{"title":"Second congress of the asia-pacific laryngology association held in manila","authors":"Frederick Y. Hawson","doi":"10.4103/jlv.JLV_8_23","DOIUrl":"https://doi.org/10.4103/jlv.JLV_8_23","url":null,"abstract":"","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132837083","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}
Background: Suspension laryngoscopy (SL) is routinely used in operative laryngology. There is currently very little information in the literature about the complications of this procedure. One of the complications is hypoglossal nerve palsy. Objective: The aim of this article is to review four cases of hypoglossal nerve palsy post-SL. Materials and Methods: This is consecutive case series of four patients with hypoglossal nerve injury following SL. We discuss the presentations, management, and predisposing factors of the injury. Results: The majority of patients with hypoglossal nerve palsy were male and smokers or ex-smokers. All underwent SL using Lindholm suspension. Right-side hypoglossal nerve palsy was more common than that on the left side (three of four cases). The length of the operation was unrelated to this complication. Two cases had associated injuries including bruising over the right anterior pillar and uvula and ulceration over the lower lip. All patients were treated with three doses of intravenous dexamethasone, and the average recovery time was 2 weeks. Conclusion: Patients undergoing SL must be informed about the risk of temporary unilateral hypoglossal nerve palsy. Further study is necessary to investigate the predisposing factors.
{"title":"Hypoglossal nerve palsy following suspension laryngoscopy: Case series","authors":"M. Alqaydi, M. Azman, M. Baki","doi":"10.4103/jlv.JLV_3_23","DOIUrl":"https://doi.org/10.4103/jlv.JLV_3_23","url":null,"abstract":"Background: Suspension laryngoscopy (SL) is routinely used in operative laryngology. There is currently very little information in the literature about the complications of this procedure. One of the complications is hypoglossal nerve palsy. Objective: The aim of this article is to review four cases of hypoglossal nerve palsy post-SL. Materials and Methods: This is consecutive case series of four patients with hypoglossal nerve injury following SL. We discuss the presentations, management, and predisposing factors of the injury. Results: The majority of patients with hypoglossal nerve palsy were male and smokers or ex-smokers. All underwent SL using Lindholm suspension. Right-side hypoglossal nerve palsy was more common than that on the left side (three of four cases). The length of the operation was unrelated to this complication. Two cases had associated injuries including bruising over the right anterior pillar and uvula and ulceration over the lower lip. All patients were treated with three doses of intravenous dexamethasone, and the average recovery time was 2 weeks. Conclusion: Patients undergoing SL must be informed about the risk of temporary unilateral hypoglossal nerve palsy. Further study is necessary to investigate the predisposing factors.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122037620","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}
Background: As a population at high risk for vocal pathologies, managing the vocal health of singers requires a multidisciplinary approach. However, a minimal proportion of Indian singers opt medical line of treatment during the event of vocal pathology. Objective: This study was conducted to understand the factors that contributed to the barriers that stopped Indian singers from seeking medical help for voice-related complaints. Materials and Methods: An observational cross-sectional survey design was adopted for the study. Eighty-eight self-identified singers aged 18–52 years volunteered to participate in the study. They completed a purposive-built, self-reporting questionnaire that addressed subjective factors (age, gender, education, genre of singing, years of training, and formal singing experience), awareness of anatomy and physiology of the laryngeal system, history of voice pathology, and awareness about profession of speech-language pathology. Results: The results showed that none of the subjective factors had any influence on the attitude of singers toward seeking vocal healthcare. Also, many participants (56.7%) responded to be unaware of the basic anatomy and physiology of the laryngeal system. However, no significant association was found between the awareness of the anatomy and physiology of the laryngeal system with the attitude toward medical help. Most participants (59.8%) had a history of a voice problem, but the majority of the participants (72.4%) sought home remedies for their voice problem. An increased awareness (67.8%) of the profession of speech-language pathologists was observed, but there were conflicting opinions on the type of services provided by speech-language pathologists. Conclusion: The vocal healthcare-seeking attitude in trained Indian singers is minimal. The insights from the study call for a need to carry out more voice care awareness programs on the importance of voice conservation, including sensitization of Indian singers about the voice care services a speech-language pathologist provides.
