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Analysis of degree of incidence of small anatomic anomalies of larynx among dysphonia patients

https://doi.org/10.21518/2079-701X-2016-18-72-75

Abstract

The disturbance of the voice function is a socially significant problem. Small anatomical anomalies (SAA) along with organic causes of impaired voice function can cause dysphonia. Disturbances of the voice in the presence of SAA belong to little studied and persistent dysphonias. Information about the prevalence of this group of anomalies in domestic and foreign literature is few and controversial. Objective: to determine the incidence of SAA of the larynx in patients with dysphonia. Materials and methods: Retrospectively were analyzed the 58 case histories of patients who were diagnosed with functional dysphonia in the clinic of diseases of ear, nose and throat of Sechenov First MSMU from 01.09.2011 to 01.10.2015. Patients underwtent video￾stroboscopic and fibrolaryngoscopy studies. Results: Average age 37 ± 6 years, women-37 (64%), men – 21 (36%). In 27 (47%) patients spastic dysphonia was diagnosed, 23 (39%) – dysphonia hipotenusa, 7 (12%) – mutational dysphonia, only 1 (2%) patient in the course of stroboscopic studies was diagnosed with SAA - grooves of both vocal folds. Conclusions: the SAA of the larynx are small and the prevalence with early detection and treatment can produce favorable prognosis. However, being a disease with unknown etiology and prevalence until the end and if untreated can lead to adverse consequences and should not remain undiagnosed. It should be kept in mind during differential search to find out the cause of dysphonia. 

About the Author

S. V. Starostina
Sechenov First Moscow State Medical University
Russian Federation
MD, Prof.


References

1. Tamura E, Kitahara S., Autogenous tissue augmentation for unilateral vocal fold paralysis. Jpn J LogoPhoniat, 2003, 44: 327-332.

2. Arnold GE. Dysplastic dysphonia: minor anomalies of the vocal cords causing persistent hoarseness. Laryngoscope, 1958, 68: 142-58.

3. Pontes P, Behlau M. Disfoniasfuncionais. In: Lopes F, Campos CAH, editors. Tratadodeotorrinolaringologia. Sã oPaulo: Roca; 1994: 1014-26.

4. Cohen SR. Congenital glottis webs in children. A retrospective review of 51 patients. AnnOtolRhinolLaryngol, 1985, Suppl. 121: 2-16.

5. Василенко Ю.С. Голос. Фониатрические аспекты. М.: Энергоиздат, 2002: 186-195.

6. Monday LA, Cornut G, Bouchayer M, Roch JB. Epidermoid cysts of the vocal cords. AnnOtolRhinolLaryngol, 1983, 92: 124-7.

7. Lee STS, Niimi S. Vocal fold sulcus. J LaryngolOtol, 1990, 104: 876-8.

8. Silva AR, Machado Jr AJ, Crespo AN. Anatomical study of minor alterations in neonate vocal folds. Braz J Otorhinolaryngol, 2014 Jul-Aug, 80(4): 311-7.

9. Hoffman HT, Bock JM, Karnell LH, Ahlrichs-Hanson J. Microendoscopy of Reinke’s Space. AnnOtolRhinolLaryngol, 2008, 117: 510-514.

10. Wexler D, Jiang J, Gray S, Titze I. Phonosurgical studies: fat-graft reconstruction of injured canine vocal cords. AnnOtolRhinolLaryngol, 1989, 98: 668-673.

11. Wendler J., Seider W. Lehrbruch der Phoniatrie. VEB Georg Thieme, Leipzig, 1987, 347 p.

12. Sataloff RT. Professional voice. The Science of art and clinical care, Singular Publishing group Inc., 1997, 1069 p.

13. Martins RH, Silva R, Ferreira DM, Dias NH. Sulcus vocalis: probable genetic etiology. Report of four cases in close relatives. Braz J Otorhinolaryngol, 2007 Jul-Aug, 73(4): 573.

14. Пальчун В.Т., Лучихин Л.А., Магомедов М.М., Зеликович Е.И. Обследование оториноларингологического больного. М.: Литтерра, 2014. 336 с.

15. Василенко Ю.С., Быкова В.П., Антонова Н.А., Кочетыгов Д.М. Клинико-морфологическая характеристика доброкачественных опухолеподобных образований голосовых складок. Вестник оториноларингологии, 1999, 1: 24-29.

16. Eckley CA, Swensson J, Duprat Ade C, Donati F, Costa HO. Incidence of structural vocal fold abnormalities associated with vocal fold polyps. Braz J Otorhinolaryngol, 2008 Jul-Aug, 74(4): 508-11.

17. Welham NV, Choi SH, Dailey SH, Ford CN, Jiang JJ and Bless DM. Prospective multi-arm evaluation of surgical treatments for vocal fold scar and pathologic sulcus vocalis. Laryngoscope, 2011 Jun, 121(6): 1252-1260.

18. Ермакова Е.А. Коррекция речи и голоса у детей. М.: Издательство «Просвещение», 1996. 144 с.

19. Таптапова С.Л. Коррекционно-логопедическая работа при нарушении голоса. М.: Издательство «Просвещение», 1984. 112 с.

20. Bartlett RS, Hoffman HT, Dailey SH, Bock JM, Klemuk SA, Askeland RW, Ahlrichs-Hanson JS, Heaford AC, Thibeault SL. Restructuring the vocal fold lamina propria with endoscopic microdissection. Laryngoscope, 2013 Nov, 123(11): 2780-6.

21. Tamura E, Fukuda H, Tabata Y. Intracordal injection technique: materials and injection site. Tokai J ExpClinMed, 2008 Sep 20, 33(3): 119-23.

22. Bartlett RS, Hoffman HT, Dailey SH, Bock JM, Klemuk SA, Askeland RW, Ahlrichs-Hanson JS, Heaford AC, Thibeault SL. Restructuring the vocal fold lamina propria with endoscopic amicrodissection. Laryngoscope, 2013 Nov, 123(11): 2780-6.


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For citations:


Starostina SV. Analysis of degree of incidence of small anatomic anomalies of larynx among dysphonia patients. Meditsinskiy sovet = Medical Council. 2016;(18):72-75. (In Russ.) https://doi.org/10.21518/2079-701X-2016-18-72-75

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ISSN 2079-701X (Print)
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