Although the disease is not very often, every otorhinolaryngologist will experience some patients suffering from vocal fold paralysis. This is the first and unique book solely devoted to this topic. Offers step-by-step descriptions and evaluations of the materials and/or methods of well-established techniques and new therapeutic options and approaches. Written by leading experts: Blitzer is speaker of the American Academy of Otorhinolaryngology and Head and Neck Surgery (AAO-HNS); Sulica, also a speaker of the AAO-HNS, works in his department. Vocal Fold Paralysis is a clinically useful reference for evaluation and treatment, as well as a summary of current knowledge and investigational approaches.
This well-illustrated book provides step-by-step guidance on the various techniques – microlaryngoscopic, fiberoptic endoscopic and transcutaneous – that can be employed for the purpose of injection laryngoplasty, a surgical procedure in which a foreign material is injected into the vocal fold. The anatomy and function of the region are first explained, with identification of the causes and means of evaluation of glottic and neoglottic insufficiency. Advice is then provided on the choice of material for injection laryngoplasty, including absorbable and long-lasting options, on the basis of careful analysis that takes into account both the recent literature and the authors’ own experiences. Detailed descriptions of the surgical indications and different procedures follow and for ease of reference, clear flow charts on diagnosis and indications are also included. The book concludes with chapters on the use of injection laryngoplasty specifically in the pediatric population and on postoperative care and speech therapy following the procedure. Injection Laryngoplasty will provide valuable assistance to all surgeons wishing to perform this kind of surgery.
This book provides step-by-step illustrated descriptions of diverse vocal fold injection techniques, including some not previously described. The aim is to provide laryngologists in general, and especially those who are less experienced, with the detailed understanding and guidance needed in order to achieve optimal outcomes. Highly experienced experts describe approaches via the transoral, transnasal, and transcutaneous routes and offer guidance on indications, injection materials, pre- and postoperative care, and the management of complications. Special considerations that must be borne in mind when employing different vocal fold injection techniques, in different settings, are also carefully explained. In offering comprehensive, up-to-date information on this minimally invasive and cost-effective procedure, Vocal Fold Injection will be an essential aid for practitioners.
Laryngeal Electromyography, Third Edition is an easy guide and quick reference for laryngologists, neurologists, physiatrists, and others who wish to learn the procedure of laryngeal electromyography in order to evaluate the integrity of the muscles and nerves of the larynx, and to determine the cause of movement disorders of the vocal folds and make a diagnosis. Thoroughly revised since the previous edition, Laryngeal Electromyography provides the latest advances on electromyographic procedure and diagnostics. This third edition includes concise, practical coverage on the details of the procedure and clinical applications.
Volume 85 in the series 'Advances in Oto-Rhino-Laryngology' contains a combination of our current understanding of neurolaryngological anatomy, physiology, pathology and management options. The content of 'Advances in Neurolaryngology' is divided into four sections, namely Anatomy and Physiology, Examination and Investigation, Conditions and Therapeutic Options, and Fresh Perspectives and the Future. All the chapters have been written by internationally recognized experts in their field who provide a valuable update on the latest research. Interesting aspects of many of areas in the basic science, diagnostics and treatment options in Neurolaryngology are provided. New approaches when evaluating (for example, Chapter 2 – Visual Neurolaryngology) or managing and understanding other subsets of patients (see Chapter 16 – The Hidden Anatomy of Opera Singers) make this publication both current and fascinating! This publication is aimed at all healthcare workers who are involved in the management of patients with neurolaryngological conditions namely ENT surgeons, neurologists, radiologists, electrophysiologists, speech and language therapists, respiratory physicians and their respective trainees.
Offers a new model of vocal tract articulation that explains laryngeal and oral voice quality, both auditorily and visually, through language examples and familiar voices.
