5,277 results match your criteria Spasmodic Dysphonia


Multiparameter Voice Assessment in Dysphonics: Correlation Between Objective and Perceptual Parameters.

J Voice 2020 Jul 7. Epub 2020 Jul 7.

II MASLP, Samvaad Institute of Speech & Hearing, Bangalore, Karnataka, India. Electronic address:

Background: Perceptual assessment and objective measures of voice provide a quantifiable tool for determining the degree of glottal closure, thus helping to distinguish dysphonic voices from normal voices. The correlation between the perceptual and objective parameters of voice in dysphonic can enable the voice pathologist to be more effective in differentiating the normal voices from dysphonic voices. However, only a few studies have investigated the correlation between these measures. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.06.009DOI Listing

Laryngeal granular cell tumour: a very rare diagnosis for a child presenting with hoarse voice in the UK.

BMJ Case Rep 2020 Jul 6;13(7). Epub 2020 Jul 6.

Department of Ear, Nose and Throat Surgery, Imperial College Healthcare NHS Trust, London, UK.

We present a rare case of a paediatric laryngeal granular cell tumour (GCT) of the vocal cord. GCTs are rare clinical entities, thought to arise from Schwann cells. There are only a handful of paediatric laryngeal GCTs in the literature, and therefore, little is known regarding their natural history or preferred management strategies. Read More

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http://dx.doi.org/10.1136/bcr-2019-232851DOI Listing

Vocal Quality, Symptoms, and Habits in Musical Theater Actors.

J Voice 2020 Jul 2. Epub 2020 Jul 2.

Department of Rehabilitation Sciences, Speech Language and Hearing Sciences, Ghent University, Corneel Heymanslaan 10, B-9000 Ghent, Ghent, Belgium; Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.

Purpose: The purpose of this study was to measure and compare the voice characteristics and vocal complaints and habits of musical theater actors and musical theater students.

Method: Thirty participants were included in the study, 18 musical theater students and 12 professional musical theater actors. Vocal quality was measured by the multiparameter indices Dysphonia Severity Index (DSI) and Acoustic Voice Quality Index (AVQI). Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.05.019DOI Listing

VAGUS NERVE STIMULATION IN EPILEPSY: EFFICIENCY AND SAFETY OF OUTPATIENT PRACTICE.

Neurochirurgie 2020 Jul 2. Epub 2020 Jul 2.

Neurosurgery Department, Hautepierre University Hospital, 67200, Strasbourg, France.

Introduction: Over the past 20 years, Vagus Nerve Stimulation (VNS) has become one of the tools for surgical treatment of patients with refractory cryptogenic epilepsy. The objective of this study was to determine the feasibility of implanting a Vagus Nerve Stimulation in ambulatory patients with chronic epilepsy.

Patients And Methods: VNS procedure was consecutively performed in outpatient surgery between November 2016 and November 2018 in patients with refractory epilepsy. Read More

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http://dx.doi.org/10.1016/j.neuchi.2020.04.134DOI Listing

[A crosscorrelation analysis of fluctuations in heart rate and breathing when diagnosing the autonomic disorders in patients with hypotonic type of functional dysphonia].

Zh Nevrol Psikhiatr Im S S Korsakova 2020 ;120(5):60-66

Research Center of Neurology, Moscow, Russia.

Objective: To conduct a cross-correlation analysis of the frequency of breathing and heart rhythm variability (HRV) in the diagnosis of autonomic disorders in patients with hypotonic type of functional dysphonia.

Material And Methods: Twenty-eight women, aged between 21 and 63 years, with hypotonic type of functional dysphonia were examined. The examination of patients included an analysis of anamnesis, an objective ENT study by common methods, videostroboscopy of the larynx, and determination of the functional state of the autonomic nervous system (ANS). Read More

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http://dx.doi.org/10.17116/jnevro202012005160DOI Listing

Intrinsic Laryngeal Lipoma Treated with Transoral CO₂ Laser Microsurgery: An Unusual Case Report.

Am J Case Rep 2020 Jul 3;21:e920528. Epub 2020 Jul 3.

Ear, Nose and Throat (ENT) Unit, Department of General and Specialized Surgery, AOU University of Campania "Luigi Vanvitelli", Napoli, Italy.

