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    • Glottic Insufficiency

    Article Type

    • Research Article13

    Publication Date

    Author

    • Carroll, Thomas L2
    • Arviso, Lindsey C1
    • Chan, Yiong Huak1
    • Chandran, Swapna1
    • Cobeta, Ignacio1
    • Dailey, Seth H1
    • Di Francesco, Marta1
    • Dromey, Christopher1
    • Gherson, Shirley1
    • Grant, Jonathan R1
    • Gregory, Naomi D1
    • Halum, Stacey L1
    • Hanson, David G1
    • Hartemink, David A1
    • Hone, Stephen1
    • Jiang, Jack1
    • Johns, Michael M III1
    • Klein, Adam M1
    • Lau, David P1
    • Lee, Gwyneth A1
    • Lim, Valerie P1
    • Lin, Emily1
    • Livi, Walter1
    • Lurie, Deborah1
    • Maclagan, Margaret A1

    Journal

    • Journal of Voice13

    Keyword

    • Dysphonia2
    • Hoarseness2
    • Injection laryngoplasty2
    • Laryngology2
    • Vocal cord paralysis2
    • Vocal fold atrophy2
    • Vocal fold injection2
    • Age-associated voice disorders1
    • Aging1
    • Bowing1
    • Breathiness1
    • CaHA1
    • Calcium hydroxylapatite1
    • Definition1
    • Dysarthria1
    • EMG1
    • Features1
    • Frame by frame analysis1
    • Geriatric laryngology1
    • Geriatric voice pathology1
    • Glottal gap1
    • Glottal insufficiency1
    • Glottic insufficiency1
    • Hyaluronic acid1
    • Intubation1

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    Journal of Voice Source Readings

    Glottic Insufficiency

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    • Research Article

      Objective Evaluation of Presbyphonia: Spectroacoustic Study on 142 Patients with Praat

      Journal of Voice
      Vol. 31Issue 2p257.e25–257.e32Published online: July 14, 2016
      • Chiara Mezzedimi
      • Marta Di Francesco
      • Walter Livi
      • Maria Carla Spinosi
      • Claudio De Felice
      Cited in Scopus: 26
      Online Extra
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        Presbyphonia is the sequence of physiological events related to the process of senility of the vocal folds. The aim of our analysis was to provide deeper knowledge of presbyphonia, raising awareness of this condition as well as giving basic suggestions on how to treat related vocal alterations.
        Objective Evaluation of Presbyphonia: Spectroacoustic Study on 142 Patients with Praat
      • Research Article

        Clinical Assessment of Glottal Insufficiency in Age-related Dysphonia

        Journal of Voice
        Vol. 31Issue 1p128.e1–128.e5Published online: January 21, 2016
        • Miguel Vaca
        • Ignacio Cobeta
        • Elena Mora
        • Pablo Reyes
        Cited in Scopus: 31
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          Incomplete glottal closure is one of the key clinical aspects of presbylarynx. The objective of the present study is to determine the diagnostic yield of several tests for the assessment of glottal competence in age-related dysphonia.
        • Research Article

          Office-Based Injection Laryngoplasty for the Management of Unilateral Vocal Fold Paralysis

          Journal of Voice
          Vol. 28Issue 3p382–386Published online: February 3, 2014
          • Sunil P. Verma
          • Seth H. Dailey
          Cited in Scopus: 28
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            Office-based injection laryngoplasty (OBIL) is a common method of addressing glottal insufficiency. This retrospective chart review identifies the demongraphics, laterality, technique, success rate, injectates, and complications of OBIL performed over a 3-year period at a single institution.
            Office-Based Injection Laryngoplasty for the Management of Unilateral Vocal Fold Paralysis
          • Research Article

            Managing Voice Impairment After Injection Laryngoplasty

            Journal of Voice
            Vol. 26Issue 6p797–800Published online: May 28, 2012
            • Jonathan Y. Ting
            • Ruchin Patel
            • Stacey L. Halum
            Cited in Scopus: 6
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              To date, there is a paucity of literature on the management of suboptimal voice outcomes after injection laryngoplasty. We present three cases of worsened voice quality and impaired mucosal waveform propagation on videostroboscopy after calcium hydroxylapatite (CaHA) injection. The first was found to have superficial deposits of CaHA in Reinke's space. The second case appeared to have overaugmentation of the vocal folds. The third case had atrophic vocal folds, and despite having a deep CaHA injection (within the thyroarytenoid muscles), the injected vocal folds had diminished mucosal waveform amplitude, which was likely because of poor pulmonary function.
              Managing Voice Impairment After Injection Laryngoplasty
            • Research Article

              Frame by Frame Analysis of Glottic Insufficiency Using Laryngovideostroboscopy

              Journal of Voice
              Vol. 26Issue 2p220–225Published online: May 30, 2011
              • Thomas L. Carroll
              • Yi-Hsuan E. Wu
              • Marissa McRay
              • Shirley Gherson
              Cited in Scopus: 20
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                Glottic insufficiency (GI) can be either grossly obvious or subtle in its presentation. Subtle GI is demonstrated by various Laryngovideostroboscopic (LVS) clues, including complete but “short” phase closure of the true vocal folds (VFs) during the glottic cycle. We used the frame by frame analysis (FBFA) technique to evaluate its effectiveness in objectively contributing to the diagnosis of subtle GI in patients with atrophic and/or paretic VFs. This article intends to formally present the methods and intentions of the FBFA technique and report our findings using FBFA on subjects with clinically diagnosed GI and normal volunteers.
                Frame by Frame Analysis of Glottic Insufficiency Using Laryngovideostroboscopy
              • Research Article

