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    Tytuł:
    Mucosal wave measurements in the diagnosis of functional dysphonia
    Autorzy:
    Szkiełkowska, Agata
    Krasnodębska, Paulina
    Miaśkiewicz, Beata
    Włodarczyk, Elżbieta
    Domeracka-Kolodziej, Anna
    Skarżyński, Henryk
    Powiązania:
    https://bibliotekanauki.pl/articles/1397747.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    electroglottography
    functional dysphonia
    mucosal wave
    open quotient
    videostroboscopy
    Opis:
    ntroduction: The publication describes the characteristics of the glottis in FDs objectified by OQ, measured with VSK and EGG. Aim: The aim of the study was to objectify glottal function in different types of FDs. The scope was to use open quotients gained from various mucosal wave imaging techniques for differential diagnosis of FDs. Material and Method: The study included 204 individuals. In the study, each patient underwent otolaryngological and phoniatric examination. LVS, EGG and VSK were conducted, their results were recorded and stored using an EndoSTROB-DX- -Xion GmbH (Berlin) device with DIVAS software. Results: All patients with FDs had abnormalities in LVS. A statistical analysis showed differences in LVS characteristics according to the type of FD. The mean value of OQVSK was 0.521 in the control group and 0.565 in the study group (P < 0.05). Significant differences were found between patients with hypofunctional – 0.584 and hyperfunctional dysphonia – 0.55. The QOQEGG mean value in patients with FDs was 0.581 and in the control group 0.549 (P < 0.01). There were statistically significant differences between groups of patients with hyper- and hypofunctional dysphonias. Medians amounted to 0.574 and 0.604, respectively. Authors observed different relations of OQ with the type of FD. They decided to introduce a new parameter, illustrating the proportion of QOQEGG/OQVSK. Conclusions: Videostrobokymographic and electroglottographic open quotients differentiate euphony from dysphony. The value of OQVSK and QOQEGG and their proportion varies depending on different types of functional dysphonias. The OQVSK and QOQEGG should be included in the diagnostic algorithm of voice.
    Źródło:
    Polish Journal of Otolaryngology; 2019, 73, 6; 1-7
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Psychogenic voice disorders
    Autorzy:
    Kosztyła-Hojna, Bożena
    Moskal, Diana
    Łobaczuk-Sitnik, Anna
    Kraszewska, Anna
    Zdrojkowski, Maciej
    Biszewska, Jolanta
    Skorupa, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1398293.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    functional dysphonia
    psychogenic dysphonia
    visualisation of the larynx
    acoustic evaluation of voice
    Opis:
    Introduction: Voice express the psyche and personality of a person. Psychogenic dysphonia is called Phononeurosis. Neurosis, depression or family, occupational and social conflicts are the cause of voice disturbances. The most frequent type of dysphonia is hyperfunctional dysphonia, rarer – hypofunctional type. Aim: The aim of this study is an analysis of voice quality and diagnosis of clinical type of psychogenic dysphonia. Material and methods: The analyzed group consisted of 50 patients with voice disorders treated in 2017 and the control group – 30 people with physiological voice. In the diagnosed group 60% of patients were treated for neurosis, 12% due to depression, the others reported conflict situations. In the diagnosis of clinical type of psychogenic dysphonia GRBAS scale was used, maximum phonation time (MPT) and type of breathing were assessed. The visualisation of the larynx was performed using High Speed Digital Imaging (HSDI) technique. The parametric acoustic evaluation of voice was conducted. Results: The most often clinical type of psychogenic dysphonia was hyperfunctional dysphonia, rarer hypofunctional type and vestibular voice. Dysphonia occurred the most often in women during the highest professional activity period. In the diagnosis of clinical type HSDI technique was especially useful allowing to visualization of the real vocal fold vibration and objective differentiation of hyper- and hypofunctional dysphonia. The acoustic analysis of the voice objectively confirmed the presence non-harmonic components – noise generated in the glottis in hypofunctional dysphonia. Disturbances in the way and breathing type caused irregularities in respiratory-phonic and articulation coordination.
    Źródło:
    Polish Journal of Otolaryngology; 2018, 72, 4; 26-34
    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:
    Functional Results after Larynx-Preserving Treatment of Laryngeal Cancer. Suggestions for follow-up
    Autorzy:
    Vlčková, Katarína
    Tedla, Miroslav
    Powiązania:
    https://bibliotekanauki.pl/articles/1397828.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    dysphagia
    dysphonia
    functional results
    laryngeal cancer
    post-treatment follow-up
    Opis:
    Introduction: Laryngeal cancer and its treatment are associated with both short- and long-term side effects, affecting laryngeal functions and having an impact on the quality of life. Material and methods: Retrospective analysis of the medical records of patients receiving surgical or non-surgical, larynx- -preserving treatment for laryngeal cancer. Results: After termination of the treatment, the highest proportion of patients with bad voice quality was in the glottic carcinoma group (both in early and late phase), with swallowing dysfunction in the transglottic carcinoma group. Compared to the situation before the treatment, the proportion of patients with impaired voice quality (bad voice quality and loss of voice) initially decreased among all groups (except for supraglottic carcinomas), and during the first post-treatment year either increased or did not change. The proportion of patients with no swallowing dysfunction increased in the supraglottic, subglottic and transglottic carcinoma groups. D iscussion: We consider necessary the implementation of a standard pre- and post-treatment monitoring of the voice and swallowing function in the management of patients with laryngeal cancer.
    Źródło:
    Polish Journal of Otolaryngology; 2019, 73, 5; 31-36
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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