BACKGROUND Lipomas, the most common soft tissue tumors, represent almost half of all benign mesenchymal neoplasms and are characterized by the absence of symptoms. However, if they grow in a laryngeal site, they can cause dyspnea and dysphonia which represents one of the major symptoms of benign laryngeal diseases (such as polyps or nodules); these symptoms are often the first symptom of neoplastic diseases. CASE REPORT We present a case of a 28-year-old female patient with a rounded pseudocyst neoformation located in the left aryepiglottic fold that partially hid the homolateral vocal cord and limited its mobility. Read More

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http://dx.doi.org/10.12659/AJCR.920528DOI Listing

Does More Compression Mean More Pressure? A New Classification for Muscle Tension Dysphonia.

J Speech Lang Hear Res 2020 Jul 2:1-8. Epub 2020 Jul 2.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Navarra Clinic, Pamplona, Spain.

Objective The aims of this study were to test the hypothesis that greater supraglottic compression (anteroposterior or lateral) correlates with higher subglottic pressure (SGP) and to develop a classification of muscle tension dysphonia (MTD), based on the degree of supraglottic compression during speech. Method A prospective, cross-sectional study was conducted in a series of 37 consecutive patients diagnosed with MTD with an altered aerodynamic profile characterized by high SGP (more than 90 mmHO). Supraglottic anteroposterior and lateral compression were categorized in three grades and assessed during the laryngoscopic examination. Read More

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http://dx.doi.org/10.1044/2020_JSLHR-20-00042DOI Listing

Machine learning based identification of relevant parameters for functional voice disorders derived from endoscopic high-speed recordings.

Sci Rep 2020 Jun 29;10(1):10517. Epub 2020 Jun 29.

Department of Otorhinolaryngology, Division of Phoniatrics and Pediatric Audiology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.

In voice research and clinical assessment, many objective parameters are in use. However, there is no commonly used set of parameters that reflect certain voice disorders, such as functional dysphonia (FD); i.e. Read More

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http://dx.doi.org/10.1038/s41598-020-66405-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324600PMC

Effect of Age and Gender on Acoustic Voice Quality Index Across Lifespan: A Cross-sectional Study in Indian Population.

J Voice 2020 Jun 26. Epub 2020 Jun 26.

Research Officer, Department of Speech-Language Sciences, All India Institute of Speech and Hearing, University of Mysore, Mysuru, Karnataka, India.

Background: The human voice is dynamic and changes throughout the life span. The effects of age and gender on acoustical measures of voice quality have been well established. Assessment of voice quality using multiparametric measures has been recommended over singleton measures. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.05.025DOI Listing

Features of Mild-to-Moderate COVID-19 Patients With Dysphonia.

J Voice 2020 Jun 4. Epub 2020 Jun 4.

Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium; Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium; Department of Otorhinolaryngology-Head & Neck Surgery, EpiCURA Hospital, Baudour, Belgium.

Introduction: To explore the prevalence of dysphonia in European patients with mild-to-moderate COVID-19 and the clinical features of dysphonic patients.

Methods: The clinical and epidemiological data of 702 patients with mild-to-moderate COVID-19 were collected from 19 European Hospitals. The following data were extracted: age, sex, ethnicity, tobacco consumption, comorbidities, general, and otolaryngological symptoms. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.05.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269945PMC

Factorial Analysis of the Brazilian Version of the Vocal Tract Discomfort Scale in patients with dysphonia.

J Voice 2020 Jun 26. Epub 2020 Jun 26.

Graduate Program in Decision and Health Models, UFPB, João Pessoa, PB, Brazil; UFPB, João Pessoa, PB, Brazil; Department of Speech-Language Pathology at the UFPB, João Pessoa, PB, Brazil. Electronic address:

Objectives: To investigate the psychometric properties of the Brazilian version of the Vocal Tract Discomfort Scale, known as Escala de Desconforto do Trato Vocal (EDTV), based on factor analysis, in patients with dysphonia.

Methods: This was a retrospective documentary and cross-sectional study. The study database contained sociodemographic variables, laryngeal diagnosis, auditory-perceptual evaluation and EDTV items. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.05.001DOI Listing

Effect of Wendler Glottoplasty on Acoustic Measures of Voice.

Laryngoscope 2020 Jun 29. Epub 2020 Jun 29.

Department of Otolaryngology- Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, U.S.A.

Objectives: Voice therapy has been the primary treatment for voice feminization in transfemale patients due to concerns that surgery worsens voice quality. We aim to determine the impact of Wendler glottoplasty on acoustic measures of voice.

