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    Tytuł:
    Laryngeal reinnervation in unilateral vocal fold paralysis- case report and literature review
    Autorzy:
    Rzepakowska, Anna
    Jachimowska, Justyna
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1400263.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    laryngeal reinnervation
    unilateral vocal fold paralysis
    glottis insufficiency
    Opis:
    Laryngeal reinnervation is the method of treatment in unilateral vocal fold paralysis. During the surgery an anastomosis between the main branch of ansa cervicalis and recurrent laryngeal nerve is formed. Regeneration of the nerve’s functional abilities is a long process, lasting from 4 to 6 months, up to a year. A 35 year-old male was admitted to the Department of Otolaryngology at Warsaw Medical University in order to undergo surgical removal of reoccurrence of Schwannoma in left cerebellopontine angle by translabyrinthine approach. Post-operative period was complicated with vagal nerve paralysis. The patient reported hoarseness, dysphagia and choking. Physical examination revealed left vocal fold immobilization in abducted position, saliva in piriform fossa and left-sided soft palate paralysis yet the patient was discharged home. 4 weeks after the surgery, the patient was admitted to the hospital again due to developing aspiration pneumonia. Augmentation of the left vocal fold with calcium hydroxyapatite was performed 2 months later. After this intervention temporary vocal improvement and choking frequency reduction was observed. Finally, the patient underwent laryngeal reinnervation with formation of ansa cervicalis main branch to recurrent laryngeal nerve anastomosis. Left vocal fold regained its functional abilities and the quality of the voice improved. Laryngovideostroboscopy performed 6 months later revealed mobilization of left vocal fold sufficient for proper glottis closure. The voice measures normalized and the swallowing improved. Conclusions This case report and analyzed data confirm that laryngeal reinnervation surgery in unilateral vocal fold paralysis helps achieve satisfactory effects in voice function and life quality.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2017, 6, 2; 36-41
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Transient bilateral palsy of vocal cord after tonsillectomy in local anesthesia – case report
    Autorzy:
    Wendt, Robert
    Dalke, Krzysztof Jarosław
    Glamowski, Piotr Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/1400394.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    vocal fold paralysis
    complication
    tonsillectomy
    lidocaine
    local anesthesia
    Opis:
    Vocal cord palsy as a result of tonsillectomy in local anesthesia is a very rare complication. In literature, there is only few publication describing this side effect of tonsillectomy. We present a case of 26 years old men who was classified for surgical removing of tonsils in local anesthesia using 1% lignocaine with 1:100 000 epinephrine. During the procedure respiratory failure with stridor was developed, examination using indirect laryngoscopy show bilateral vocal chord palsy. The authors present probably pathomechanism of this complication.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2017, 6, 3; 25-28
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The usefulness of the NBI – narrow band imaging for the larynx assessment
    Autorzy:
    Kimza, Hanna
    Jackowska, Joanna
    Wierzbicka, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1398132.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    NBI
    phonosurgery
    vocal fold benign lesions
    laryngeal papillomatosis
    Opis:
    Narrow band imaging (NBI) by enhancing the contrast between the mucosal epithelium and submucosal vessels facilitates diagnosis of precancerous and cancerous lesions, as well as hypertrophic lesions such as laryngeal papillomatosis. Narrow band imaging (NBI) is an optical technique based on the modification of white light by the use of special optical filters. Every change in the microvascular architecture of the mucosa is classified according to Ni’s classification (2011). The use of NBI improves sensitivity and specificity of assessment of laryngeal lesions and allows more precise assessment of the status of surgical margins of early-stage and locally-advanced laryngeal cancers managed in endoscopic laser cordectomy.
    Źródło:
    Polish Journal of Otolaryngology; 2018, 72, 3; 1-3
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Severity of dysphonia in patients during first days after iatrogenic injury
    Autorzy:
    Jędra, Katarzyna
    Sielska-Badurek, Ewelina
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1398497.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    vocal fold paralysis
    dysphonia
    functional assessment of voice
    Opis:
    Introduction: The most common cause of vocal fold paralysis (VFP) is iatrogenic injury. Patients with symptoms of VFP present to the specialist after a couple of weeks or even months since the onset of symptoms. In the literature, the data regarding speech impairment during the first days after a iatrogenic injury is lacking. Aim: to evaluate the quality of voice during first days of vocal fold paralysis following a iatrogenic injury. Materials and methods: Twenty-five patients with iatrogenic vocal fold paralysis who presented for phoniatric consultation at the Department of Otolaryngology of the Medical University of Warsaw between May 2015 and December 2016 were enrolled in the study. The patients were examined 1-2 days since the onset of speech deterioration. In all patients, laryngeal videolaryngostroboscopy was performed, based on which the following were assessed: vocal fold mobility, mucosal wave, phonation closure, simultaneity and amplitude of vocal fold vibration. Acoustic analysis was performed, and the following acoustic parameters were evaluated: DSI, F0, Shimmer, Jitter, NHR. Also, the maximal phonation time of [a] sound (MPT a) was assessed and the voice perception analysis with the GRBAS scale was performed. The patients self-evaluated their voice using a 10-point VAS scale. Results: Based on the videolaryngostroboscopy, phonatory insufficiency and asymmetrical vocal fold vibration were observed. On perception assessment with GRBAS scale, we noticed slight to mild degree hoarseness, breathiness of sound and weakened voice. In majority of patients, the maximal phonation time of [a] sound was significantly reduced. All patients showed abnormal acoustic parameters. None of them rated their voice as perfectly normal on VAS scale.
