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Vocal fold nodules

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
Daniela de Vasconcelos, Adriana de Oliveira Camargo Gomes, Cláudia Marina Tavares de Araújo
Introduction  Vocal fold polyps are one of the most frequent benign laryngeal lesions, impacting the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions. As such, otolaryngologists and speech therapists need updated bibliographic knowledge on the issue. Objective  To describe the literature findings on vocal fold polyps that discuss prevalence, etiology, histology, physiopathology, vocal characteristics or treatment...
January 2019: International Archives of Otorhinolaryngology
Hagit Shoffel-Havakuk, Babak Sadoughi, Lucian Sulica, Michael M Johns
OBJECTIVES: To review available information regarding in-office procedures for benign vocal fold lesions (BVFL). METHODS: PubMed term search on office/awake laryngeal procedures for any of the following specific lesions: Reinke's edema (RE), polyps, nodules, varices, vocal process granuloma, and vocal fold (VF) scar. RESULTS: In-office ablative and nonablative laser procedures have been described for BVFL, including RE, polyps, varices, and granuloma...
December 21, 2018: Laryngoscope
Juan P Cortés, Víctor M Espinoza, Marzyeh Ghassemi, Daryush D Mehta, Jarrad H Van Stan, Robert E Hillman, John V Guttag, Matías Zañartu
Phonotraumatic vocal hyperfunction (PVH) is associated with chronic misuse and/or abuse of voice that can result in lesions such as vocal fold nodules. The clinical aerodynamic assessment of vocal function has been recently shown to differentiate between patients with PVH and healthy controls to provide meaningful insight into pathophysiological mechanisms associated with these disorders. However, all current clinical assessment of PVH is incomplete because of its inability to objectively identify the type and extent of detrimental phonatory function that is associated with PVH during daily voice use...
2018: PloS One
J Milovanovic, M Vukasinovic, A Jotic, H Vlajinac, A Milovanovic, B Pavlovic, B Banko, J Maksimovic
The aim of our study was to compare socio-demographic characteristics of vocal fold nodules, polyps and oedema. The study included patients diagnosed for the first time with vocal fold nodules, polyps and oedema at the Communication Disorders Care Center of Clinic for Otorhinolaryngology and Maxillofacial Surgery in Clinical Center of Serbia, Belgrade. Diagnosis was made on the basis of symptoms, clinical otorhinolaryngological and phoniatric examination and endovideolaryngostroboscopic findings. A self-administered questionnaire was used to collect the following data: socio-demographic status, exposure to occupational noise and air pollution, occupational voice demands, health habits, symptoms of the present voice problems and voice problems in the family...
October 2018: Acta Otorhinolaryngologica Italica
Pedro Melo Pestana, Susana Vaz-Freitas, Maria Conceição Manso
INTRODUCTION: Fado is a genre of urban folk music from Portugal characterized by some particularities. Some indictions in the study point this population of singers to be at higher risk of developing voice disorders. AIM: This study aims to provide estimates of the prevalence of voice disorders in Fado singers, and to characterize the professional practice and the impact of voice disorders on their careers. METHODS: This is a cross sectional study based on a self-administered questionnaire split into six parts and 55 questions...
November 20, 2018: Journal of Voice: Official Journal of the Voice Foundation
María J Rufo, Jacinto Martín, Carlos J Pérez, Sandra Paniagua
Vocal fold nodules are recognized as an occupational disease for all collective of workers performing activities for which maintained and continued use of voice is required. Computer-aided systems based on features extracted from voice recordings have been considered as potential noninvasive and low cost tools to diagnose some voice-related diseases. A Bayesian decision analysis approach has been proposed to classify university lectures in three levels of risk: low, medium, and high, based on the information provided by acoustic features extracted from healthy controls and people suffering from vocal fold nodules...