Study Design: Retrospective case series. Read More

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http://dx.doi.org/10.1002/lary.28764DOI Listing

'Malregulative' Rather Than 'Functional' Dysphonia: A New Etiological Terminology Framework for Phonation Disorders-A Position Paper by the Union of European Phoniatricians (UEP).

J Voice 2020 Jun 24. Epub 2020 Jun 24.

University College London, London, United Kingdom. Electronic address:

Practitioners in the field of voice are often faced with patients who are 'dysphonic', but who do not have identifiable abnormalities of the vocal tract structures or any neural or hormonal alteration affecting the phonatory function. For lack of better nomenclature describing the origin of the disorder, this group of patients has been labeled as having 'non-organic' or 'functional' dysphonia. 'Non-organic' only states what the dysphonia is not, and 'functional' does not have any etiological implication. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.04.032DOI Listing

Assessment of Dysphonia Using the Japanese Version of the Voice Handicap Index and Determination of Cutoff Points for Screening.

J Voice 2020 Jun 23. Epub 2020 Jun 23.

Tokyo Voice Center, International University of Health and Welfare, Tokyo, Japan; Department of Otolaryngology-Head and Neck Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan.

Introduction: The Voice Handicap Index (VHI) is recognized as a useful subjective assessment method for dysphonia. The original VHI has been translated into numerous other languages, including Japanese (J-VHI). Although the reliability and validity of the J-VHI have already been established, the cutoff point has not been determined. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.04.031DOI Listing

Dysphagia as a symptom of anterior cervical hyperostosis - Case report.

Ann Agric Environ Med 2020 Jun 8;27(2):314-316. Epub 2019 Apr 8.

Department of Human Anatomy, Medical University, Lublin, Poland.

Degenerative lesions with hyperostosis on the anterior surface of cervical spine are common in clinical practice. In addition to pain being an effect of spinal dysfunction, they sometimes cause difficulties in swallowing or speaking as well as breathing disorders. A 52-year-old farmer with 4-year history of gradually intensifying dysphagia was admitted to hospital due to inability to intake a solid food, significant weight loss, and because of the appearance of a new symptom - dysphonia. Read More

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http://dx.doi.org/10.26444/aaem/106115DOI Listing

Voice Therapy for Benign Voice Disorders in the Elderly: A Randomized Controlled Trial Comparing Telepractice and Conventional Face-to-Face Therapy.

J Speech Lang Hear Res 2020 Jun 24:1-9. Epub 2020 Jun 24.

Department of Otolaryngology-Head and Neck Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan.

Purpose Previous studies have reported that voice therapy via telepractice is useful for patients with nodules and muscle tension dysphonia. Nevertheless, telepractice for elderly patients with voice disorders has not yet been investigated. We conducted this study to examine the hypothesis that voice therapy via telepractice is not inferior to conventional voice therapy. Read More

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http://dx.doi.org/10.1044/2020_JSLHR-19-00364DOI Listing

Altered sensory system activity and connectivity patterns in adductor spasmodic dysphonia.

Sci Rep 2020 Jun 23;10(1):10179. Epub 2020 Jun 23.

Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstrasse, 22, Munich, Germany.

Adductor-type spasmodic dysphonia (ADSD) manifests in effortful speech temporarily relievable by botulinum neurotoxin type A (BoNT-A). Previously, abnormal structure, phonation-related and resting-state sensorimotor abnormalities as well as peripheral tactile thresholds in ADSD were described. This study aimed at assessing abnormal central tactile processing patterns, their spatial relation with dysfunctional resting-state connectivity, and their BoNT-A responsiveness. Read More

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http://dx.doi.org/10.1038/s41598-020-67295-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311401PMC

Augmentation of Scarred Vocal Folds With Centrifuged and Emulsified Autologous Fat Grafts.

Otolaryngol Head Neck Surg 2020 Jun 23:194599820932836. Epub 2020 Jun 23.

University and Polytechnic Hospital La Fe, Valencia, Comunidad Valenciana, Spain.

Objective: To review the results of a series of patients with glottic insufficiency caused by scarred vocal folds who underwent injection laryngoplasty with centrifuged and emulsified autologous fat.

Study Design: Prospective cohort.

Setting: Single center, tertiary institution. Read More

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http://dx.doi.org/10.1177/0194599820932836DOI Listing

Identifying Type III Sulcus: Patient Characteristics and Endoscopic Findings.