    Źródło:
    Polish Journal of Otolaryngology; 2017, 71, 6; 22-26
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The application of High-Speed camera (HS), acoustic analysis and Voice Handicap Index (VHI) questionnaire in diagnosis of voice disorders in elderly men
    Autorzy:
    Kosztyła-Hojna, Bożena
    Zdrojkowski, Maciej
    Duchnowska, Emilia
    Powiązania:
    https://bibliotekanauki.pl/articles/1397805.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    acoustic voice analysis
    HSDI
    hypofunctional dysphonia
    presbyphonia
    vocal fold atrophy
    Opis:
    Objective: The process of ageing begins after 60 years of age and is referred to as presbyphonia (Vox senium). The causes include functional or organic voice disorders, often coexisting with dry upper respiratory tract infection. Introduction: The aim of the study is the use of high-speed camera and acoustic voice analysis in diagnostics of the clinical form of presbyphonia. M aterials and methods: The study included a group of 50 men, non-smokers, age from 51 to 72, who do not use their voice professionally. High-Speed Digital Imaging and HS camera have been used, allowing evaluation of real vibrations of vocal folds, along with acoustic voice analysis using a software by DiagNova Technologies. Results: VHI questionnaire has been used for self-assessment of voice disability. Visualizations of the larynx enabled recognition of hypofunctional dysphonia or atrophy of vocal folds that cause voice disorders. This was confirmed by parameters of voice acoustic evaluation: F0, NHR, narrowband spectrography. The pathological value of NHR and the presence of nonharmonic components in the range of high frequency levels indicated glottal insufficiency, recorded with the visualization technique of the larynx by HS camera. A significant shortening of maximum phonation time in relation to the control group has also been recorded. Discussion: The objective examination of voice pathology is crucial in diagnosis and rehabilitation, however, subjective assessment of the patient is important in the scope of the procedure used. The patient’s subjective self-rating assessment (VHI) confirmed the sense of voice disorders in elderly men, indicating the need for rapid and accurate clinical diagnosis.
    Źródło:
    Polish Journal of Otolaryngology; 2019, 73, 5; 25-30
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Office-based vocal fold augmentation with calcium hydroxylapatite: long-term results
    Autorzy:
    Sielska-Badurek, Ewelina
    Sobol, Maria
    Jędra, Katarzyna
    Rzepakowska, Anna
    Osuch-Wójcikiewicz, Ewa
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1398487.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    vocal fold augmentation
    injection laryngoplasty
    Calcium hydroxylapatyte
    long-term results
    Opis:
    Aim: We assessed long-term outcomes of vocal fold augmentation with calcium hydroxylapatyte performed under local anesthesia. Material and methods: We enrolled 17 patients with glottic insuf ficiency due to unilateral laryngeal paralysis or insuf ficiency of internal laryngeal muscles (10 women, 17 men; mean age, 57.6±17.7 years; median age, 61 years; age range, 32-83 years). All patients underwent laryngeal augmentation under local anesthesia, through the oral cavity, with calcium hydroxylapatite (Radiesse) injected laterally to the vocal folds, unilaterally or bilaterally. We assessed voice quality before laryngeal augmentation and at 3 and 12 months. To that end, we performed videolaryngostroboscopy, perceptual assessment of voice, acoustic analyses, and aerodynamic assessments; moreover, participants completed the Voice-Related Quality of Life (VRQoL) questionnaire. Results: Af ter 3 months, we observed a statistically significant improvement on the perceptual assessment of voice with regard to the G and A parameters, and good outcomes were also observed at 12 months. On the acoustic analyses, MDVP_Jitt, MDVP_Shim, and MDVP_NHR improved to 2.5, 5, and 0.1, respectively, at 3 months, and to 1.9, 3.6, and 0.1, respectively, at 12 months. MPTa was prolonged to 12.2s and 11.9s at 3 and 12 months, respectively. Voice intensity improved from 67dB(A) before augmentation to 68dB(A) and 71dB(A) at 3 and 12 months, respectively. VRQoL scores improved to 19.5 and 20 at 3 and 12 months, respectively. Discussion: Laryngeal augmentation with calcium hydroxylapatite performed under local anesthesia is associated with good long-term outcomes.
