The impact of vibratory stimulation therapy on voice quality in hyperfunctional occupational dysphonia
Journal Title: Otolaryngologia Polska - Year 2012, Vol 66, Issue 3
Abstract
SUMMARY Hyperfunctional dysphonia is the most frequent type of occupational functional dysphonia. Pharmacotherapy, physiotherapy and psychotherapy are used in the treatment of occupational dysphonia. Vibratory massages of the regions of the larynx relax the external muscles of neck, which have an indirect impact on the tension of the vocal folds. Purpose: The aim of the study is to assess the impact of vibratory stimulation therapy on voice quality in patients with hyperfunctional occupational dysphonia treated pharmacologically. Material and methods: Forty patients with hyperfunctional occupational dysphonia treated phoniatrically in the Phoniatric Outpatient Clinic were included in the study. Patients were divided into two groups. Group I consisted of 20 patients treated pharmacologically. In group II, including 20 patients, apart from pharmacotherapy the vibratory stimulation therapy by the device of VR type (CyberBioMed LLC) was used. In the analysis of voice quality the evaluation of the vocal folds vibration using videolaryngostroboscopy and acoustic assessment of voice were conducted. Results and conclusions: The perceptual assessment of voice, the visualization of the vocal folds vibration in stroboscopic examination of the larynx and the acoustic assessment of voice enable the appropriate diagnostics of the clinical type and voice quality in hyperfunctional dysphonia. The tension of superficial and deep muscles of neck has the impact on the phonatory function of the larynx. Pharmacological treatment improves the voice quality in hyperfunctional occupational dysphonia. Pharmacological treatment combines with the relaxation of muscles of neck using the device of VR type significantly improve voice quality in hyperfunctional occupational dysphonia.
Authors and Affiliations
Bożena Kosztyła- Hojna, Anna Kuryliszyn-Moskal, Marek Rogowski, Diana Moskal, Agnieszka Dakowicz, Dawid Falkowski, Joanna Kasperuk
TNM classification of oral cavity carcinomas: suggested modifications
TNM system is a universally recognized cancer classification. It’s based on the assessment of anatomical extent of tumor (T), nodal (N) and distant metastases (M). The first edition of TNM was published in 1968 and has s...
Paragangliomas of the Neck – a 10-year experience of the Department of Otolaryngology of Warsaw Medical University
Paragangliomas are rare neoplasms of neurological origin and account for 0.012% of all tumors. Only 10% of them have extraadrenal localization. Head and neck paragangliomas account for 0.33% neoplasms of that localizatio...
Rehabilitacja chorych po laryngektomii – wizja a realizacja
Universality, early initiation, complexity and continuity – should be the main attributes of rehabilitation in patients after laryngectomy. The authors discuss the problem of universality and accessibility of rehabilitat...
Results of radiotherapy in elderly patients with early laryngeal cancer
Evaluation of the results of radiotherapy in elderly patients with early laryngeal cancer, the relation between comorbidities and the overall treatment time, and the influence of treatment interruptions on the outcome of...
Hearing loss in mild OSAS and simple snoring patients
Introduction Obstructive Sleep Apnea Syndrome (OSAS) is characterized by recurrent episodes of prolonged partial or complete obstruction of the upper airways. Several study groups studied the effect of snoring and OSAS o...