Otolaryngol Head Neck Surg 2020 Jun 23:194599820933208. Epub 2020 Jun 23.

Rush University Medical Center, Chicago, Illinois, USA.

Objective: Type III sulcus is a pathologic structural deformity of the vocal folds that is challenging to accurately diagnose without endoscopic examination under anesthesia. This study aims to further define the clinical presentation and examination features shared among a patient cohort intraoperatively diagnosed with type III sulcus.

Study Design: Case series with chart review. Read More

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http://dx.doi.org/10.1177/0194599820933208DOI Listing

Thyroid metastases from colorectal cancer 14 years later: A case report and literature review.

Cir Cir 2020 ;88(4):508-510

Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico San Carlos, Madrid, España.

Metastases to the thyroid gland are unusual, especially from a colorectal cancer. We present the case of an 85-year-old female with a history of colon cancer in 2004 treated with surgery, who 14 years later develop dysphonia and dysphagia associated to an elevation of carcinoembryonic antigen. A pathologic thyroid mass was evidenced in a positron emission tomography-computed tomography. Read More

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http://dx.doi.org/10.24875/CIRU.19001130DOI Listing
January 2020

Chilean's Self-Perception of Their Self-Regulatory Behaviors and Vocal Symptoms.

J Voice 2020 Jun 16. Epub 2020 Jun 16.

Speech-Language Pathology Department, Universidade Federal de São Paulo - UNIFESP. Botucatu Street, 802, Vila Clementino, São Paulo, São Paulo, Brazil. 04023-062.

Objective: To compare vocal symptoms and self-regulatory behaviors between Chileans having behavioral dysphonia and those who were vocally healthy; and to correlate their vocal symptoms and self-regulatory behaviors.

Material And Methods: The 100 Chileans who participated in this study were divided into the dysphonic group (DG) having behavioral dysphonia and the vocally healthy group (VHG). The DG and VHG each had 50 participants (32 females and 18 males), whose mean ages were 28. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.04.036DOI Listing

Predictors of Voice Therapy Initiation: A Cross-Sectional Cohort Study.

J Voice 2020 Jun 16. Epub 2020 Jun 16.

Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, University of Wisconsin-Madison, Madison, Wisconsin.

Objectives/hypothesis: To determine predictors of voice therapy initiation.

Study Design: Cross-sectional cohort study.

Methods: All patients were evaluated in an interdisciplinary model at the University of Wisconsin Voice and Swallow Clinics between June 2016 and October 2017. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.05.003DOI Listing

Regenerative Efficacy of Fibroblast Growth Factor for the Treatment of Aged Vocal Fold: From Animal Model to Clinical Application.

Clin Otolaryngol 2020 Jun 18. Epub 2020 Jun 18.

Department of Otorhinolaryngology - Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea.

Objectives: We assessed fibroblast growth factor (FGF) regenerative efficacy in an aged vocal fold rat model and confirmed it in a prospective clinical trial.

Design, Setting, And Participants: For animal experiments, 48 Sprague-Dawley rats were divided into two groups: 24 six-month-olds (young group) and 24 twenty-four-month-olds (old group). FGF was injected once a week thrice into the left vocal fold of the old group, dividing them into two sub-groups (injected [left] and uninjected [right]). Read More

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http://dx.doi.org/10.1111/coa.13597DOI Listing

Epidermoid cyst abscess of the neck masquerading as a thyroid abscess.

Endocrinol Diabetes Metab Case Rep 2020 Jun 4;2020. Epub 2020 Jun 4.

Diabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.

Summary: In this case report, we describe a 37-year-old male who presented with fever and tender neck mass. Neck ultrasonography revealed a mixed echogenic multiloculated solid-cystic lesion containing turbid fluid and occupying the right thyroid region. Thyroid function tests showed subclinical hyperthyroidism. Read More

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http://dx.doi.org/10.1530/EDM-20-0047DOI Listing

Patient Experience Contributing to Outcomes of Laryngeal Botulinum Toxin Injection.

J Voice 2020 Jun 15. Epub 2020 Jun 15.

Department of Otolaryngology and Head & Neck Surgery, Mayo Clinic, Jacksonville, Florida, USA. Electronic address:

Objectives: Laryngeal Botulinum Toxin injection (LBTX) in the adductor musculature is the current therapy for Adductor Spasmodic Dysphonia. This study explores nonbiological factors that can affect the patient experience during this procedure and their association with better or worse self-reported effectiveness.