    Źródło:
    Polish Journal of Otolaryngology; 2017, 71, 5; 5-11
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Medialization thyroplasty in glottis insufficiency due to unilateral vocal fold paralysis and after laser cordectomies – preliminary report
    Autorzy:
    Rzepakowska, Anna
    Osuch-Wójcikiewicz, Ewa
    Sielska-Badurek, Ewelina
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1398469.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    thyroplasty
    unilateral vocal fold paralysis
    cordectomy
    glottis insufficiency
    voice quality
    Opis:
    Medialization thyroplasty (type I) is surgical procedure performed on the thyroid cartilage. The major indication for this surgery is significant glottis insufficiency due to unilateral vocal fold paresis. However the proce¬dure is also performed after vocal fold resections during cordectomy. The aim: The evaluation of voice results in patients after medialisation throplasty. Material and methods: In Otolaryngology Department of Medical University of Warsaw there were performed so far 8 thyroplasty procedures under local anaesthesia with implantation of medical silicon protesis. 6 patients had unilat¬eral vocal fold paresis and the rest two underwent in the past laser cordectomy due to T1a vocal carcinoma. Results: There were no complications during and post the surgery. The follow up examination in 1st , 3rd, 6th i 12th months postoperatively revealed for all patients significant improvement of glottal closure in laryngeal videostrobos¬copy. The voice quality improved both in perceptual evaluation (GRBAS scale) and acoustic analysis (F0, jitter, shim¬mer, NHR) in both patients groups. However the rate of improvement was much more significant in group with uni¬lateral vocal fold paresis. In all patients the maximum phonation time (MPT) increased. The self-evaluation of voice quality with Voice Handicap Index questionnaire confirmed also individual improvement. Conclusions: The speech rehabilitations is not successful in each patient with glottis insufficiency. The medialisation thyroplasty remains the standard procedure for permanent improvement of voice quality in those cases.
    Źródło:
    Polish Journal of Otolaryngology; 2017, 71, 1; 22-29
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Usefulness of high-speed digital imaging (HSDI) in the diagnosis of oedematous – hypertrophic changes of the larynx in people using voice occupationally
    Autorzy:
    Kosztyła-Hojna, Bożena
    Moskal, Diana
    Kuryliszyn-Moskal, Anna
    Andrzejewska, Anna
    Łobaczuk-Sitnik, Anna
    Kraszewska, Anna
    Skorupa, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1398519.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    High-Speed Digital Imaging
    oedematous-hypertrophic changes
    vocal fold mucosa
    larynx
    Opis:
    Introduction. The aim of the study is the evaluation of the usefulness of High-Speed Digital Imaging (HSDI) in the diagnosis of organic dysphonia in a form of oedematous-hypertrophic changes of vocal fold mucosa, morphologically confirmed by Transmission Electron Microscopy (TEM) method in patients working with voice occupationally. Material and methods. The group consisted of 30 patients working with voice occupationally with oedematous-hypertrophic changes of vocal fold mucosa. Parameters of vocal folds vibrations were evaluated using HSDI technique with a digital HS camera, HRES Endocam Richard Wolf GmbH. The image of vocal folds was recorded with a rate of 4000 frames per second. Postoperative material of the larynx was prepared in a routine way and observed in transmission electron microscope OPTON 900–PC. Results. HSDI technique allows to assess the real vibrations of vocal folds and determine many parameters. The results of TEM in the postoperative material showed destruction of epithelial cells with severe vacuolar degeneration, the enlargement of intercellular spaces and a large number of blood vessels in the stroma, which indicates the presence of oedematous-hypertrophic changes of the larynx. Discussion. The ultrastructural assessment confirm the particular usefulness of HSDI method in the diagnosis of organic dysphonia in a form of oedematous-hypertrophic changes. Key words: High-Speed Digital Imaging, oedematous-hypertrophic changes, vocal fold mucosa, larynx
    Źródło:
    Polish Journal of Otolaryngology; 2017, 71, 4; 19-25
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Impact of speech therapy on the improvement of voice quality in patients with unilateral vocal fold paralysis
    Autorzy:
    Kuligowska, Anna
    Jamróz, Barbara
    Walczak, Joanna
    Jędra, Katarzyna
    Czernicki, Tomasz
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1399708.pdf
    Data publikacji:
    2018-12-07
    Wydawca:
    Index Copernicus International
    Tematy:
    unilateral vocal fold palsy
    dysphonia
    SPL therapy
    jednostronne porażenie krtani
    zaburzenia głosu
    rehabilitacja logopedyczna
    Opis:
    Aim of study: Evaluation of the speech therapy on voice quality in patients with unilateral vocal fold palsy. Material and methods: The study group included 11 patients, 8 women and 3 men, in age between 16 to 72 years, with unilateral vocal fold palsy, diagnosed in ENT Department of Warsaw Medical University between 2017-2018. Each person completed questionnaires: the voice disability self-assessment scale (VHI), the voice-based quality of life (VRQoL) scale, the vocal tract discomfort scale (VTD). All questionnaires were completed twice, before and after the voice therapy. In addition, the acoustic analysis of the voice, the assessment of the maximum phonation time and the breathing tract were performed twice in each patient. Each of the patients had a voice rehabilitation consisting of a series of 10 meetings. Results: Statistical analysis of the results of maximum phonation time, the self-assessment of voice disability, the quality of life depending on the voice, discomfort of the vocal tract voice acoustic analysis showed statistically significant differences in the results before and after rehabilitation (p <0.005). In addition, the improvement of the respiratory tract was observed in the majority of patients. Conclusions: Speech therapy significantly affects the voice quality of patients with unilateral laryngeal nerve palsy.
