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Vocal fold Cyst

A Nacci, S O Romeo, M D Cavaliere, A Macerata, L Bastiani, G Paludetti, J Galli, M R Marchese, M R Barillari, U Barillari, S Berrettini, C Laschi, M Cianchetti, M Manti, F Ursino, B Fattori
In a recent study we introduced a new approach for analysis of the electroglottographic (ECG) signal. This method is based on the evaluation of variation of the EGG signal and its first derivative, through new software developed by the Pisan phoniatric school. This software is designed to extract quantitative indices related to the contacting and decontacting phases of the vocal folds during phonation. The software allows us to study the combined variability of vibration amplitude and velocity (i.e. the first derivative of the EGG signal)...
January 31, 2019: Acta Otorhinolaryngologica Italica
Nupur Kapoor Nerurkar, Arundhatee Sapre, Rahul Gosavi
BACKGROUND: Mucosal bridges (MBs) are rare laryngeal lesions that may cause dysphonia of varying degrees. We propose the existence of a third variant of MB besides thin and thick MBs, and have termed this as an incomplete mucosal bridge (IMB). The concept of an IMB has not been previously discussed in literature. Thin and thick MBs are attached anteriorly and posteriorly on the membranous vocal fold and may cause dysphonia because of their separate vibratory characteristics from the main vocal fold...
January 2019: European Archives of Oto-rhino-laryngology
Bruno Teixeira Moraes, Noemi Grigoletto De Biase
OBJECTIVE: To determine the prevalence of minor structural alterations (MSA) in the vocal fold cover in a population submitted to extralaryngeal site surgery and to characterize them according to morphological and epidemiological parameters. STUDY DESIGN: This was a cross-sectional and observational study. SETTING: Tertiary referral medical center. SUBJECTS AND METHODS: A total of 147 patients underwent general anesthesia for extralaryngeal site surgery indicated for a procedure extraneous to the study and irrespective of the presence of vocal complaint...
October 23, 2018: Otolaryngology—Head and Neck Surgery
Ertugrul Kibar, Omer Erdur, Kayhan Ozturk
PURPOSE: To evaluate upper esophageal sphincter (UES) activity in patients with benign glottic lesions. METHODS: Twenty-three patients with benign vocal fold (VF) lesions scheduled for manometric evaluation were enrolled as the study group (SG); 20 healthy subjects without vocal pathology or dysphagia were included as the control group (CG). UES residual, basal, relaxation time and peak pharyngeal pressures were evaluated by manometry. The reflux symptom index (RSI) and reflux finding score (RFS) were used to estimate the clinical findings of laryngopharyngeal reflux, and the voice handicap index (VHI) was measured in both groups...
December 2018: European Archives of Oto-rhino-laryngology
Fouzi Benboujja, Christopher Hartnick
INTRODUCTION: Benign vocal disorders in children include an extensive list of abnormalities creating a variety of debilitating levels of dysphonia. Precise delineation of the benign lesion type and margins may have significant public health implications in children. An innovative technology such as optical coherence tomography (OCT) is being explored to delineate pediatric benign laryngeal lesions. An accurate assessment of the subepithelial morphology may help towards tailoring more personalized therapeutic treatments...
November 2018: International Journal of Pediatric Otorhinolaryngology
P-H Wu, P-W Cheng, F-C Lin, C-T Wang
No abstract text is available yet for this article.
October 2018: Clinical Otolaryngology
Blake S Raggio, Blair M Barton, Maria C Grant, Judith A Fornadley, Jeffrey P Marino
Background: Patients with suspected thyroid malignancy often undergo preoperative laryngeal examination with a focus on vocal fold mobility. We present the unique case of a patient with invasive thyroid carcinoma who presented with dysphonia despite intact vocal fold motion. Case Report: A 73-year-old female with a remote thyroid lobectomy presented with dysphonia. Thyroid ultrasound and fine-needle aspiration revealed a 1.1-cm nodule consistent with a colloid cyst...