Methods: A 14 item survey was used to evaluate the patient experience in patients who had undergone LBTX in Mayo Clinic Jacksonville, Florida, during 2019. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.04.037DOI Listing
June 2020
0.944 Impact Factor

Voiced High-Frequency Oscillation or Lax Vox Technique? Immediate Effects in Dysphonic Individuals.

J Voice 2020 Jun 14. Epub 2020 Jun 14.

Department of Speech Hearing and Language Disorders, Faculdade de Odontologia de Bauru, Universidade de São Paulo, São Paulo, Brazil. Electronic address:

Objectives: To analyze the immediate effects of voiced high-frequency oscillation (VHFO) and Lax Vox technique on vocal quality and self-reported intensity of vocal and laryngeal symptoms in individuals with behavioral dysphonia.

Methods: This experimental, prospective, randomized cross-over study, investigated thirty adults (15 women and 15 men) with behavioral dysphonia (vocal complaints, altered voice on auditory-perceptual evaluation, vocal nodules or mucosal thickening, and incomplete glottic closure). The outcome variables analyzed were auditory-perceptual analysis, acoustic analysis (voice quality characteristics), and self-reported intensities of vocal and laryngeal symptoms. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.05.004DOI Listing

Life Threatening Delayed Complication of Botulinum Toxin Injection for Treatment of Spasmodic Dysphonia.

Prague Med Rep 2020 ;121(2):114-117

Basingstoke and North Hampshire Hospital, Basingstoke, United Kingdom.

Spasmodic dysphonia is a primary task specific focal dystonia affecting the laryngeal muscles during speech. Most medical and surgical approaches to treatment of spasmodic dysphonia are aimed at the denervation of the laryngeal muscles to block symptom expression in the voice. The standard of care for the adductor form of spasmodic dysphonia is botulinum toxin chemodenervation. Read More

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http://dx.doi.org/10.14712/23362936.2020.10DOI Listing
January 2020

Time to Laryngoscopy for Hoarseness in Canada: Are the American Academy of Otolaryngology Guidelines Feasible?

OTO Open 2020 Apr-Jun;4(2):2473974X20932500. Epub 2020 Jun 4.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada.

Objectives: To determine if a Canadian voice center is meeting the recommended time to laryngoscopy for hoarseness per the clinical practice guideline of the American Academy of Otolaryngology-Head and Neck Surgery.

Study Design: Retrospective chart audit.

Setting: Tertiary referral Canadian voice center. Read More

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http://dx.doi.org/10.1177/2473974X20932500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273574PMC

Neuroanatomical basis of Wallenberg syndrome.

Cir Cir 2020 ;88(3):376-382

Facultad de Medicina, Universidad Autónoma de México (UNAM), Ciudad de México, México.

Wallenberg syndrome, or lateral medullar syndrome, is the clinical presentation of the infarct in the territory of posterior inferior cerebellar artery. Its signs and symptoms include vertigo, nystagmus, diplopia, ipsilateral Horner syndrome, facial ruddiness and dry skin, dysphonia, dysphagia, dysarthria, ipsilateral loss of gag reflex, ipsilateral ataxia, ipsilateral impaired taste, ipsilateral facial pain and paresthesia, decreased ipsilateral blink reflex, contralateral hypoalgesia and thermoanaesthesia in the trunk and limbs; and ipsilateral facial hypoalgesia and thermoanaesthesia. Neuroanatomical knowledge is essential to its comprehension, study and diagnosis, because the classic neurological manifestations are easy to explain and understand if function and localization of affected anatomical structures are known as if the posterior cerebral circulation is. Read More

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http://dx.doi.org/10.24875/CIRU.19000801DOI Listing
January 2020

Transient lower cranial nerve palsies following spinal anesthesia with bupivacaine-fentanyl combination for transurethral resection of the prostate.

Pan Afr Med J 2020 3;35:62. Epub 2020 Mar 3.

University of Mohammed V Souissi, Rabat, Morocco.

Spinal anesthesia is a widely used regional anesthesia for many infra-umbilical surgical procedures with proven efficacy and safety. However, although rare, some neurologic complications can occur with potentially life threatening consequences. Among them, lower cranial nerve palsies have been rarely reported in the literature. Read More

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http://dx.doi.org/10.11604/pamj.2020.35.62.4005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250197PMC

The effectiveness of voice therapy on voice-related handicap: A network meta-analysis.

