ABSTRACT
Immediate effects of an exercise with the vocal tract semi-closed. OBJECTIVE: To investigate the immediate effects of the phonation exercise in a straw in individuals with and without vocal fold lesions. MATERIALS AND METHODS: Prospective study. 48 individuals, aged between 18 and 55 years participated in the study, and they were distributed into two groups: GL- with a benign vocal fold lesion; GSL- without a lesion. The following analyses were carried out before and after the straw phonation exercises: voice self-analysis, [ε] vowel auditory-perception analysis, selected parameters acoustics (VoxMetria 2. 6) and videolaryngoscopy. RESULTS: The vocal self assessment indicated a statistically significant improvement on voice emission in GL individuals (p=0. 015). There were no statistically significant differences before and after the exercise and between the groups, in the videolaryngoscopy, acoustic and auditory-perception assessments. CONCLUSIONS: The straw phonation exercise caused positive effects, seen upon voice self-assessment, indicating an easier and better voice upon phonation.
Efeitos imediatos de um exercício de trato vocal semiocluído. OBJETIVO: Investigar os efeitos imediatos do exercício de fonação no canudo em indivíduos com e sem lesão nas pregas vocais. MATERIAL E MÉTODO: Estudo Prospectivo. Participaram deste estudo 48 indivíduos, entre 18 e 55 anos, distribuídos em dois grupos: GL- com lesão benigna na prega vocal; GSL- sem lesão. Foram realizadas antes e após a realização do exercício de fonação no canudo as seguintes análises: autoavaliação da voz, análises perceptivo-auditiva da vogal [ε], acústica de parâmetros selecionados (VoxMetria 2.6) e videolaringoscopia. RESULTADOS: A autoavaliação vocal indicou melhora estatisticamente significante na emissão da voz no GL (p=0,015). Não houve diferença estatisticamente significante nos momentos pré e pós-exercício e entre os grupos, nas avaliações perceptivo-auditiva, acústica e videolaringoscópica. CONCLUSÃO: O exercício de fonação no canudo promoveu efeitos positivos verificados na autoavaliação vocal, indicando voz mais fácil e melhor à fonação.
Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Laryngeal Diseases/complications , Phonation/physiology , Voice Training , Vocal Cords/injuries , Voice Disorders/rehabilitation , Case-Control Studies , Prospective Studies , Self-Assessment , Treatment Outcome , Voice Disorders/etiologyABSTRACT
Os osteomas são tumores ósseos benignos que podem acometer os seios paranasais, sendo em sua maioria assintomáticos, de crescimento lento e encontrados em tamanhos variados em cerca de 1 por cento das radiografias sinuais de rotina. As cavidades sinusais mais acometidas em ordem de freqüência são: frontal, etmoidal, raramente maxilar e excepcionalmente esfenoidal. Em virtude de sua evolução, a indicação cirúrgica é limitada e controversa. Neste estudo, os autores relatam quatro casos de osteoma fronto-etmoidal, seu diagnóstico, os procedimentos cirúrgicos passo a passo e o seguimento pós-operatório, revisando a literatura sobre o assunto.
Subject(s)
Humans , Female , Child , Middle Aged , Adult , Male , Ethmoid Bone , Ethmoid Bone/surgery , Frontal Bone , Frontal Bone/surgery , Osteoma , Osteoma/surgery , Skull Neoplasms , Skull Neoplasms/surgery , Follow-Up Studies , Tomography, X-Ray ComputedABSTRACT
Pediculated lesions of the nasal cavities are relatively common in daily practice, and include inflammatory polyps, benign tumors (papillomas being the most common), malignant tumors, and specific processes, such as polypoid rhinosporidiosis. The authors describe a female patient with a warty, pediculated, and assymptomatic lesion in the nasal septal mucosa. The anatomo-pathological exam showed this to be a "carcinoma in situ". The few bibliographic citations report only an association between the tumor and contact with wood dust, such as oak, ebony and beech. The patient was not exposed to these elements. it is important to emphasize the routine performance of a complete otolaryngological exam for patients seeking out specialists, in order to detect potentially malignant lesions whose early removal would permit a complete cure.
Subject(s)
Female , Humans , Middle Aged , Carcinoma in Situ/diagnosis , Nose Neoplasms/diagnosis , Carcinoma in Situ/pathology , Adenocarcinoma/pathology , Nose Neoplasms/pathologyABSTRACT
The authors describe a male patient who had malignant lymphoma seven years ago which remitted with chemotherapy. Two years ago he developed dysphonia. An unilateral, pediculate smooth red lesion on the right vocal fold was later discovered. Even without benefit of medicamentosus treatment, the patient refused surgery. In a reevaluation using rigid telescopy of the larynx two years later, the lesion had disappeared, completely and spontaneously. As there are no existing publications on this topic, this case report is an alert that surgery should be recommended with extreme caution in this type of vocal disease.
Subject(s)
Middle Aged , Humans , Male , Polyps/diagnosis , Laryngeal Neoplasms/diagnosis , Neoplasm Regression, Spontaneous , Vocal CordsABSTRACT
Säo discutidos os aspectos anatômicos da fossa ptérigo-maxilar e do nervo nasociliar, cujas infiltraçöes anestésicas säo atos simples, rápidos, eficazes e seguros em vários procedimentos odontológicos e otorrinolaringológicos, possibilitando a realizaçäo de cirurgias nasossinusais bem menos sangrantes com a utilizaçäo de doses bem menores de anestésicos gerais, em virtude da aboliçäo dos estímulos álgicos e consequente näo liberaçäo de catecolaminas