2017: Ochsner Journal
Ashwini Joshi, Michael M Johns
OBJECTIVES/HYPOTHESIS: The aim of this study was to understand current protocols for voice rest implemented by laryngologists immediately after phonomicrosurgery for benign vocal fold lesions. STUDY DESIGN: Cross-sectional survey. METHODS: A 24-item survey was sent via electronic mail to laryngologists across the country to gather data on their recommendations of type and dosage of voice rest, factors involved in this decision, and recommendations for other behavioral modifications...
May 2018: Laryngoscope
Matthew R Naunheim, Thomas L Carroll
PURPOSE OF REVIEW: The management of benign vocal fold lesions (BVFLs) continues to evolve. This article will review the recent literature surrounding the nomenclature, cause, diagnosis, and treatment of BVFLs, including polyps, nodules, cysts, and reactive lesions. RECENT FINDINGS: The taxonomy of vocal fold lesions has been refined, and it serves as a common descriptive language for diagnosis, treatment algorithms, and reporting of outcomes. Though these lesions are known to be the result of phonotrauma, investigation into inflammatory mediators, apoptosis, and laryngopharyngeal reflux provide further elucidation of their underlying pathophysiology...
December 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
Hassan Khoramshahi, Ahmad Reza Khatoonabadi, Seyyedeh Maryam Khoddami, Peyman Dabirmoghaddam, Noureddin Nakhostin Ansari
OBJECTIVES: This study was aimed at determining the internal and external responsiveness of the Persian version of the Consensus Auditory-Perceptual Evaluation of Voice (called ATSHA), Persian version of the Voice Handicap Index (VHI), and Praat scales among patients with vocal mass lesions and secondary muscle tension dysphonia. STUDY DESIGN: Prospective, within-participant repeated measures. METHOD: Thirty patients with vocal fold nodules, polyps, and cysts related to secondary muscle tension dysphonia participated in the study...
November 2018: Journal of Voice: Official Journal of the Voice Foundation
A Nacci, S O Romeo, S Berrettini, J Matteucci, M D Cavaliere, V Mancini, E Panicucci, F Ursino, B Fattori
The purpose of this study is to understand if there is any alteration in the posture of patients affected by organic dysphonia and describe possible postural modifications after phonomicrosurgery on the vocal folds. Forty subjects (22 males, 18 females; mean age 32.6 ┬▒ 7.5 years) suffering from organic dysphonia (15 cases of polyps, 11 submucosal retention cysts, 10 bilateral fibrous vocal fold nodules and 4 bilateral Reinke's oedema) were examined by open-eye and closed-eye posturography while breathing spontaneously before surgery, 24 hours after surgery and after 6 months...
August 2017: Acta Otorhinolaryngologica Italica
Makoto Ogawa, Hidenori Inohara
OBJECTIVE: To update our knowledge regarding the effectiveness of voice therapy for the treatment of vocal disturbance associated with benign vocal fold lesions, including vocal polyps, nodules and cysts, and for determining the utility of voice therapy in treating organic voice disorders, while highlighting problems for the future development of this clinical field. METHODS: We conducted a review of the most recent literature on the therapeutic effects of voice therapy, vocal hygiene education or direct vocal training on vocal quality, the lesion appearance and discomfort felt by patients due to the clinical entity of benign vocal fold mass lesions...
August 2018: Auris, Nasus, Larynx
Kathleen M Tibbetts, Laura M Dominguez, C Blake Simpson
INTRODUCTION: Vocal fold cysts are benign mid-membranous lesions of the true vocal fold, classified as mucus retention or epidermal inclusion cysts. Treatment is surgical excision with or without postoperative voice therapy. METHODS: A retrospective review was performed of the demographics, treatment approach, and outcomes of patients treated for vocal fold cysts between 2009 and 2014. Voice Handicap Index (VHI)-10 scores before and after treatment were compared using the Wilcoxon Rank-Sum test and the two-tailed Student's t test...
May 2018: Journal of Voice: Official Journal of the Voice Foundation
Rudolf Reiter, Thomas Hoffmann
Introduction Voice disorders caused by pseudotumors of the vocal folds or paralysis of the vocal folds with incomplete glottis closure frequently require phonomicrosurgery. These interventions were analyzed with regard to quality of voice after surgery and safety of the intervention. Methods Retrospective analysis of 400 consecutive phonomicrosurgery interventions. The following parameters were collected: distribution of pathologies of the vocal folds, rating of the voice quality by both the surgeon (RBH-system) and patient and videolaryngstroboscopy six weeks after the intervention compared to the state prior to surgery, complications and results of histological examination...