{"title":"Understanding the barriers to seek professional help for voice-related problems in Indian trained singers","authors":"Revathi Raveendran, Y. Krishna","doi":"10.4103/jlv.JLV_1_23","DOIUrl":"https://doi.org/10.4103/jlv.JLV_1_23","url":null,"abstract":"Background: As a population at high risk for vocal pathologies, managing the vocal health of singers requires a multidisciplinary approach. However, a minimal proportion of Indian singers opt medical line of treatment during the event of vocal pathology. Objective: This study was conducted to understand the factors that contributed to the barriers that stopped Indian singers from seeking medical help for voice-related complaints. Materials and Methods: An observational cross-sectional survey design was adopted for the study. Eighty-eight self-identified singers aged 18–52 years volunteered to participate in the study. They completed a purposive-built, self-reporting questionnaire that addressed subjective factors (age, gender, education, genre of singing, years of training, and formal singing experience), awareness of anatomy and physiology of the laryngeal system, history of voice pathology, and awareness about profession of speech-language pathology. Results: The results showed that none of the subjective factors had any influence on the attitude of singers toward seeking vocal healthcare. Also, many participants (56.7%) responded to be unaware of the basic anatomy and physiology of the laryngeal system. However, no significant association was found between the awareness of the anatomy and physiology of the laryngeal system with the attitude toward medical help. Most participants (59.8%) had a history of a voice problem, but the majority of the participants (72.4%) sought home remedies for their voice problem. An increased awareness (67.8%) of the profession of speech-language pathologists was observed, but there were conflicting opinions on the type of services provided by speech-language pathologists. Conclusion: The vocal healthcare-seeking attitude in trained Indian singers is minimal. The insights from the study call for a need to carry out more voice care awareness programs on the importance of voice conservation, including sensitization of Indian singers about the voice care services a speech-language pathologist provides.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128890868","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}
An 81-year-old female, a nonsmoker, presented as an urgent referral to the ear, nose, and throat service with dysphagia and hoarseness. She reported a past medical history of asthma, glaucoma, and depression. Notably, she had been diagnosed with pemphigus, 30 years prior. On examination, she had a slough-covered lesion involving the epiglottis and both arytenoids. An urgent computed tomography scan of the neck showed symmetrical posterior pharyngeal supraglottic soft-tissue thickening. A microlaryngoscopy was performed urgently with biopsy and CO2 laser debulking of the lesion. Histology confirmed pemphigus vulgaris. Over the next 6 months, she developed a recurrent supraglottic hood with scar tissue between the medial surfaces of the arytenoids overhanging the glottic gap. A repeat debulking was performed with an intraoperative steroid injection. The patient remains under surveillance.
{"title":"A rare case of laryngeal pemphigus vulgaris requiring repeat debulking surgery","authors":"Jane Foo, A. Mowat, Woo-Young Yang","doi":"10.4103/jlv.JLV_8_22","DOIUrl":"https://doi.org/10.4103/jlv.JLV_8_22","url":null,"abstract":"An 81-year-old female, a nonsmoker, presented as an urgent referral to the ear, nose, and throat service with dysphagia and hoarseness. She reported a past medical history of asthma, glaucoma, and depression. Notably, she had been diagnosed with pemphigus, 30 years prior. On examination, she had a slough-covered lesion involving the epiglottis and both arytenoids. An urgent computed tomography scan of the neck showed symmetrical posterior pharyngeal supraglottic soft-tissue thickening. A microlaryngoscopy was performed urgently with biopsy and CO2 laser debulking of the lesion. Histology confirmed pemphigus vulgaris. Over the next 6 months, she developed a recurrent supraglottic hood with scar tissue between the medial surfaces of the arytenoids overhanging the glottic gap. A repeat debulking was performed with an intraoperative steroid injection. The patient remains under surveillance.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122202927","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 describe a case report of a 62-year-old male who presented with complaints of dysphagia, difficulty in breathing, and pain in the neck for 1 year. He underwent a computed tomography scan and flexible videolaryngoscopy and was diagnosed to have enlarged cervical osteophyte at the C3–C5 level. The patient was successfully managed by transoral endoscopic approach using potassium titanyl phosphate (KTP) laser. The postsurgery patient was completely relieved from airway obstruction. Thus, we conclude that transoral endoscopic KTP laser-assisted reduction is a minimally invasive surgery to treat airway obstruction due to enlarged cervical osteophyte.