November 8, 2018: Biometrical Journal. Biometrische Zeitschrift
Nain Bahadur Mahato, Deepak Regmi, Meera Bista, Pema Sherpa
INTRODUCTION: The term 'voice' is the acoustic energy generated from the vocal tract that are characterized by their dependence on vocal fold vibratory pattern. Teachers as professional voice users are afflicted with dysphonia and are discouraged with their jobs and seek alternative employment. Loud speaking and voice straining may lead to vocal fatigue and vocal fold tissue damage. The objective of the study is to assess the quality of voice of school teachers before and after teaching practice...
March 2018: JNMA; Journal of the Nepal Medical Association
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
Pamela Mudd, Carolyn Noelke
PURPOSE OF REVIEW: Vocal nodules are a common presentation in children, representing the most common cause of dysphonia. RECENT FINDINGS: Children with siblings, ADHD, and of male sex are most likely to be affected. Female children, however, tend to have more likely progression into adolescence. Quality-of-life indices can aid in screening for vocal nodules whereas stroboscopy, and possibly, ultrasound are required for definitive diagnosis. SUMMARY: Management has not significantly changed over time and should begin with conservative behavioral and environmental modifications along with voice therapy in those more severely impacted...
December 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
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
Can Doruk, Necati Enver, Berkay Çaytemel, Elad Azezli, Bora Başaran
OBJECTIVE: Vocal fold nodules are benign vocal fold lesions that can adversely affect quality of life. Differential diagnosis and treatment modalities of this disease are variable and patients often tend to use online materials to learn the insights. Access to knowledge via Internet is very easy; however, it is important to choose wisely because false and biased information might lead the patient to an inappropriate decision. In this study, we have evaluated the quality, readability, and understandability of online materials for vocal fold nodules...
September 18, 2018: Journal of Voice: Official Journal of the Voice Foundation
Daniella-Taylyn Moodley, Carl Swanepoel, Kristiane van Lierde, Shabnam Abdoola, Jeannie van der Linde
OBJECTIVES: The aim of this study was to describe the laryngeal anatomy, perceptual, acoustic, and aerodynamic vocal characteristics of school-aged children with and without Attention Deficit Hyperactivity Disorder (ADHD). The predisposition that children with ADHD have for laryngeal injuries are recurrent in nature and are more often than not overlooked as laryngitis. Previous studies have reported varied results on the prevalence rates of pediatric vocal fold nodules within the school-aged ADHD population...
August 13, 2018: Journal of Voice: Official Journal of the Voice Foundation
Makoto Hosoya, Rika Kobayashi, Toyota Ishii, Masamitsu Senarita, Hiroyuki Kuroda, Hayato Misawa, Fujinobu Tanaka, Tetsuya Takiguchi, Masatsugu Tashiro, Sawako Masuda, Sho Hashimoto, Fumiyuki Goto, Shujiro Minami, Nobuko Yamamoto, Ryoto Nagai, Akiko Sayama, Takeshi Wakabayashi, Keitaro Toshikuni, Rumi Ueha, Yoko Fujimaki, Mihiro Takazawa, Sotaro Sekimoto, Kenji Itoh, Takaharu Nito, Akiko Kada, Koichi Tsunoda
OBJECTIVES/HYPOTHESIS: Vocal fold polyps and nodules are common benign laryngeal lesions. Currently, the Japanese health insurance system covers surgical interventions. However, the establishment of more cost-effective conservative methods is required, because healthcare costs are viewed as a major concern, and the government and taxpayers are demanding more economical, effective treatments. In this situation, more suitable vocal hygiene education may be important for the success of cost-effective conservative treatment...
August 6, 2018: Laryngoscope
M Sandra Paniagua, Carlos J Pérez, Fernando Calle-Alonso, Carmen Salazar
INTRODUCTION: Professional activities of university lecturers involve continued and sustained use of the voice, leading in many cases to increased risk of developing voice disorders. Risk identification followed by the fast application of preventive or corrective measures is a key issue in this context. OBJECTIVE: Define and implement a preventive program for the vocal health of university lecturers by using acoustic features automatically extracted from voice recordings to identify risk groups and manage preventive or corrective actions MATERIAL AND METHODS: A total of 170 subjects, aged between 18 and 65, were recruited at the San Pedro de Alcántara Hospital and at the University of Extremadura in Cáceres (Spain)...
