International Journal of Phonosurgery & Laryngology

Register      Login

Table of Content

2015 | January-June | Volume 5 | Issue 1

EDITORIAL

Laryngotracheal Stenosis—Revisited

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijopl-5-1-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

G Raghavendra Prasad

Congenital Isolated Agenesis of Epiglottis Presenting with Acute Life-threatening Event Successfully Managed by Temporary Supraglottic Closure and Tracheostomy

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:3] [Pages No:1 - 3]

PDF  |  DOI: 10.5005/jp-journals-10023-1092  |  Open Access |  How to cite  | 

Abstract

Materials and methods

After the first case of isolated agenesis of epiglottis was diagnosed 2 years ago, five more such cases were treated by the group. These formed the index cases of the cohort.

Decision for surgery was based on an arbitrary 3 ALTEs in 24 hours. All the patients were initially intubated. Supraglottic space was closed using interrupted unabsorbable sutures. Tracheostomy was added. At 3 to 6 months of follow-up, glottis was restored by Nd-YAG laser knife. Five out of six children are alive and thriving well. One child died before he could be actively managed.

Conclusion

Isolated agenesis of epiglottis with ALTE is extremely rare. Supraglottic closure saves lives and gives enough time for pharyngoesophageal coordination to develop.

How to cite this article

Prasad RG. Congenital Isolated Agenesis of Epiglottis Presenting with Acute Life-threatening Event Successfully Managed by Temporary Supraglottic Closure and Tracheostomy. Int J Phonosurg Laryngol 2015;5(1):1-3.

RESEARCH ARTICLE

G Raghavendra Prasad

Is it Time to Shift to Total Thyroidectomy for Benign Thyroid Disease: An Analysis of 77 Redo Thyroidectomies

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:3] [Pages No:4 - 6]

PDF  |  DOI: 10.5005/jp-journals-10023-1093  |  Open Access |  How to cite  | 

Abstract

Aims and objectives

To analyze redo thyroidectomies so as to get a possible answer to the controversy surrounding thyroidectomy for benign disease.

Materials and methods

This is a retrospective observational cohort. From 1996 to 2010, a total 77 cases of redo thyroidectomies were performed. The data of all patients in the department were maintained on a self developed MS access-based software. The data of redo thyroidectomies were reviewed. These patients were from five districts of Andhra Pradesh, 42 were women and 35 men, 51 underwent subtotal thyroidectomy, 21 had hemithyroidectomy and 5 patients had excision procedure; all were benign. The condition varied from multinodular goiter (MNG) and solitary nodule to follicular neoplasm. There were 44 right-sided, and 43 left-sided surgeries. Recurrence occurred in seven in less than 1 year, in 49 in less than 5 years, in 11 of them in less than 10 years and 10 had recurrence after 10 years. A total thyroidectomy was performed in all. Seventy-five had benign disease. Two had suspected neoplasm; one papillary and one Hurthle cell. One patient had transient recurrent laryngeal nerve palsy.

Results

Seventy-seven redo surgeries for benign thyroid disease were performed. The high rate of referrals for recurrence probably suggests inadequacy of subtotal and hemithyroidectomies for benign thyroid diseases.

Conclusion

The present series of 77 redo thyroidectomies clearly suggests inadequacy of initial subtotal thyroidectomy. Evidence-based analysis of complication rates and surgical feasibility supports total thyroidectomy as the complete safe, scientifically acceptable choice of primary surgical treatment for benign thyroid disease.

How to cite this article

Prasad RG. Is it Time to Shift to Total Thyroidectomy for Benign Thyroid Disease: An Analysis of 77 Redo Thyroidectomies. Int J Phonosurg Laryngol 2015;5(1):4-6.

RESEARCH ARTICLE

Mahdi Al-Dujaily, Sanàa J Abu Nabàa

Age and Sex Distribution of Speech Disorders

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:8] [Pages No:7 - 14]

PDF  |  DOI: 10.5005/jp-journals-10023-1094  |  Open Access |  How to cite  | 

Abstract

Background

Speech-language pathology is a specialty in the study, assessment, and rehabilitation of speech-language disorders (or communication disorders) which are common problems that may affect both sexes and all age groups.

Aim

The aim of this study is to raise the attention in Iraq about the role of certified speech pathologists (or speech therapists) in the treatment of patients with communication disorders according to their age and sex distribution, as seen in the phonetic center of University of Jordan.

Patients and methods

Subjects with speech problems, who visited the phonetic center in Jordan University for treatment by certified speech-language pathologists, were analyzed retrospectively during 3 years (1996 to 1998), and it included 731 subjects with speech disorders, consisted of 213 females and 518 males, with a minimum age of 2 years and a maximum age of 72 years.

Results

The most common age presentation of communication disorders varies, and it was found that the major speech and language disorders and their distribution were as follows: delayed language development occurred mainly in age group 3 to 4 years (about 57%), stuttering occurred in 3 to 5 years (about 24%), and in articulation disorder occurred in age group 4 to 6 years with about 42%, and in hearing impaired patients occurred mainly in age group of 2 to 4 years with about 45%, in children with mental retardation occurred in age group of 6 to 8 years with about 29%, voice disorders occurred in age 20 to 29 (25%), nasality problems in age group 3 to 5 years (25%), dyslexia in age group 8 to 10 years (40%), and the cases of apraxia, aphasia, and autism were low in number.

Conclusion

The age and sex distribution of communication disorders varies according to the type of disorder. The speechlanguage pathologists have very important role in the evaluation and treatment of speech language disorders. There is great deficiency of this specialty in this country, and the aim of this article is to ring the bell of attention to these common disorders.