{"title":"Enlarged anterior cervical osteophyte presenting with upper airway obstruction","authors":"S. Gandhi, Shradha Saindani, S. Bhatta","doi":"10.4103/jlv.JLV_5_22","DOIUrl":"https://doi.org/10.4103/jlv.JLV_5_22","url":null,"abstract":"We describe a case report of a 62-year-old male who presented with complaints of dysphagia, difficulty in breathing, and pain in the neck for 1 year. He underwent a computed tomography scan and flexible videolaryngoscopy and was diagnosed to have enlarged cervical osteophyte at the C3–C5 level. The patient was successfully managed by transoral endoscopic approach using potassium titanyl phosphate (KTP) laser. The postsurgery patient was completely relieved from airway obstruction. Thus, we conclude that transoral endoscopic KTP laser-assisted reduction is a minimally invasive surgery to treat airway obstruction due to enlarged cervical osteophyte.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"18 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132602173","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}
Auwal Adamu, A. Ajiya, Yasir Nuhu Jibril, A. Kirfi, I. Shuaibu, S. Gwalabe
Background: Laryngeal disorders are common in our environment, and a number of studies have been carried out. However, there is a paucity of literature with regard to the evaluation of voice-related handicap, and Voice Handicap Index (VHI) score for specific laryngeal disorders. Aim: The aim of this study was to apply the VHI score and flexible laryngoscopy in the evaluation of patients with laryngeal disorders and to determine the mean VHI score for specific laryngeal disorders in our environment. Methodology: A cross-sectional study was conducted among patients with the clinical diagnosis of laryngeal disorder who presented at the otolaryngology clinic of our institution. Patients who had previous laryngeal surgery or tracheostomy were excluded. Data was collected on sociodemographic variables, clinical history, and flexible laryngoscopic findings. The VHI score, which comprised of functional, physical, and emotional subscales was also collected and analyzed. Results: A total of 90 patients completed the study; 56.7% of them were males, whereas 43.3% were females. The mean VHI was highest in patients with laryngeal tumor (68.8 ± 14.8) followed by patients with vocal cord palsy (58.2 ± 5.7), but it was lowest in patients with acute laryngitis (27.1 ± 5.3). There was a statistically significant difference in mean VHI for each laryngeal disorder (P = 0.000). Conclusion: The patients with laryngeal tumor and those with vocal cord palsy had the highest VHI score, which affected their functional and emotional well-being. Therefore, applying VHI score and flexible laryngoscopy is important in the holistic evaluation of patients with laryngeal disorders.
{"title":"Application of Voice Handicap Index score and flexible laryngoscopy in the evaluation of patients with laryngeal disorders","authors":"Auwal Adamu, A. Ajiya, Yasir Nuhu Jibril, A. Kirfi, I. Shuaibu, S. Gwalabe","doi":"10.4103/jlv.jlv_4_22","DOIUrl":"https://doi.org/10.4103/jlv.jlv_4_22","url":null,"abstract":"Background: Laryngeal disorders are common in our environment, and a number of studies have been carried out. However, there is a paucity of literature with regard to the evaluation of voice-related handicap, and Voice Handicap Index (VHI) score for specific laryngeal disorders. Aim: The aim of this study was to apply the VHI score and flexible laryngoscopy in the evaluation of patients with laryngeal disorders and to determine the mean VHI score for specific laryngeal disorders in our environment. Methodology: A cross-sectional study was conducted among patients with the clinical diagnosis of laryngeal disorder who presented at the otolaryngology clinic of our institution. Patients who had previous laryngeal surgery or tracheostomy were excluded. Data was collected on sociodemographic variables, clinical history, and flexible laryngoscopic findings. The VHI score, which comprised of functional, physical, and emotional subscales was also collected and analyzed. Results: A total of 90 patients completed the study; 56.7% of them were males, whereas 43.3% were females. The mean VHI was highest in patients with laryngeal tumor (68.8 ± 14.8) followed by patients with vocal cord palsy (58.2 ± 5.7), but it was lowest in patients with acute laryngitis (27.1 ± 5.3). There was a statistically significant difference in mean VHI for each laryngeal disorder (P = 0.000). Conclusion: The patients with laryngeal tumor and those with vocal cord palsy had the highest VHI score, which affected their functional and emotional well-being. Therefore, applying VHI score and flexible laryngoscopy is important in the holistic evaluation of patients with laryngeal disorders.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134462556","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}
Introduction: Laser posterior cordectomy with partial arytenoidectomy (PCPA) using CO2 laser is one of the treatment modalities for bilateral vocal fold immobility (BVFI). In addition to maintaining an adequate airway, the procedure may cause aspiration. Aim: The aim of this study was to study the swallowing outcomes after laser posterior cordectomy with PCPA in BVFI. Study Design: This was a prospective observational study. Materials and Methods: Patients undergoing laser posterior cordectomy with PCPA in bilateral abductor palsy from January 2012 to December 2014 had been examined with Fiber-optic Endoscopic Evaluation of Swallowing in 1st, 6th, and 12th weeks after surgery. Results: Thirty-six patients fulfilled the inclusion criteria. Two patients had penetration for liquid in 1st week but recovered without intervention. None of the patients had an aspiration to liquid, semisolid, and solid (P > 0.05). Conclusion: Swallowing is not hampered following laser PCPA done for bilateral immobile vocal folds.
