitch feedback. Differences in beta band power relative to baseline were analyzed to identify cortical areas with abnormal activity within the 400 ms perturbation period and 125 ms beyond, for a total of 525 ms...
December 20, 2018: Laryngoscope
X F Qian, Y X Chu, Y L Xu, Y J Wang, J L Chen, X Gao
No abstract text is available yet for this article.
July 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Molly L Naunheim, Katherine C Yung, Sarah L Schneider, Jennifer Henderson-Sabes, Hardik Kothare, Danielle Mizuiri, David J Klein, John F Houde, Srikantan S Nagarajan, Steven W Cheung
OBJECTIVES: To evaluate differences in vocal motor control and central auditory processing between treated unilateral vocal fold paralysis (UVFP) and healthy control cohorts. STUDY DESIGN: Cross-sectional. METHODS: Ten UVFP study patients treated by type I thyroplasty with stable voices were compared to 12 control subjects for vocal motor control using a pitch perturbation response task and central auditory processing performance using a battery of complex sound intelligibility assays that included adverse temporal and noise conditions...
November 28, 2018: Laryngoscope
Kara D Meister, April Johnson, Douglas R Sidell
OBJECTIVE: Vocal fold immobility with resultant dysphagia is a known cause of morbidity in the pediatric population. Herein we evaluate the efficacy and adverse events of injection laryngoplasty in children. STUDY DESIGN: Case series with chart review. SETTING: Tertiary academic children's hospital. SUBJECTS AND METHODS: Patients <12 years of age with unilateral vocal fold immobility, dysphagia, and objective swallow study data were included...
November 20, 2018: Otolaryngology—Head and Neck Surgery
B Duan, Y H Ni, Y Q Dai, Z M Xu
Objective: To investigate the etiology and clinical characteristics of vocal fold paralysis in children. To provide useful information for diagnosis, management and prognosis in the clinical work. Methods: Two hundred and seven children with vocal fold paralysis in Children's Hospital of Fudan University were retrospectively studied, and followed-up. Results: All the patients had hoarseness.151 cases had vocal paralysis in the left side and the main etiology was pulmonary arterial hypertension.43 cases had bilateral vocal paralysis and all of them had respiratory problems...
November 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Farzad Masroor, Debbie R Pan, Julia C Wei, Miranda L Ritterman Weintraub, Nancy Jiang
PURPOSE: To determine the incidence and spontaneous recovery rate of idiopathic vocal fold paralysis (IVFP) and paresis (IVFp), and the impact of steroid treatment on rates of recovery. METHODS: This retrospective cohort study included all patients with IVFP or IVFp within a large integrated health-care system between January 1, 2008 and December 31, 2014. Patient demographics and clinical characteristics, including time to diagnosis, spontaneous recovery status, time to recovery, and treatment, were examined...
November 15, 2018: European Archives of Oto-rhino-laryngology
Kenichi Watanabe, Ai Hirano, Yohei Honkura, Kazutaka Kashima, Masayuki Shirakura, Yukio Katori
PURPOSE: This study was performed to evaluate the incidence and contributing factors of complications associated with medialization laryngoplasty using Gore-Tex in patients with unilateral vocal fold paralysis. METHODS: A retrospective chart review was conducted for all patients who underwent medialization laryngoplasty using Gore-Tex at Tohoku University Hospital between January 2014 and April 2018. A search of series and case reports in PubMed was performed to determine the incidence of complications following medialization laryngoplasty using Gore-Tex...
November 13, 2018: European Archives of Oto-rhino-laryngology
Alexandria L Irace, Natasha D Dombrowski, Kosuke Kawai, Pamela Dodrill, Jennifer Perez, Kayla Hernandez, Kathryn Davidson, Anne Hseu, Roger Nuss, Reza Rahbar
OBJECTIVES/HYPOTHESIS: To describe the prevalence of aspiration in children with unilateral vocal fold paralysis who underwent objective assessment of swallow function. STUDY DESIGN: Retrospective chart review. METHODS: A study of patients presenting to our institution with unilateral vocal fold paralysis in 2015 was conducted. All patients were diagnosed using flexible laryngoscopy. Patients were included if they underwent at least one modified barium swallow (MBS) study for evaluation of their swallowing function due to recurrent respiratory issues and/or feeding difficulty...
November 8, 2018: Laryngoscope
Yoshihiko Kumai, Takumi Miyamoto, Keigo Matsubara, Yasuhiro Samejima, Naoya Yoshida, Hideo Baba, Yorihisa Orita
OBJECTIVES: To clarify the reliability of fiberoptic endoscopic evaluation of swallowing (FEES) compared to videofluoroscopic swallowing studies (VFSSs). Second, we explored the effect of the chin-down maneuver in the presence or absence of vocal fold paralysis (VFP) using FEES in patients with 3-field lymphadenectomy (3FL) postesophagectomy. DESIGN: Retrospective data collection from FEES and VFSS. SETTING: Dysphagic clinics in the ear, nose, and throat department...
November 2, 2018: Archives of Physical Medicine and Rehabilitation
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