ABSTRACT
PURPOSE: To evaluate upper esophageal sphincter (UES) activity in patients with benign glottic lesions. METHODS: Twenty-three patients with benign vocal fold (VF) lesions scheduled for manometric evaluation were enrolled as the study group (SG); 20 healthy subjects without vocal pathology or dysphagia were included as the control group (CG). UES residual, basal, relaxation time and peak pharyngeal pressures were evaluated by manometry. The reflux symptom index (RSI) and reflux finding score (RFS) were used to estimate the clinical findings of laryngopharyngeal reflux, and the voice handicap index (VHI) was measured in both groups. The patients' data were compared using the Mann-Whitney test and t test. RESULTS: The diagnoses in the SG were vocal nodules, vocal polyps, vocal cysts, sulcus vocalis, or Reinke's edema. The evaluation scores (RSI, RFS, and VHI) were significantly higher in the SG than in the CG (P < 0.05). UES basal and relaxation pressures, relaxation time, and peak pharyngeal pressures did not differ between the SG and the CG (P > 0.05). CONCLUSION: UES manometric pressure was similar in patients with VF mucosal lesions and controls. Studies involving larger populations are necessary to confirm the manometric changes in the UES and to elucidate the pathogenesis of benign VF lesions.
Subject(s)
Esophageal Sphincter, Upper/physiopathology , Laryngeal Diseases/physiopathology , Vocal Cord Dysfunction/physiopathology , Adult , Case-Control Studies , Cysts/diagnosis , Cysts/physiopathology , Deglutition Disorders/etiology , Deglutition Disorders/physiopathology , Female , Humans , Laryngeal Diseases/diagnosis , Laryngeal Edema/diagnosis , Laryngeal Edema/physiopathology , Laryngopharyngeal Reflux/diagnosis , Laryngopharyngeal Reflux/physiopathology , Male , Manometry , Middle Aged , Polyps/diagnosis , Polyps/physiopathology , PressureABSTRACT
Hydatid disease of the parotid gland is a very rare entity and may be easily overlooked in the diagnosis of parotid masses. Although Turkey remains an endemic area for echinococcosis, involvement of the parotid gland is extremely rare. A 26-year-old man presented with primary parotid gland mass without any other organ involvement. During the first surgery, the cyst was perforated accidentally and in a short time recurrence was occurred. Maximum attention was given for the second surgery for total removal without damaging the cyst with medical treatment. The clinicians should take hydatid disease of parotid gland into consideration and great care must be given for not damaging the capsule of the cystic tumors in order to prevent recurrences.
Subject(s)
Echinococcosis , Intraoperative Complications/prevention & control , Parotid Gland , Parotid Neoplasms/diagnosis , Adult , Dissection/methods , Echinococcosis/diagnostic imaging , Echinococcosis/pathology , Echinococcosis/surgery , Humans , Male , Parotid Gland/diagnostic imaging , Parotid Gland/pathology , Parotid Gland/surgery , Recurrence , Reoperation/methods , Tomography, X-Ray Computed/methods , Treatment Outcome , TurkeyABSTRACT
The authors presented a patient with quadriplegia caused by cervical spine abscess following voice prosthesis replacement. The authors present the first reported permanent quadriplegia patient caused by voice prosthesis replacement. The authors wanted to emphasize that life-threatening complications may be faced during the replacement of voice prosthesis. Care should be taken during the replacement of voice prosthesis and if some problems have been faced during the procedure patients must be followed closely.
Subject(s)
Laryngeal Neoplasms/surgery , Laryngectomy , Larynx, Artificial/adverse effects , Postoperative Complications , Quadriplegia/etiology , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Prosthesis Failure , Quadriplegia/diagnosis , ReoperationABSTRACT
OBJECTIVES: The aim of this case-control study was to investigate the symptoms of attention-deficit/hyperactivity disorder (ADHD) in children with vocal fold nodules (VNs). METHODS: Study group (SG) included children between 4 and 12 years. As a control group (CG), children between 4 and 12 years without VNs were included in the study. Parents of the participants completed the Conners' Parent Rating Scale-Revised: Short Form (CPRS-RS) which was used to analyze the symptoms of ADHD. RESULTS: Forty-five children (30 boys and 15 girls) with VNs and 45 controls (30 boys and 15 girls) were enrolled in the study. Multivariate analysis of variance revealed that the CPRS-RS Hyperactivity and Oppositional Subscales were significantly higher in the SG than the CG (p < .05), after controlling the effects of age and gender. CONCLUSIONS: Our findings suggest associations between VNs and hyperactivity and oppositional behaviors in children. Clinicians should be aware of ADHD symptoms in children with VNs.