Abbreviations

SLP: Speech-language pathologist; CDs: Communication disorders; DLD: Delayed language development; HIP: Hearing impaired patient; MR: Mental retardation; CP: Cerebral palsy.

How to cite this article

Al-Dujaily M, Nabàa SJA. Age and Sex Distribution of Speech Disorders. Int J Phonosurg Laryngol 2015;5(1):7-14.

RESEARCH ARTICLE

Anand Acharya

Elongated Styloid Process Revisited

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:2] [Pages No:15 - 16]

PDF  |  DOI: 10.5005/jp-journals-10023-1095  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Acharya A. Elongated Styloid Process Revisited. Int J Phonosurg Laryngol 2015;5(1):15-16.

RESEARCH ARTICLE

Shamik Paresh Mehta

Innovations in Flexible Endoscopic Evaluation of Swallowing and Laryngeal Sensation Testing

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:3] [Pages No:17 - 19]

PDF  |  DOI: 10.5005/jp-journals-10023-1096  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mehta SP. Innovations in Flexible Endoscopic Evaluation of Swallowing and Laryngeal Sensation Testing. Int J Phonosurg Laryngol 2015;5(1):17-19

RESEARCH ARTICLE

Smrity Rupa Borah Dutta

Voice Therapy in Muscle Tension Dysphonia Cases

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:5] [Pages No:20 - 24]

PDF  |  DOI: 10.5005/jp-journals-10023-1097  |  Open Access |  How to cite  | 

Abstract

Abbreviations

Vocal Cord Nodule (N), Vocal Polyp (P), Laryngopharyngeal Reflux (LPR), Presbylaryngis (PL), Cut Throat injury (CT), Primary Muscle Tension Dysphonia (PMTD), Dysphonia Plica ventricular (DPV).

How to cite this article

Singh SP, Dutta SRB. Voice Therapy in Muscle Tension Dysphonia Cases. Int J Phonosurg Laryngol 2015;5(1):20-24.

RESEARCH ARTICLE

Raj Kumar, Alok Kumar Agrahari

Role of Voice Therapy in Patients with Mutational Falsetto

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:3] [Pages No:25 - 27]

PDF  |  DOI: 10.5005/jp-journals-10023-1098  |  Open Access |  How to cite  | 

Abstract

Background

Mutational falsetto is the most common mutational voice disorder, found in all ages. Clinicians often miss this diagnosis due to unfamiliarity with the condition. The voice of a person with mutational falsetto is high pitched, weak, thin, breathy, hoarse and monopitched.

Objective

This study was carried out to evaluate the efficacy of voice therapy in persons with mutational falsetto.

Methods

Eleven male patients with ages between 18 and 26 years (mean age 22.18 years, SD 2.52) diagnosed with mutational falsetto underwent acoustical analysis using Praat Software, perceptual analysis using grade, roughness, breathiness, asthenia and strain (GRBAS) scale and psychosocial analysis using emotional component of voice handicap index (VHI). All the components were analyzed pre- and postvoice therapy.

Results

Improvement in acoustic analysis parameters was statistically significant with p-value less than 0.0001(pretherapy mean of fundamental frequency (F0) was 217.45 with SD 8.68, whereas post-therapy mean of F0 was 127.50 with SD 5.32). Significant improvement in perceptual analysis was seen post-therapy on GRBAS scale. Improvement in psychosocial aspect was also statistically significant with p-value less than 0.0001 (pre-therapy mean 26.18, SD 1.72 post-therapy mean 7, SD 1.15).

Conclusion

Voice therapy plays an important role in lowering F0 and alleviation mental agony of the patients with mutational falsetto.

How to cite this article

Varma A, Agrahari AK, Kumar R, Kumar V. Role of Voice Therapy in Patients with Mutational Falsetto. Int J Phonosurg Laryngol 2015;5(1):25-27

CASE REPORT

Nadia Shirazi, Vinish Agrawal, Bhartendu Bharti, Sampan S Bist, Shivanjali Sandhirr

Primary Histoplasmosis of Larynx Mimicking as Laryngeal Carcinoma

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:4] [Pages No:28 - 31]

PDF  |  DOI: 10.5005/jp-journals-10023-1099  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Bist SS, Sandhirr S, Shirazi N, AgrawalV, Bharti B. Primary Histoplasmosis of Larynx Mimicking as Laryngeal Carcinoma. Int J Phonosurg Laryngol 2015;5(1):28-31.

CASE REPORT

Mahesh Chandra Sahu, Sidarth Mohanty, Jashashree Choudhury

Suspecting Airway Foreign Body in Agenesis of the Lung: A Rare Incidence of Misdiagnosis

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:3] [Pages No:32 - 34]

PDF  |  DOI: 10.5005/jp-journals-10023-1100  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Swain SK, Mohanty S, Singh N, Choudhury J, Sahu MC. Suspecting Airway Foreign Body in Agenesis of the Lung: A Rare Incidence of Misdiagnosis. Int J Phonosurg Laryngol 2015;5(1):32-34.

CASE REPORT

Prabodh Karnik, Sunita Chhapola, Inita Matta

Endolaryngeal Excision of Recurrent Laryngeal Nerve Neurofibroma

[Year:2015] [Month:January-June] [Volume:5] [Number:1] [Pages:4] [Pages No:35 - 38]

PDF  |  DOI: 10.5005/jp-journals-10023-1101  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Matta I, Shukla SC, Karnik P. Endolaryngeal Excision of Recurrent Laryngeal Nerve Neurofibroma. Int J Phonosurg Laryngol 2015;5(1):35-38.

© Jaypee Brothers Medical Publishers (P) LTD.