Clin Otolaryngol 2020 Jun 13. Epub 2020 Jun 13.

Department of Phoniatrics and Pediatric Audiology, University Hospital Münster, Westphalian Wilhelm University, Münster, Germany.

Background: Treatment approaches for voice therapy are diverse, yet their differential effects are not well understood. Evaluations of treatment effects across approaches are important for clinical guidance and evidence-based practice.

Objective Of Review: To quantify the evidence of treatment effectiveness on the outcome measure Voice Handicap Index with the 30-items (VHI-30) from existing randomised controlled/clinical trials (RCT) of voice therapy using the statistical approach of a network meta-analysis (NMA) with a random effects model. Read More

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http://dx.doi.org/10.1111/coa.13596DOI Listing

Outcomes of voice therapy in children with benign vocal fold lesions.

Int J Pediatr Otorhinolaryngol 2020 May 16;136:110121. Epub 2020 May 16.

Department of Surgery, Voice and Swallow Clinics, University of Wisconsin School of Medicine and Public Health, Division of Otolaryngology - Head & Neck Surgery, 5107 WIMR, 1111 Highland Avenue, Madison, WI, 53705, United States. Electronic address:

Objective: This study aims to examine the effect of voice therapy on dysphonia on children with benign vocal fold lesions, as measured by perceptual evaluation using the Consensus Auditory Perceptual Evaluation of Voice (CAPE-V) and acoustic and aerodynamic measures (jitter, shimmer, noise-to-harmonic ratio, phonation threshold pressure, mean airflow during voicing, subglottic pressure during comfortable phonation).

Study Design: Prospective disease-specific outcomes database.

Methods: Subjects identified in the database consisted of 28 children (14 male, 14 female) between the ages of three and eighteen. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110121DOI Listing

An exploratory model of speech intelligibility for healthy aging based on phonatory and articulatory measures.

J Commun Disord 2020 May 11;87:105995. Epub 2020 May 11.

Department of Health Management and Informatics, University of Missouri, Columbia, MO, United States.

Purpose: The aims of the current study were to determine age-related changes to the phonatory and articulatory subsystems and to investigate an exploratory model of intelligibility for healthy aging based on phonatory and articulatory measures.

Method: Fifteen healthy, older adults (55-81 years) and 15 younger adults (20-35 years) participated in instrumental assessments of the phonatory (aerodynamic, acoustic) and articulatory (kinematic) subsystems. Speech intelligibility was determined by five listeners during multi-talker babble. Read More

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http://dx.doi.org/10.1016/j.jcomdis.2020.105995DOI Listing

Mapping typical and hypokinetic dysarthric speech production network using a connected speech paradigm in functional MRI.

Neuroimage Clin 2020 Jun 1;27:102285. Epub 2020 Jun 1.

Department of Communicative Disorders, University of Louisiana at Lafayette, USA.

We developed a task paradigm whereby subjects spoke aloud while minimizing head motion during functional MRI (fMRI) in order to better understand the neural circuitry involved in motor speech disorders due to dysfunction of the central nervous system. To validate our overt continuous speech paradigm, we mapped the speech production network (SPN) in typical speakers (n = 19, 10 females) and speakers with hypokinetic dysarthria as a manifestation of Parkinson disease (HKD; n = 21, 8 females) in fMRI. We then compared it with the SPN derived during overt speech production by O-water PET in the same group of typical speakers and another HKD cohort (n = 10, 2 females). Read More

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http://dx.doi.org/10.1016/j.nicl.2020.102285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284131PMC

Determination of Clinical Parameters Sensitive to Functional Voice Disorders Applying Boosted Decision Stumps.

IEEE J Transl Eng Health Med 2020 22;8:2100511. Epub 2020 May 22.

Department of Otorhinolaryngology Head and Neck SurgeryDivision of Phoniatrics and Pediatric AudiologyUniversity Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg91054ErlangenGermany.

Background: Various voice assessment tools, such as questionnaires and aerodynamic voice characteristics, can be used to assess vocal function of individuals. However, not much is known about the best combinations of these parameters in identification of functional dysphonia in clinical settings.

Methods: This study investigated six scores from clinically commonly used questionnaires and seven acoustic parameters. Read More

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http://dx.doi.org/10.1109/JTEHM.2020.2985026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274815PMC

Laryngeal Pathologies and Their Associations With Mental Health Disorders.