Voice Science, Second Edition was designed to provide speech-language pathologists and other members of the voice team with a thorough grounding in the anatomical, physiological, and mechanical aspects of voice production, as well as an introduction to cutting-edge research in voice science. This book is a valuable asset for teachers and students in communication sciences, as well as otolaryngologists, speech-language pathologists, singing and voice teachers, and professional voice users. An explosion of new knowledge has occurred in our time in the field of voice. The voice is one of our most critical communication tools. Therefore, voice disorders have a large impact on daily life for a great number of people. The interdisciplinary expertise of numerous authors has been invaluable in the preparation of this text. The book opens with introductory information about the physics of sound, and it goes on to discuss the anatomy and physiology of the voice, including neuroanatomy and the mechanics of vocal fold aging. It ends with chapters on voice care, exercise physiology, and forensic voice care. New to this edition: New chapters on topics such as laryngeal development and on exercise physiology, which is critical to understanding voice training and rehabilitation.Substantial additions to chapters on medical genetic issues, clinical anatomy and physiology, and processing of musical information.References have been updated throughout to reflect the current literature.A selection of new authors who provide an interdisciplinary approach.Many chapters have been rewritten extensively to include the most recent information. Voice Science, Second Edition is ideal for speech-language pathology students and clinicians and is suitable for classroom use as well as for reference.
This book, endorsed by the European Laryngological Society, is a comprehensive guide to key topics in neurolaryngology, which enables readers to quickly identify and implement solutions in concrete situations likely to arise in everyday clinical practice. It includes detailed information on conditions such as vocal cord paresis/paralysis, laryngeal dystonia, and upper motor neuron disorders and offers clear advice on imaging and assessment, highlighting the role and performance of electromyography. Treatment options are extensively described, and there are individual chapters on functional therapy, botulinum toxin injection, the full range of phonosurgery options (including transoral endoscopic techniques, office-based phonosurgery, framework surgery, and laryngeal reinnervation), and laryngeal transplantation. With numerous accompanying videos, the book is a valuable resource for otorhinolaryngologists, speech pathologists and neurologists.
Lalwani (physiology and neuroscience, New York University School of Medicine) presents essential information on medical and surgical management of disorders and diseases of the ear, nose, throat, and neck, for specialists, non-specialists, ancillary health care personnel, and students. The book emphasizes practical features of diagnosis and patient management while providing a discussion of pathophysiology and relevant basic and clinical science. Overview chapters review principles of antimicrobial therapy, anesthesia, radiology, and lasers, followed by chapters arranged by anatomical region. B&w medical images and photos are included. Annotation : 2004 Book News, Inc., Portland, OR (booknews.com).
All laryngologists, especially general ENT doctors who see patients with paralytic dysphonia, as well as speech pathologists, will benefit from this book’s coverage of many basic and clinical aspects of reinnervation in retrieving patients’ normal voices. Phonosurgical treatment for paralytic dysphonia was first established in the late 1970s in the form of arytenoid adduction and medialization laryngoplasty. It made possible the improvement of patients’ post-op voices, but it was difficult to regain patients’ own pre-paralysis voices. It has recently been established that immediate reconstruction of the recurrent laryngeal nerve during tumor extirpation is effective in recovery of their original voices in patients with unilateral vocal fold paralysis (VFP). The activity of the thyroarytenoid muscle is needed to recover normal voices. Nerve–muscle pedicle (NMP) flap implantation with a refined technique to the thyroarytenoid muscle is a novel method for that purpose. NMP flap implantation combined with arytenoid adduction was applied by the author to patients suffering from dysphonia and most patients did recover their nearly normal voices after surgery. This book provides readers with (1) what the currently prevalent surgical procedures are, (2) unsatisfactory results of these conventional procedures, (3) results of immediate recurrent laryngeal nerve reconstruction during tumor extirpation, (4) the outcome of delayed reinnervation combined with arytenoid adduction in patients with VFP and further, (5) the scientific basis that explains the reasons why the author’s method is effective in the recovery of patients’ own pre-paralysis, normal voices.
