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Evaluation of the effectiveness of complex therapy in the rehabilitation of vocal professionals after acute laryngitis

https://doi.org/10.21518/ms2025-472

Abstract

Introduction. For the multi-million-strong army of voice and speech professionals, the voice is not only a means of communication but also a tool in their professional activities. Phonation disorders have a severe impact on the emotional state of a professional, as they often lead to disability and professional ineptitude, which significantly reduces the quality of life. The urgency of the study is determined not only by the significant prevalence of acute laryngitis within dysphonias, but also by lack of effect of the current treatments.

Aim. To evaluate the efficacy of combination therapy with Homeovox in the rehabilitation of voice professionals who underwent acute laryngitis. For this purpose, the following specific objectives have been set: to develop a treatment algorithm for patients with acute laryngitis using a homeopathic preparation as part of combination therapy and to evaluate its clinical efficacy in voice professionals.

Materials and methods. A total of 20 patients (17 women and 3 men) were included in the study. The examination included videolaryngostroboscopy, acoustic voice analysis, and a subjective functional assessment of phonation quality using the author's Voice Visual Analogue Scale (VVAS) over three diagnostic visits. The patients were divided into two groups, medical rehabilitation in which was carried out in accordance with clinical recommendations and the use of a homeopathic drug group 1, and group 2 according to standard rehabilitation measures.

Results and discussion. The comprehensive treatment using the homeopathic preparation has shown significant efficacy and safety of the developed algorithm for rehabilitating dysphonia in voice professionals from the first days of therapy, as confirmed by objective and subjective examination methods over time.

Conclusions. The developed algorithm for the comprehensive treatment of voice professionals and introduction of Homeovox in conventional rehabilitation therapy proved to be effective and can be recommended for widespread implementation in daily practice, as they significantly improve clinical and functional outcomes and allow reaching the functional results in normalizing the voice quality much quicker.

About the Authors

T. I. Garashchenko
National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia; Pirogov Russian National Research Medical University
Russian Federation

Tatiana I. Garashchenko, Dr. Sci. (Med.), Professor, Chief Researcher, National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia; Professor, Department of Otorhinolar­yngology, Professor of the Department of Hospital Pediatrics No. 2, Pirogov Russian National Research Medical University

30, Bldg. 2, Volokolamskoye Shosse, Moscow, 123182,

1, Ostrovityanov St., Moscow, 117997



O. S. Orlova
National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia; Moscow Pedagogical State University; Federal Center for Brain and Neurotechnology of the Federal Medical and Biological Agency of Russia
Russian Federation

Olga S. Orlova, Dr. Sci. (Educ.), Professor, Chief Researcher, Scientific and Clinical Department of Phoniatrics, National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia; Professor, Department of Logopedics, Institute of Childhood, Moscow Pedagogical State University; Chief Researcher, Federal Center for Brain and Neurotechnology of the Federal Medical and Biological Agency of Russia

30, Bldg. 2, Volokolamskoye Shosse, Moscow, 123182,

1, Bldg. 1, Malaya Pirogovskaya St., Moscow, 119991,

1, Bldg. 10, Ostrovityanov St., Moscow, 117513



E. V. Osipenko
National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia; Pirogov Russian National Research Medical University
Russian Federation

Ekaterina V. Osipenko, Cand. Sci. (Med.), Head of Scientific and Clinical Department of Phoniatrics, Head of Phoniatrics Department, National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia; Associate Professor, Department of Otorhinolaryngology, Pirogov Russian National Research Medical University

30, Bldg. 2, Volokolamskoye Shosse, Moscow, 123182,

1, Ostrovityanov St., Moscow, 117997



I. A. Mikhalevskaya
National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia
Russian Federation

Irina A. Mikhalevskaya, Cand. Sci. (Educ.), Speech Therapist of the Department of Phoniatry, Senior Researcher of Phoniatrics Department

30, Bldg. 2, Volokolamskoye Shosse, Moscow, 123182



E. E. Demidov
National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia
Russian Federation

Egor E. Demidov, Otorhinolaryngologist at the Department of Phoniatrics

30, Bldg. 2, Volokolamskoye Shosse, Moscow, 123182



Yu. S. Krivykh
National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia
Russian Federation

Yulia S. Krivykh, Junior Researcher at the Department of Phoniatrics, Speech Therapist of the Department of Phoniatry

30, Bldg. 2, Volokolamskoye Shosse, Moscow, 123182



E. I. Mikheeva
National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia
Russian Federation

Evgeniya I. Mikheeva, Junior Researcher at the Department of Phoniatrics, Speech Therapist of the Department of Phoniatry

30, Bldg. 2, Volokolamskoye Shosse, Moscow, 123182



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For citations:


Garashchenko TI, Orlova OS, Osipenko EV, Mikhalevskaya IA, Demidov EE, Krivykh YS, Mikheeva EI. Evaluation of the effectiveness of complex therapy in the rehabilitation of vocal professionals after acute laryngitis. Meditsinskiy sovet = Medical Council. 2025;(18):123-134. (In Russ.) https://doi.org/10.21518/ms2025-472

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