ABSTRACT
The voice as the most important means of communication is of great importance in a person's life. Every year the number of specialties for which voice and speech are a key tool of professional activity increases. Diseases of the vocal apparatus reduce the ability to work, and for some people pose a threat of professional unfitness. The relevance of the study is determined not only by the significant prevalence of dysphonia, but also by the insufficient effectiveness of existing methods of treating voice disorders. OBJECTIVE: To evaluate the clinical efficacy and safety of the use of the drug Homeovox in patients with acute and chronic catarrhal laryngitis as monotherapy. To fulfill the set goal of the study, the following tasks were solved: evaluation of the clinical effectiveness of the drug Homeovox as monotherapy for various types of dysphonia; evaluation of the effectiveness of the drug Homeovox as monotherapy from the 1st day of use. MATERIAL AND METHODS: The basis for the implementation of the tasks was the analysis of the results of the examination and treatment of 60 patients with voice disorders aged 18 to 75 years. Among them, 10 (17%) patients with acute laryngitis and 50 (83%) patients with chronic laryngitis. To establish the diagnosis, a comprehensive examination was carried out, involving examination, videolaryngostroboscopy, acoustic analysis of the voice. The study design included three patient visits, during which the functional state of the vocal apparatus was examined by subjective and objective methods. RESULTS: As a result of the treatment with the use of the drug Homeovox, the efficacy and safety of this drug in the treatment of dysphonia in adult patients with acute and chronic laryngitis from the first days of therapy has been proven, which is confirmed by the method of videolaryngostroboscopy and acoustic analysis of the voice. CONCLUSION: The drug Homeovox is an effective, safe remedy and can be included in the complex treatment of laryngeal pathology in order to increase its effectiveness and achieve a therapeutic effect in a shorter time, manifested by an improvement in the clinical and functional state of larynx.
Subject(s)
Dysphonia , Laryngitis , Adult , Chronic Disease , Dysphonia/diagnosis , Dysphonia/drug therapy , Hoarseness/pathology , Humans , Laryngitis/diagnosis , Laryngitis/drug therapy , Laryngitis/pathology , Prospective Studies , Vocal CordsABSTRACT
Vocal disorders make up one of the autoimmune pathological conditions characterized by multiple organ system dysfunction. Laryngeal pathology in this condition has an autoimmune nature; it is highly diverse and poorly explored. The objective of the present work based on the analysis of the relevant literature publications was to study clinical manifestations of the autoimmune rheumatic disease affecting the larynx. 'Bamboo nodes' on the vocal folds is a rare manifestation of laryngeal autoimmune diseases. We found out references to 49 cases of this condition in the available literature. All the patients were women presenting with autoimmune diseases. The present review highlights the problems pertaining to etiology of 'bamboo nodes' on the vocal folds and the method for the treatment of this condition.
Subject(s)
Autoimmune Diseases/complications , Laryngeal Diseases , Rheumatic Diseases/complications , Vocal Cords , Humans , Laryngeal Diseases/diagnosis , Laryngeal Diseases/etiology , Laryngeal Diseases/physiopathology , Vocal Cords/pathology , Vocal Cords/physiopathologyABSTRACT
Endolaryngeal cold-plasma microsurgery for the treatment of benign neoplasms in the larynx used under conditions of high-frequency jet ventilation of the lungs is both a diagnostic tool and a method by which the extent of surgical intervention can be planned. It enables the surgeon to remain in direct contact with the operating field via the tip, to make tangential incisions and probing with a high degree of accuracy. Also, the method ensures bloodless and sterile intervention that induces a less pronounced inflammatory reaction compared with that associated with conventional surgical procedures for the removal of benign laryngeal neoplasms. The methods meet the main criteria for basal surgery; it produces the statistically significant improvement of the voice quality and of dynamic endoscopic characteristics of the larynx.
Subject(s)
Microsurgery , Plasma Gases , Cold Temperature , High-Frequency Jet Ventilation , Humans , Laryngeal Neoplasms/surgery , Larynx/surgerySubject(s)
Anti-Inflammatory Agents/administration & dosage , Laryngitis/drug therapy , Administration, Oral , Chronic Disease , Follow-Up Studies , Humans , Laryngitis/diagnosis , Laryngitis/physiopathology , Laryngoscopy/methods , Retrospective Studies , Stroboscopy/methods , Treatment Outcome , Voice Quality/physiologyABSTRACT
A new technique for endolaryngeal microsurgery is proposed. It based on the irradiation of benign laryngeal tumours using Ho:YAG and potassium-titanyl-phosphate (KTP) lasers. A total of 198 patients of either sex aged from 2 to 77 years with a variety of benign laryngeal neoplasms were treated by this method between 2004 and 2007. Its application allowed the results of the treatment to be optimized as confirmed by the statistically significant improvement of the external respiration function, acoustic characteristics of the voice, and positive dynamics of laryngeal endoscopic imaging data.