{"title":"Swallowing outcomes after posterior cordectomy with partial arytenoidectomy in bilateral abductor palsy","authors":"KC Arun, S. Gandhi, SK Vishwavijetha","doi":"10.4103/jlv.jlv_3_22","DOIUrl":"https://doi.org/10.4103/jlv.jlv_3_22","url":null,"abstract":"Introduction: Laser posterior cordectomy with partial arytenoidectomy (PCPA) using CO2 laser is one of the treatment modalities for bilateral vocal fold immobility (BVFI). In addition to maintaining an adequate airway, the procedure may cause aspiration. Aim: The aim of this study was to study the swallowing outcomes after laser posterior cordectomy with PCPA in BVFI. Study Design: This was a prospective observational study. Materials and Methods: Patients undergoing laser posterior cordectomy with PCPA in bilateral abductor palsy from January 2012 to December 2014 had been examined with Fiber-optic Endoscopic Evaluation of Swallowing in 1st, 6th, and 12th weeks after surgery. Results: Thirty-six patients fulfilled the inclusion criteria. Two patients had penetration for liquid in 1st week but recovered without intervention. None of the patients had an aspiration to liquid, semisolid, and solid (P > 0.05). Conclusion: Swallowing is not hampered following laser PCPA done for bilateral immobile vocal folds.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122696879","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":"Monkeypox, larynx and voice","authors":"Rujittika Mungunpuntipantip, V. Wiwanitkit","doi":"10.4103/jlv.jlv_6_22","DOIUrl":"https://doi.org/10.4103/jlv.jlv_6_22","url":null,"abstract":"","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"13 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124619544","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}
Behavioral disorders in children can sometimes lead to habitual and deliberate ingestion of multiple foreign bodies that may be neglected for longer periods and require a multidisciplinary team approach to remove it successfully.
{"title":"The triad of denial, neglect, behavioral disorder causing to habitual multiple foreign body ingestion – A surgeon's nightmare","authors":"R. Verma, Kirubakaran Kothandaraman","doi":"10.4103/jlv.jlv_2_22","DOIUrl":"https://doi.org/10.4103/jlv.jlv_2_22","url":null,"abstract":"Behavioral disorders in children can sometimes lead to habitual and deliberate ingestion of multiple foreign bodies that may be neglected for longer periods and require a multidisciplinary team approach to remove it successfully.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"295 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132160130","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}
Aishwarya Prateep, G. Vijayaraj, A. Parameswari, P. Saravanam
A stridulous child with failure to thrive needs to be evaluated and emergent management is required to reduce the morbidity and mortality. The reasons for stridor in early childhood are usually due to laryngomalacia. Laryngeal cyst can pose a potential risk and challenge in management, especially in children. Laryngeal cysts have been described to occur in the glottis, laryngeal pouch, epiglottis, aryepiglottic folds, and subglottic areas. Clinical features of the laryngeal cyst depend on the size and localization of the cyst. They may present with voice change, hoarseness, dysphagia, laryngeal stridor, and dyspnea. Prompt diagnosis and early management can prevent major respiratory compromise. This case reports a 6-month old infant who was referred to us with stridor and failure to thrive since birth. The child was evaluated and a diagnosis of aryepiglottic fold cyst was made and treated surgically. The management protocol and available literature are reviewed and discussed.
{"title":"Early-onset respiratory distress in a child: A rare presentation","authors":"Aishwarya Prateep, G. Vijayaraj, A. Parameswari, P. Saravanam","doi":"10.4103/jlv.jlv_14_20","DOIUrl":"https://doi.org/10.4103/jlv.jlv_14_20","url":null,"abstract":"A stridulous child with failure to thrive needs to be evaluated and emergent management is required to reduce the morbidity and mortality. The reasons for stridor in early childhood are usually due to laryngomalacia. Laryngeal cyst can pose a potential risk and challenge in management, especially in children. Laryngeal cysts have been described to occur in the glottis, laryngeal pouch, epiglottis, aryepiglottic folds, and subglottic areas. Clinical features of the laryngeal cyst depend on the size and localization of the cyst. They may present with voice change, hoarseness, dysphagia, laryngeal stridor, and dyspnea. Prompt diagnosis and early management can prevent major respiratory compromise. This case reports a 6-month old infant who was referred to us with stridor and failure to thrive since birth. The child was evaluated and a diagnosis of aryepiglottic fold cyst was made and treated surgically. The management protocol and available literature are reviewed and discussed.","PeriodicalId":367413,"journal":{"name":"Journal of Laryngology and Voice","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131865218","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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