|Year : 2019 | Volume
| Issue : 1 | Page : 30-31
Oral - Open
|Date of Web Publication||14-May-2020|
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
. Oral - Open. J Laryngol Voice 2019;9:30-1
| Voice therapy outcome in treatment of puberphonia (ABS_007)|| |
Tran Phan Chung Thuy, Tran Thi Thu Trang
Department of Speech Therapy Unit / Infection Prevention Control, Ear Nose Throat Hospital, Ho Chi Minh City, Vietnam
Objective: To evaluate the effectiveness of voice therapy in the treatment of puberphonia.
Methods: A prospective case series was conducted on 60 patients with puberphonia treated by voice training at Ho Chi Minh City Hospital from June 2015 to June 2016 to evaluate the results after vocal training using the voice handicap index (VHI), GBRAS, baseline voice recording, and PRAAT analysis.
Results: All participants were male, aged 13–34 years, and the average age was 22 years. Most (75%) of the participants were students. The average number of sessions was three sessions. Effective techniques include abdominal breathing, coughing/cleansing before pronunciation, vowel sounding with the lowest possible tone, and humidity decreasing. After vocal training, all participants showed an improvement in the VHI and GBRAS. Producing a low, stable bass, with a significantly improved average fundamental frequency, from 224.8 Hz to 120.8 Hz.
Conclusion: Voice therapy is an effective, inexpensive, noninvasive method and is the treatment of choice for puberphonia.
| Correlation between personality type and vocal pathology (ABS_019)|| |
Gauri Kapre, Nehal Kothari1, Nupur Nerurkar2
Neeti Clinics, Nagpur,1Let's Talk Speech Therapy,2Bombay Hospital Speech and Swallowing Centre, Mumbai, Maharashtra, India
Objective: In this study, we have made an attempt to find out if there is any correlation between the type of personality (type A or B) and the incidence of vocal pathology, subsequent to a tendency of vocal abuse. We also noted the loudness of speech and speed of speech for either personality types and compared these parameters for each personality type.
Materials and Methods: A total of 100 individuals (50 with vocal pathologies and 50 with normal vocal folds) underwent voice and personality assessment and the above-mentioned factors were compared with statistical methods.
Results: It was found that individuals with type A personality had a statistically significant increased incidence of vocal pathology, as compared to those with type B personality (P = 0.04). The other two parameters, i.e., loudness of speech and speed of speech, were found to be higher in individuals with type A personality than those with type B.
Conclusions: This study shows that there is a very close relationship between one's personality type and one's voice quality, and the incidence of vocal abuse and subsequent vocal pathology are heavily governed by the person's personality traits.
| Voice rehabilitation following laryngectomy (ABS_024)|| |
S. M. Khorshed Alam Mazumder
Department of ENT and Head Neck Surgery, Holy Family Red Crescent Medical College and Hospital, Dhaka, Bangladesh
Introduction: Human desire to communicate by voice is a basic need. Everyone loves his own voice. Rehabilitation of voice is an essential desire of patient, family, and society. Voice rehabilitation following laryngectomy is documented.
Materials and Methods: Total laryngectomy is still the preferred management modality in advanced laryngeal malignancies. Advances in medical oncology and radiation oncology increased longevity of these patients. The current 5-year survival is about 85%. Tracheoesophageal puncture is the gold standard method as it preserves resonances. My preference is electrolarynx. A good percentage of participants regained their esophageal voice. Voice rehabilitation by these procedures is documented.
Conclusion: My preference is electrolarynx. Sincere effort for rehabilitation should be taken by the operating surgeon.
| Epidemiology factors of vocal cord paralysis in Sardjito Central Public Hospital (ABS_036)|| |
Dian Paramita Wulandari, Hesti Dyah Palupi
Department of ORL HNS, Sardjito Central Public Hospital, Yogyakarta, Indonesia
Objectives: The objectives of this study are to analyze epidemiological factors associated with vocal cord paralysis in Sardjito Central Public Hospital.
Materials and Methods: Participants with vocal cord paralysis were retrospectively analyzed. Data were taken from January 2017 to August 2019 from medical records. We analyzed epidemiology factors related to vocal cord paralysis, including gender, age, address, vocal cord paralysis types, and vocal cord paralysis management.
Results: There were 115 cases including both genders: 56.5% males and 43.5% females. We analyzed the cases and found 78 unilateral paralysis and 22 bilateral paralysis cases. Treatment of vocal cord paralysis was speech therapy, swallowing therapy, and cordectomy.
Conclusion: Vocal cord paralysis cases in Sardjito Central Public Hospital Yogyakarta are mostly unilateral paralysis. Treatment of vocal cord paralysis is mostly speech therapy.
| Modified frontolateral partial laryngectomy operation with neck skin flap in laryngeal reconstruction (ABS_038)|| |
Department of Otolaryngology-Head and Neck Surgery, Fatmawati General Hospital, Jakarta, Indonesia
Objective: Laryngeal reconstruction is needed to preserve laryngeal function in patients who have undergone extensive vertical or frontal partial laryngectomy. However, the procedure remains a difficult challenge. Several reconstruction techniques have been described, but these techniques pose risks of complications such as laryngeal stenosis. This study aimed to evaluate the postoperative course and functional outcomes of a new technique that is neck skin flap during laryngeal reconstruction after tumor resection.
Materials and Methods: Thirty patients underwent extensive vertical partial or frontal partial laryngectomy for cancer. After tumor resection, laryngeal reconstruction was performed using the proposed technique. Postoperative recovery time, complications, swallowing, speech, decannulation, and oncologic results were evaluated.
Results: Thirty patients were successfully treated with the proposed technique. No dyspnea, dysphagia, or death occurred during the postoperative course. Decannulation was performed after a median of 3 days. The average postoperative hospital stay was 5 days. Short-term postoperative functional recovery was normal. No laryngeal stenosis was observed in any of the thirty patients and two patients with tumor recurrence after a follow-up period of more than 24 months.
Conclusion: The neck skin flap is a reliable procedure for laryngeal reconstruction after extensive vertical partial or frontal partial laryngectomy.
| Coablation – A novel technology in the management of laryngotracheal stenosis: Our experience (ABS_045)|| |
Arpit Sharma, Hetal Marfatia
Department of ENT and Head Neck Surgery, Seth G.S. Medical College, Parel, Mumbai, Maharastra, India
Coblation or “controlled ablation” is a unique technology that causes nonheat-driven soft tissue dissolution using bipolar radiofrequency under a conductive medium. Ours is a study to assess the results of coablation in membranous/soft laryngotracheal stenosis via endoscopic approach in a graded fashion, i.e., as staged procedures in an attempt to make use of its unique property of minimal collateral tissue damage, achieving hemostasis and suction with a convenient single instrument to respect the delicate mucosal blanket when being cost-effective at the same time. Patients with laryngotracheal stenosis and responded well to endoscopic treatment with coblation eliminating need for extensive resection and anastomosis.
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