Laryngoscope 2020 Jun 8. Epub 2020 Jun 8.

Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, Sweden.

Objectives: Mental health disorders are very common. Understanding their clinical manifestations in terms of voice and laryngeal disorders (VLD) is important because they constitute a significant proportion of all patients seen by otolaryngology-head and neck surgery. In this study, we examine different mental disorders (MDs) and their presenting symptoms and diagnoses of VLD. Read More

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http://dx.doi.org/10.1002/lary.28755DOI Listing

Cost-effectiveness of fiberoptic laryngoscopy prior to total thyroidectomy for low-risk thyroid cancer patients.

Head Neck 2020 Jun 8. Epub 2020 Jun 8.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Background: Flexible fiberoptic laryngoscopy is performed prior to thyroid surgery to evaluate the function of the recurrent laryngeal nerve. We assess the cost-effectiveness of preoperative laryngoscopy prior to total thyroidectomy for a low-risk thyroid cancer patient without dysphonia.

Methods: A decision tree analysis was performed from a third-party payer perspective. Read More

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http://dx.doi.org/10.1002/hed.26312DOI Listing

Hyoid position as a novel predictive marker for postoperative dysphagia and dysphonia after anterior cervical discectomy and fusion.

Eur Spine J 2020 Jun 7. Epub 2020 Jun 7.

Spine Care Institute, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Purpose: The purpose of this study is to investigate the predictive value of the hyoid horizontal positional change on the severity of dysphagia and dysphonia (PDD) after anterior cervical discectomy and fusion (ACDF) comparing pre-vertebral soft-tissue thickness (PVST).

Methods: This is a retrospective observational study with prospectively collected data at a single academic institution. ACDF patients between 2015 to 2018 who had complete self-reported PDD surveys and pre- and postoperative lateral cervical radiographs were included in the analysis. Read More

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http://dx.doi.org/10.1007/s00586-020-06484-7DOI Listing

Dysphonia in children. Descriptive analysis of the factors involved, clinical parameters and impact on quality of life.

Acta Otorrinolaringol Esp 2020 Jun 4. Epub 2020 Jun 4.

Servicio de Otorrinolaringología, Hospital General Universitario de Castellón, Castellón de la Plana, España.

Introduction: The prevalence of dysphonia in children is estimated at around 6%. Dysphonia in this age group is usually due to misuse of the voice that leads to the development of vocal fold injuries. This condition can negatively affect the child's self-esteem. Read More

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http://dx.doi.org/10.1016/j.otorri.2020.01.004DOI Listing

Effects of Performance Time of the Voiced High-Frequency Oscillation and Lax Vox Technique in Vocally Healthy Subjects.

J Voice 2020 Jun 2. Epub 2020 Jun 2.

Speech-Language Pathology Audiology Department at Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru (SP), Brazil. Electronic address:

Objectives: The primary objective was to analyze and compare the effects of the voiced high-frequency oscillation (VHFO) and Lax Vox techniques in different performance times. The secondary objective was to determine if there were any differences between the exercises in men and women.

Methods: Thirty volunteers (15 male, 15 female) without vocal complaints or any history of dysphonia participated in this study. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.04.008DOI Listing

Cardiothoracic Patients with Unilateral Vocal Fold Paralysis: Pneumonia Rates Following Injection Laryngoplasty.

Ann Otol Rhinol Laryngol 2020 Jun 8:3489420933650. Epub 2020 Jun 8.

Department of Otorhinolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN, USA.

Objective: Recurrent laryngeal nerve injury is a potential complication of cardiothoracic surgery and cause of unilateral vocal fold paralysis (UVFP). Injection laryngoplasty (IL) is an intervention offered to patients with UVFP to alleviate symptoms including dysphagia, dysphonia and weak cough. There is no definitive evidence that IL prevents pneumonia. Read More

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http://dx.doi.org/10.1177/0003489420933650DOI Listing

Vocal Quality After a Performance in Actors Compared to Dancers.

J Voice 2020 Jun 2. Epub 2020 Jun 2.

Department of Rehabilitation Sciences, Speech, Language and Hearing Sciences, Ghent University, Ghent, Belgium; Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.

State Of The Art: Theater actors are a high risk group for developing voice disorders.

