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Vocal fold polyp

Anna White
PURPOSE OF REVIEW: Benign vocal fold lesions (BVFLs) cause dysphonia by preventing full vocal fold closure, interrupting vibratory characteristics and increasing compensatory muscle tension. Management includes phonosurgery, voice therapy, pharmacological treatment or more commonly a combination of these interventions. This review aims to present current perspectives on the management of BVFLs, particularly exploring the role of voice therapy. RECENT FINDINGS: The review highlights variation in the management of BVFLs...
March 18, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
Jerome R Lechien, Sven Saussez, Andrea Nacci, Maria Rosaria Barillari, Alexandra Rodriguez, Serge D Le Bon, Lise Crevier-Buchman, Bernard Harmegnies, Camille Finck, Lee M Akst
OBJECTIVES: To investigate the role of laryngopharyngeal reflux (LPR) in the development of benign lesions of the vocal folds (BLVF). METHODS: PubMed, Cochrane Library, and Scopus were searched by three independent investigators for articles published between January 1990 and November 2018 providing substantial information about the role of LPR in the development of nodules, polyps, cysts, Reinke's edema, and sulcus vocalis. Inclusion, exclusion, diagnostic criteria and clinical outcome evaluation of included studies were analyzed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria...
March 20, 2019: Laryngoscope
Thomas Townes, Carolyn Noelke, Jonathan Lively, Pamela Mudd
Benign vocal fold lesions (BVFL), including nodules, polyps, and cysts, are the most common etiology of dysphonia in the pediatric population. Voice surveys, such as the Pediatric Voice Handicap Index (PVHI), have become instrumental in the evaluation and monitoring of pediatric patients with dysphonia; however the symptom profiles reported in surveys have not yet been well correlated to specific etiologies for dysphonia. In a retrospective chart review of 95 patients with PVHI surveys and laryngoscopic exams, we sought to correlate the PVHI results with findings of BVFL...
March 4, 2019: Journal of Voice: Official Journal of the Voice Foundation
Steven M Zeitels
BACKGROUND: Since the renowned opera maestro Manuel Garcia presented "Observations on the Human Voice" using mirror laryngoscopy in 1855, there has been an inextricable link between performing vocalists and laryngologists. Today, specialized laryngeal surgeons continue the tradition of integrating medical and surgical management of performers with those skilled in vocal arts, voice science, and voice therapy. With advances in surgical instrumentation and techniques, increasing opportunities have evolved to surgically restore lost performing voices...
March 2019: Annals of Otology, Rhinology, and Laryngology
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
Heikki Rihkanen, Ahmed Geneid
PURPOSE: After surgery of vocal folds, almost every patient will need some voice rest. It is common to recommend total silence for some days, followed by less restricted voice use for variable periods. By now, we do not know how voice rest affects the healing process or the current practise in Europe. METHODS: Members of the European Laryngological Society (2012) and the Union of European Phoniatrics (2018) were sent a web-based questionnaire which included two patient cases with a short history and a still picture...
January 10, 2019: European Archives of Oto-rhino-laryngology
Jay Agarwal, Anni Wong, William Karle, Matthew Naunheim, Matthew Mori, Mark Courey
OBJECTIVES/HYPOTHESIS: Optimal treatment for patients with vocal fold polyps (VFPs) remains controversial. We compared the short-term outcomes of treatment with voice therapy alone (VT), surgery alone (SUR)m or voice therapy and surgery (VTS). STUDY DESIGN: Retrospective case series. METHODS: A retrospective study was performed for patients diagnosed with VFP (International Classification of Diseases, Ninth Revision code 478.4 and Tenth Revision code J38...
January 2, 2019: Laryngoscope
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
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
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
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
Peak Woo
Diplophonia can occur in patients with polyps, atrophy, paralysis, or scars. Its vibratory patterns have not been well characterized. High-speed video (HSV) analysis can contribute to their understanding. Twenty subjects with a diplophonic voice quality were studied by HSV. Diplophonia was due to medical causes including vocal fold paresis (n = 7), vocal atrophy (n = 5), polyps (n = 5), and scars/sulci (n = 3). The HSV was analyzed using a multislice digital videokymography (DKG). The DKG tracing was analyzed qualitatively and then transformed into a vibrogram waveform signal for frequency analysis...
October 30, 2018: Journal of Voice: Official Journal of the Voice Foundation
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
Nil Comunoglu, Ismail Kocak, Halil Ibrahim Saygi, Haydar Murat Yener, Sebnem Batur, Sirin Bakti Demiray, Ismail Seckin, Ozlem Tanriover, Cem Comunoglu
In Reinke's space of human vocal fold, type III collagen forms a three dimensional network and this contains numerous minute chambers in between these fibers. These compartments are occupied by glycosaminoglycans and glycoproteins. In laryngeal fold lesions, such as Reinke's edema and vocal fold polyps, proteoglycan (PG)/hyaluronic acid (HA) components of extracellular matrix increased. We investigated the size and quantity of the minute chambers within Reinke's space, filled with PG/HA with the aid of transmission electron microscopy...
October 22, 2018: Journal of Voice: Official Journal of the Voice Foundation
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
Abdul-Latif Hamdan, Elie Khalifee, Anthony Ghanem
PURPOSE: To report the voice outcome measures of thulium laser therapy as an office procedure in patients with vocal fold polyps. METHOD: This is a retrospective chart review of all patients with vocal fold polyps who underwent office-based thulium laser treatment between November 2016 and December 2017. Demographic data were collected. Objective voice outcome measures included extent of resolution, type of closure, and mucosal wave characteristics. Also, subjective outcome measures were reported, namely, Voice Handicap Index-10...
October 15, 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
Smriti Panda, Rajeev Kumar, Vikram Raj Gopinath, Prem Sagar
Myxoma is a benign tumour with a propensity for local infiltration and recurrence. Laryngeal myxoma presents as a submucosal polyp. Being an uncommon tumour and mimicking vocal cord polyp, only anecdotal evidence is available in the literature. The literature was reviewed from 1986 onwards using the keywords "myxoma" and "larynx." The databases used were PubMed, Google Scholar, Scopus, and Web of Science. Along with this, we also report our case of vocal fold myxoma. We found a total of 19 studies reporting laryngeal myxoma...
2018: Case Reports in Otolaryngology
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
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