H. Wakizaka, Tsunehisa Ohno, Shinichi Sato, T. Haji
Bilateral vocal cord paralysis can result in a loss of voice function, dyspnea and dysphagia, and hoarseness. Between 2003 and 2013, there were twenty-six patients (9% of all vocal cord paralysis cases) diagnosed with bilateral vocal cord paralysis at our hospital. Thyroid surgery was the most frequent cause. Lateralization of the vocal cord was undertaken in nine patients, and tracheotomy was performed in 21 patients. In nine cases that underwent a glottal abduction surgery, six were able to undergo closure of the trachea aperture. Securing the respiratory tract is the most important aspect of treatment. After securing the airway, it is necessary to determine the best treatment based on the lifestyle and the QOL of the patient, and their demand for deglutition.
{"title":"A Clinical Study of Bilateral Vocal Cord Paralysis","authors":"H. Wakizaka, Tsunehisa Ohno, Shinichi Sato, T. Haji","doi":"10.5426/LARYNX.27.6","DOIUrl":"https://doi.org/10.5426/LARYNX.27.6","url":null,"abstract":"Bilateral vocal cord paralysis can result in a loss of voice function, dyspnea and dysphagia, and hoarseness. Between 2003 and 2013, there were twenty-six patients (9% of all vocal cord paralysis cases) diagnosed with bilateral vocal cord paralysis at our hospital. Thyroid surgery was the most frequent cause. Lateralization of the vocal cord was undertaken in nine patients, and tracheotomy was performed in 21 patients. In nine cases that underwent a glottal abduction surgery, six were able to undergo closure of the trachea aperture. Securing the respiratory tract is the most important aspect of treatment. After securing the airway, it is necessary to determine the best treatment based on the lifestyle and the QOL of the patient, and their demand for deglutition.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116579916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We herein report a case of thermal epiglottitis in a 4-year-old boy who swallowed hot tea. The previously healthy patient presented to our outpatient clinic complaining of swallowing pain one day after swallowing hot tea from the spout of a tea pot. On the initial physical examination, he exhibited smalls areas of slight scalding on the tongue and soft palate. Although the damage to the oral cavity was not severe, a fiberscopic examination revealed an erythematous and edematous epiglottis partially covered with a whitish coating. The patient was therefore hospitalized and received treatment with ceftriaxone and predonine. He was able to tolerate soft foods within 24 hours and subsequently discharged from the hospital after 48 hours of observation. A history of swallowing a hot beverage from the spout of kettle or tea pot is an important clue suggesting a thermal burn of the larynx. In order to prevent overlooking a potential diagnosis of thermal epiglottitis, which may cause dyspnea on occasion, the importance of conducting a laryngoscopic examination should be emphasized in patients with a history of any of the following findings: 1) swallowing from the spout of kettle; 2) eating unequally cooled hot foods, the exterior of which is cooled, while the interior is not, such as spring rolls or pastries; 3) consuming microwave heated foods or beverages; 4) mental impairment.