July 30, 2018: Journal of Voice: Official Journal of the Voice Foundation
Ziya Saltürk, Erdi Özdemir, Hüseyin Sari, Seda Keten, Tolgar Lütfi Kumral, Guler Berkiten, Belgin Tutar, Yavuz Uyar
OBJECTIVE: This study aimed to evaluate objective and subjective changes in the voices of adults with vocal fold nodules who received resonant voice therapy. METHODS: Twenty-six female patients who had bilateral vocal fold nodules and 30 healthy women were included in the study. Patients were treated with vocal hygiene education and resonant voice therapy. Voice records were obtained for acoustic and aerodynamic analysis. Fundamental frequency, jitter, shimmer, and noise-to-harmonic ratio were analyzed for acoustic analysis...
July 13, 2018: Journal of Voice: Official Journal of the Voice Foundation
Maria Del Mar Ropero Rendón, Tatiana Ermakova, Marie-Louise Freymann, Alina Ruschin, Tadeus Nawka, Philipp P Caffier
INTRODUCTION: Functional and organic impairments of the singing voice are common career-threatening problems of singers presenting in phoniatric and laryngological departments. The objective was to evaluate the efficacy of phonosurgery, logopedic voice treatment and vocal pedagogy in common organic and functional voice problems of singers, including investigation of the recently introduced parameter vocal extent measure (VEM). METHODS: In a prospective clinical study, the analysis of treatment outcome in 76 singers [57 female, 19 male; 38 ± 11 years (mean ± SD)] was based on pre- and post-therapeutic voice function diagnostics and videolaryngostroboscopy...
July 2018: Advances in Therapy
Ingrid Verduyckt, Caroline Rhéault, Marc Remacle, Dominique Morsomme
This is a case-control study investigating the personality profiles of children with vocal fold nodules (VFNs). Personality has been suggested as a contributing factor to VFN in adults and in children. However, previous studies in children have focused on psychopathologic traits and have reported contradictory findings. The aim of our study was to explore whether general, nonpathologic personality structure predicts the presence of VFN in children. Personality traits were measured in 34 children with VFN, aged 6...
June 21, 2018: Journal of Voice: Official Journal of the Voice Foundation
D Sarran, A Caron, J P Billet
Vocal cord granulomas are rarely observed in brachycephalic breeds but often reported in humans as contact granulomas. Six French bulldogs were included in this retrospective descriptive study. Endoscopic laryngeal examinations were performed on all dogs under general anaesthesia. Vocal cord lesions were exclusively unilateral, exophytic, approximately 3-mm wide ulcerated mucosal nodules, arising from the vocal cord. Histopathological examination mainly revealed chronic inflammatory changes on the laryngeal epithelium which were consistent with laryngeal granulomas described in humans, except for the location: vocal cord in dogs versus vocal process in humans...
June 5, 2018: Journal of Small Animal Practice
Hamdi Tasli, Burcu Eser, Mehmet Burak Asik, Hakan Birkent
OBJECTIVES: Vocal fold nodules (VFNs) are benign disorders affecting the superficial lamina propria of the true vocal folds. The etiology of VFNs still remains unclear but laryngeal trauma caused by vocal abuse, tobacco, alcohol, and laryngopharyngeal reflux (LPR) plays a crucial role on the pathogenesis. The aim of this study was to assess the presence of pepsin in formalin-fixed, paraffin-embedded (FEPE) specimens of VFNs to evaluate the role of LPR as a risk factor for VFNs. MATERIALS AND METHODS: A total of 28 pathology specimens of patients suffering from VFNs who had undergone laser microsurgery under general anesthesia were evaluated...
May 11, 2018: Journal of Voice: Official Journal of the Voice Foundation
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