September 2017: Laryngo- Rhino- Otologie
Vincenzo Saita, Eugenia Allegra, Nicol├▓ Marino, Serena Trapasso, Maria Concetta Monea
BACKGROUND: Microlaryngoscopy is the preferred and most widely used technique in phonosurgery for the treatment of benign and early malignant glottic lesions. However, the procedure may be technically difficult or impossible due to alterations of the cervical spine that may not allow hyperextension of the head or may present general anesthesia contraindications. The aim of this study is to evaluate the efficacy and safety of our surgical approach for lesions of the vocal folds in patients who are not suitable for phonosurgery by microlaryngoscopy...
2017: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Oded Cohen, Sharon Tzelnick, Yael Shapira Galitz, Hagit Shoffel-Havakuk, Moshe Hain, Doron Halperin, Yonatan Lahav
OBJECTIVE: To describe risk factors, clinical presentation, and outcome of patients with saccular disorders. STUDY DESIGN: Case control with chart review METHODS: A single center retrospective study. Case group included all adult patients, presenting with saccular disorders (saccular cyst or laryngocele), between the years 2010 and 2015. A matched group of patients with vocal fold cyst served as the control. RESULTS: Twenty-nine patients met the inclusion criteria: 15 males and 14 females; the mean age was 60...
September 2017: Journal of Voice: Official Journal of the Voice Foundation
Jung-Hae Cho, Yong-Sug Choi, Young-Hoon Joo, Young-Hak Park, Dong-Il Sun
OBJECTIVE: We investigated the clinical significance of contralateral reactive lesions in patients undergoing laryngeal microsurgery for benign vocal fold lesions such as vocal polyps and cysts. STUDY DESIGN: This was a retrospective, single institution cohort study. METHODS: Patient medical records were reviewed for demographic characteristics; acoustic, aerodynamic, and perceptual analyses; and Voice Handicap Index score before and after laryngeal microsurgery...
January 2018: Journal of Voice: Official Journal of the Voice Foundation
Vida Mehdizadehfar, Farshad Almasganj, Farhad Torabinezhad
OBJECTIVES: Development of a noninvasive method for separating different vocal fold diseases is an important issue concerning vocal analysis. Due to the time variations along a pathologic vocal signal, application of dynamic pattern modeling tools is expected to help in the detection of defects that occur in the speech production mechanism. MATERIALS AND METHODS: In the present study, the hidden Markov model, which is a state space model, is employed to sort some of the vocal diseases...
July 2017: Journal of Voice: Official Journal of the Voice Foundation
Jung-Hae Cho, Sang-Yeon Kim, Young-Hoon Joo, Young-Hak Park, Woo-Seob Hwang, Dong-Il Sun
OBJECTIVE: This study aims to investigate the clinical efficacy and safety of immediate intralesional steroid injection in patients undergoing laryngeal microsurgery (LMS) for benign vocal fold lesions (BVFLs). STUDY DESIGN: This is a single-institution, retrospective cohort study. METHODS: Patients were divided into two groups according to whether or not they received adjunctive steroid injection after LMS. We evaluated the outcomes using objective, perceptual voice analysis and videostroboscopy...
September 2017: Journal of Voice: Official Journal of the Voice Foundation
Jobran Mansour, Ofer Amir, Doron Sagiv, Eran E Alon, Michael Wolf, Adi Primov-Fever
OBJECTIVES: Stroboscopy is considered the most appropriate tool for evaluating the function of the vocal folds but may harbor significant limitations in children. Still, direct laryngoscopy (DL), under general anesthesia, is regarded the "gold standard" for establishing a diagnosis of vocal fold pathology. The aim of the study is to examine the accuracy of preoperative rigid stroboscopy in children with voice disorders. STUDY DESIGN: This is a retrospective study...
July 2017: Journal of Voice: Official Journal of the Voice Foundation
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