{"title":"A Case of Thermal Epiglottitis after Swallowing Hot Tea in Child","authors":"H. Shinohara, Hironari Shimizu","doi":"10.5426/LARYNX.27.14","DOIUrl":"https://doi.org/10.5426/LARYNX.27.14","url":null,"abstract":"We herein report a case of thermal epiglottitis in a 4-year-old boy who swallowed hot tea. The previously healthy patient presented to our outpatient clinic complaining of swallowing pain one day after swallowing hot tea from the spout of a tea pot. On the initial physical examination, he exhibited smalls areas of slight scalding on the tongue and soft palate. Although the damage to the oral cavity was not severe, a fiberscopic examination revealed an erythematous and edematous epiglottis partially covered with a whitish coating. The patient was therefore hospitalized and received treatment with ceftriaxone and predonine. He was able to tolerate soft foods within 24 hours and subsequently discharged from the hospital after 48 hours of observation. A history of swallowing a hot beverage from the spout of kettle or tea pot is an important clue suggesting a thermal burn of the larynx. In order to prevent overlooking a potential diagnosis of thermal epiglottitis, which may cause dyspnea on occasion, the importance of conducting a laryngoscopic examination should be emphasized in patients with a history of any of the following findings: 1) swallowing from the spout of kettle; 2) eating unequally cooled hot foods, the exterior of which is cooled, while the interior is not, such as spring rolls or pastries; 3) consuming microwave heated foods or beverages; 4) mental impairment.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127608822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Pathogenesis of the Spasmodic Dysphonia -The Study of Central Nervous System Related to Laryngeal Adjusted Using Functional MRI-Infection-","authors":"A. Kiyuna","doi":"10.5426/LARYNX.26.86","DOIUrl":"https://doi.org/10.5426/LARYNX.26.86","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124349801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cidofovir is an anti-viral agent and has been anticipated to eradicate human papillomavirus in cases of recurrent respiratory papillomatosis (RRP). We herein summarize four new cases of more severe RRP than have been previously reported, which were treated with intralesional injection of the agent. Three of the four cases achieved minimal residual disease. However, recurrence of the disease was observed in all three cases, and further surgical intervention with intralesional injection of the agent was attempted. The remaining case had very severe disease requiring reduction of the tumor volume at the initial injection. Repeated recurrence required further surgical interventions with intralesional injection of the agent. The trends in Europe and the United States of America, as seen in statements approved by the RRP Task Force, should be considered when performing the treatment.
{"title":"Advanced Treatment for Recurrent Laryngeal Papillomatosis","authors":"S. Murono, T. Yoshizaki","doi":"10.5426/LARYNX.26.77","DOIUrl":"https://doi.org/10.5426/LARYNX.26.77","url":null,"abstract":"Cidofovir is an anti-viral agent and has been anticipated to eradicate human papillomavirus in cases of recurrent respiratory papillomatosis (RRP). We herein summarize four new cases of more severe RRP than have been previously reported, which were treated with intralesional injection of the agent. Three of the four cases achieved minimal residual disease. However, recurrence of the disease was observed in all three cases, and further surgical intervention with intralesional injection of the agent was attempted. The remaining case had very severe disease requiring reduction of the tumor volume at the initial injection. Repeated recurrence required further surgical interventions with intralesional injection of the agent. The trends in Europe and the United States of America, as seen in statements approved by the RRP Task Force, should be considered when performing the treatment.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123643738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Type II Thyroplasty for Adductor Spasmodic Dysphonia","authors":"Kenji Mizoguchi, S. Fukuda","doi":"10.5426/LARYNX.26.92","DOIUrl":"https://doi.org/10.5426/LARYNX.26.92","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125014982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Spasmodic dysphonia （SD） can be difficult to diagnose, and affected patients often see multiple physicians over many years before receiving a correct diagnosis. In this study, questionnaires were sent to physicians who examined and treated patients with SD over a one-year period from 2012 to 2013. The questions included the number of SD patients seen within the past year, the characteristics of the disorder （medical history, symptoms and laryngeal findings） and the differential diagnosis. The questionnaires were sent to 91 university hospitals and voice clinics nationwide, of which 55 facilities （60.4%） responded. The findings of the investigation are summarized below. The total number of patients seen within the past one year was 894. Adductor SD was confirmed in 856 patients （95.7%）, while abductor SD was detected in 37 patients （4.1%）. The ratio of the adductor SD to abductor SD was consistent with that found in the literature. The results in this study revealed several common char-acteristic findings in the medical history, symptoms and laryngeal findings of the patients. In particular, the presence of hyperfunctional dysphonia, psychogenic dysphonia, and essential tremors should be used to distin-guish SD. Assessing such characteristics may improve the ability to accurately diagnose SD. In addition, the use of screening questions, voice therapy, and lidocaine block were reported as differential diagnosis methods in this study.