Aims: The first purpose of this study was to examine and compare the objective and subjective vocal quality between professional theater actors, non-professional theater actors and a control group of professional dancers. Secondly, the impact of one theater performance on the objective and subjective vocal quality was investigated within and between the groups. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.04.023DOI Listing

Correlation between dysphonia and dysphagia evolution in amyotrophic lateral sclerosis patients.

Logoped Phoniatr Vocol 2020 Jun 4:1-8. Epub 2020 Jun 4.

Department of Medicine, Surgery and Neuroscience, Ear Nose Throat Clinic, University Hospital of Siena, Siena, Italy.

Amyotrophic lateral sclerosis (ALS) is a non-demyelinating neurodegenerative disease in adults with motor disorders. It is the most prevalent neuromuscular disease worldwide. Two forms exist: a sporadic form (90% of cases) and a family form due to mutations in more than 20 genes. Read More

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http://dx.doi.org/10.1080/14015439.2020.1771766DOI Listing

Voice Quality, Function, and Quality of Life for Laryngeal Cancer: A Prospective Longitudinal Study Up to 24 Months Following Radiotherapy.

Ear Nose Throat J 2020 Jun 2:145561320929941. Epub 2020 Jun 2.

Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

Objective: To study the potential changes of health-related quality of life (HRQL), voice quality, and communicative function up to 24 months following radiotherapy for patients with laryngeal cancer.

Methods: A total of 28 patients with laryngeal cancer, treated by curatively intended radiotherapy were included in this prospective longitudinal descriptive study. Patients were followed pre-radiotherapy, 12 months, and 24 months post-radiotherapy. Read More

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http://dx.doi.org/10.1177/0145561320929941DOI Listing

Laryngeal Botulinum Toxin Injection: Can It Be a Cause of Obstructive Sleep Apnea as an Adverse Effect?

J Voice 2020 May 30. Epub 2020 May 30.

Department of Chest Medicine, Sleep Disorders Center, University of Health Science, Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey.

Spasmodic dysphonia is a chronic voice disorder that is characterized by involuntary spasms of the laryngeal muscles during speech production. Botulinum toxin injection into to the laryngeal muscles is the most common and effective treatment of choice for symptoms of spasmodic dysphonia. We present a 44-year-old man with adductor spasmodic dysphonia who was diagnosed as having upper airway obstruction in a polysomnographic examination during sleep after a botulinum toxin injection. Read More

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http://dx.doi.org/10.1016/j.jvoice.2020.04.034DOI Listing

Immediate Voice and Swallowing Complaints Following Revision Anterior Cervical Spine Surgery.

Otolaryngol Head Neck Surg 2020 Jun 2:194599820926133. Epub 2020 Jun 2.

Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.

Objective: To report on the incidence of dysphagia, dysphonia, and acute vocal fold motion impairment (VFMI) following revision anterior cervical spine surgery, as well as to identify risk factors associated with acute VFMI in the immediate postoperative period.

Study Design: Retrospective cohort study.

Setting: Tertiary care center. Read More

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http://dx.doi.org/10.1177/0194599820926133DOI Listing

Lingual thyroid gland: it's time for awareness.

Endocrinol Diabetes Metab Case Rep 2020 May 29;2020. Epub 2020 May 29.

Endocrinology Department, San Juan City Hospital, San Juan, Puerto Rico.

Summary: Lingual thyroid (LT) gland is the most common type of ectopic thyroid tissue, but it is an extremely rare presentation. We present a case of a 41-year-old Hispanic female patient complaining of dysphonia and dysphagia. As part of the evaluation, fiber optic flexible indirect laryngoscopy (FIL) was performed which revealed a mass at the base of the tongue. Read More

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http://dx.doi.org/10.1530/EDM-20-0026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274546PMC

Pharyngolaryngeal spasm-induced dysphagia in an epileptic patient undergoing vagus nerve stimulation therapy.

Clin Case Rep 2020 May 26;8(5):858-861. Epub 2020 Feb 26.

Otolaryngology Unit ASST Santi Paolo e Carlo Department of Health Sciences Università degli Studi di Milano Milan Italy.

Vagus nerve stimulation for refractory epilepsy may induce laryngeal side effects such as dysphonia and dysphagia. Careful tuning of the stimulation parameters and collaboration between epileptologists and otolaryngologists can help significantly reduce side effects. Read More

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http://dx.doi.org/10.1002/ccr3.2761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250986PMC