    Cel pracy: Ocena wpływu terapii logopedycznej na jakość głosu u pacjentów z jednostronnym porażeniem krtani. Materiał i Metody: Badaniem objęto 11 pacjentów, w tym 8 kobiet i 3 mężczyzn w wieku od 16 do 72 lat, diagnozowanych z powodu problemów z głosem w Klinice Otolaryngologii i Poradni Foniatrycznej SP CSK w latach 2017‒2018. Każda osoba została poproszona o wypełnienie kwestionariuszy: skala samooceny niepełnosprawności głosu (VHI), skala jakości życia zależnej od głosu (VRQoL), skala dyskomfortu traktu głosowego (VTD). Powyższe kwestionariusze były wypełniane przez badanych dwukrotnie, przed rozpoczęciem rehabilitacji głosu oraz po niej. Ponadto u każdego z pacjentów została dwukrotnie wykonana analiza akustyczna głosu, ocena maksymalnego czasu fonacji oraz toru oddechowego. Każdy z chorych odbył rehabilitację głosu składającą się z cyklu 10 spotkań. Wyniki: Analiza statystyczna wyników maksymalnego czasu fonacji, skali samooceny niepełnosprawności głosu, skali jakości życia zależnej od głosu, skali dyskomfortu traktu głosowego analizy akustycznej głosu wykazała istotne statystycznie różnice w wynikach przed rehabilitacją i po niej (p<0,005). Ponadto u większości pacjentów zaobserwowano poprawę toru oddechowego. Wnioski: Terapia logopedyczna istotnie wpływa na jakość głosu pacjentów z jednostronnym porażeniem nerwu krtaniowego.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2018, 7, 4; 8-15
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Selektywna reinerwacja krtani jako metoda leczenia obustronnego porażenia fałdów głosowych
    Selective laryngeal reinnervation for management of bilateral vocal cord paralysis
    Autorzy:
    Czesak, Małgorzata
    Osuch-Wójcikiewicz, Ewa
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1930299.pdf
    Data publikacji:
    2021-09-07
    Wydawca:
    Index Copernicus International
    Tematy:
    nerw krtaniowy wsteczny
    obustronne porażenie fałdów głosowych
    reinerwacja krtani
    selektywna reinerwacja
    bilateral vocal fold paralysis
    laryngeal reinnervation
    selective reinnervation
    recurrent laryngeal nerve
    Opis:
    Reinerwacja krtani to dynamiczna metoda leczenia obustronnego porażenia fałdów głosowych, która od kilkunastu lat zdobywa coraz większą popularność. Tradycyjne metody chirurgiczne obejmują trwałą zmianę struktur anatomicznych krtani zapewniając przywrócenie jej funkcji oddechowej, co więcej nasilając zaburzenie funkcji fonacyjnej oraz obronnej dolnych dróg oddechowych. Wciąż brakuje wspólnego protokołu postępowania przyjętego przez chirurgów głowy i szyi z pacjentem z obustronnym uszkodzeniem nerwów krtaniowych wstecznych. Mając to na uwadze dokonano przeglądu obecnego stanu literatury na temat technik reinerwacji krtani.
    Laryngeal reinnervation is a dynamic method of treating bilateral vocal fold paralysis, which has been gaining more and more popularity for several years. Traditional surgical methods involve a permanent change in the anatomical structures of the larynx ensuring the restoration of its respiratory function, which further intensifies the disturbance of phonatory and defense functions of the lower respiratory tract. There is still no common protocol for the management of head and neck surgeons with a patient with bilateral recurrent laryngeal nerve injury. With this in mind, the current literature on laryngeal reinnervation techniques was reviewed.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2021, 10, 3; 1-5
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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