{"title":"Diagnosis of Spasmodic Dysphonia","authors":"T. Sanuki, E. Yumoto","doi":"10.5426/LARYNX.26.81","DOIUrl":"https://doi.org/10.5426/LARYNX.26.81","url":null,"abstract":"Spasmodic dysphonia （SD） can be difficult to diagnose, and affected patients often see multiple physicians over many years before receiving a correct diagnosis. In this study, questionnaires were sent to physicians who examined and treated patients with SD over a one-year period from 2012 to 2013. The questions included the number of SD patients seen within the past year, the characteristics of the disorder （medical history, symptoms and laryngeal findings） and the differential diagnosis. The questionnaires were sent to 91 university hospitals and voice clinics nationwide, of which 55 facilities （60.4%） responded. The findings of the investigation are summarized below. The total number of patients seen within the past one year was 894. Adductor SD was confirmed in 856 patients （95.7%）, while abductor SD was detected in 37 patients （4.1%）. The ratio of the adductor SD to abductor SD was consistent with that found in the literature. The results in this study revealed several common char-acteristic findings in the medical history, symptoms and laryngeal findings of the patients. In particular, the presence of hyperfunctional dysphonia, psychogenic dysphonia, and essential tremors should be used to distin-guish SD. Assessing such characteristics may improve the ability to accurately diagnose SD. In addition, the use of screening questions, voice therapy, and lidocaine block were reported as differential diagnosis methods in this study.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114554016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this review, we describe how to diagnose and treat voice disorders from the viewpoint of their pathophysi-ology.1） Phonation is a physical phenomenon wherein expiration vibrates the vocal fold to produces the voice. It is im-portant to consider the vocal fold as a vibrating tissue when evaluating its pathophysiology. There are likely to be problems with vocal fold vibration in patients with voice disorders. 2） When you encounter voice disorder patients who lack findings associated with the vocal fold, it is necessary to check for the conditions necessary for normal vocal fold vibration （phonation）. 3） You should consider the cause of difficulties in the vocal fold vibration as a vibrating tissue, and clarify the pathophysiology of the voice disorders from this point of view. In addition, multidisciplinary treatment （com-bined pharmacotherapy, surgical treatment and voice therapy） should be administered for voice disorders based on their pathophysiology.
{"title":"Diagnosis and Treatment of Voice Disorders from the Viewpoint of their Pathophysiology","authors":"Kiminori Sato","doi":"10.5426/LARYNX.26.104","DOIUrl":"https://doi.org/10.5426/LARYNX.26.104","url":null,"abstract":"In this review, we describe how to diagnose and treat voice disorders from the viewpoint of their pathophysi-ology.1） Phonation is a physical phenomenon wherein expiration vibrates the vocal fold to produces the voice. It is im-portant to consider the vocal fold as a vibrating tissue when evaluating its pathophysiology. There are likely to be problems with vocal fold vibration in patients with voice disorders. 2） When you encounter voice disorder patients who lack findings associated with the vocal fold, it is necessary to check for the conditions necessary for normal vocal fold vibration （phonation）. 3） You should consider the cause of difficulties in the vocal fold vibration as a vibrating tissue, and clarify the pathophysiology of the voice disorders from this point of view. In addition, multidisciplinary treatment （com-bined pharmacotherapy, surgical treatment and voice therapy） should be administered for voice disorders based on their pathophysiology.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123888609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Miyazaki, T. Haji, Tsunehisa Ohno, H. Wakizaka, Aiko Oka
{"title":"A Case of Extra-Laryngeal Resection of a Thyroid-Cartilage Foraminal Cyst","authors":"T. Miyazaki, T. Haji, Tsunehisa Ohno, H. Wakizaka, Aiko Oka","doi":"10.5426/LARYNX.26.136","DOIUrl":"https://doi.org/10.5426/LARYNX.26.136","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121229430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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