                Voice Disorders in the Elderly

                Journal of Voice
                Vol. 26Issue 2p254–258Published online: April 29, 2011
                • Naomi D. Gregory
                • Swapna Chandran
                • Deborah Lurie
                • Robert T. Sataloff
                Cited in Scopus: 84
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                  Despite the prevalence of voice disorders, as well as the physiological and functional changes of the aging larynx, there is a lack of data analyzing dysphonia in the geriatric population. The goal of this study was to investigate dysphonia in this cohort.
                • Research Article

                  The Management of Postintubation Phonatory Insufficiency

                  Journal of Voice
                  Vol. 26Issue 4p530–533Published online: April 4, 2011
                  • Lindsey C. Arviso
                  • Adam M. Klein
                  • Michael M. Johns III
                  Cited in Scopus: 11
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                    Prolonged intubation may lead to medial arytenoid cartilage erosion and cricoarytenoid joint scarring with subsequent glottic insufficiency. This has been referred to as postintubation phonatory insufficiency (PIPI). Reports on treatment outcomes for this condition are lacking.
                    The Management of Postintubation Phonatory Insufficiency
                  • Research Article

                    Vocal Fold Bowing in Elderly Male Monozygotic Twins: A Case Study

                    Journal of Voice
                    Vol. 24Issue 4p470–476Published online: August 7, 2009
                    • Kristine Tanner
                    • Cara Sauder
                    • Susan L. Thibeault
                    • Christopher Dromey
                    • Marshall E. Smith
                    Cited in Scopus: 19
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                      This case study examined case histories, diagnostic features, and treatment response in two 79-year-old male monozygotic (identical) twins with vocal fold bowing, exploring both genetic and environmental factors. DNA concordance was examined via cheek swab. Case histories, videostroboscopy, auditory- and visual-perceptual assessment, electromyography, acoustic measures, and Voice Handicap ratings were undertaken. Both twins underwent surgical intervention and subsequent voice therapy. Monozygosity was confirmed for DNA polymorphisms, with 10 of 10 concordance for STR DNA markers.
                      Vocal Fold Bowing in Elderly Male Monozygotic Twins: A Case Study
                    • Research Article

                      Injection Laryngoplasty With Hyaluronic Acid for Unilateral Vocal Cord Paralysis. Randomized Controlled Trial Comparing Two Different Particle Sizes

                      Journal of Voice
                      Vol. 24Issue 1p113–118Published online: June 17, 2009
                      • David P. Lau
                      • Gwyneth A. Lee
                      • Seng Mun Wong
                      • Valerie P. Lim
                      • Yiong Huak Chan
                      • Nam Guan Tan
                      • and others
                      Cited in Scopus: 43
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                        The objective was to determine if particle size affects durability of medialization in patients undergoing injection laryngoplasty (IL) with hyaluronic acid (HA) for unilateral vocal cord paralysis (UVCP). We hypothesized that large particle-size HA (LPHA) persists longer after injection to produce a more durable vocal result. The study design used was a prospective randomized controlled single-blind trial. Patients underwent IL with Restylane (small particle-size HA, SPHA) or Perlane (LPHA) (Q-Med AB, Uppsala, Sweden).
                        Injection Laryngoplasty With Hyaluronic Acid for Unilateral Vocal Cord Paralysis. Randomized Controlled Trial Comparing Two Different Particle Sizes
                      • Research Article

                        Trial Vocal Fold Injection

                        Journal of Voice
                        Vol. 24Issue 4p494–498Published online: June 1, 2009
                        • Thomas L. Carroll
                        • Clark A. Rosen
                        Cited in Scopus: 53
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                          Recent developments in temporary vocal fold (VF) augmentation materials and office-based laryngeal procedures have expanded the role of vocal fold injection (VFI). Although already performed in the laryngology community, trial VFI is yet to be defined in the literature. We sought to define trial VFI and to emphasize its concept and clinical utility through a review of our institution's experience. The study design was a retrospective review of our surgical database. All patients who received a temporary, deep VFI were identified.
                          Trial Vocal Fold Injection
                        • Research Article

                          Acute and Subacute Awake Injection Laryngoplasty for Thoracic Surgery Patients

                          Journal of Voice
                          Vol. 22Issue 2p245–250Published online: October 30, 2006
                          • Jonathan R. Grant
                          • David A. Hartemink
                          • Nalin Patel
                          • Albert L. Merati
                          Cited in Scopus: 29
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                            The rehabilitation of glottic incompetence by injection laryngoplasty is important in the management of thoracic surgery patients with vocal cord paralysis. This group of patients presents special considerations that favor injection under local anesthesia. The objective of this study is to characterize our experience with this minimally invasive approach in both the acute and subacute settings. The study was conducted using a retrospective chart review. From a database of 108 patients who received awake percutaneous injection laryngoplasty over a 3-year period, 15 cases were identified that underwent augmentation shortly following thoracic surgery.
                          • Research Article

                            Vocal Fatigue: Current Knowledge and Future Directions

                            Journal of Voice
                            Vol. 17Issue 1p21–30Published in issue: March, 2003
                            • Nathan V Welham
                            • Margaret A Maclagan
                            Cited in Scopus: 176
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                              Summary: Vocal fatigue is a complex multifaceted clinical phenomenon. Several hypotheses exist concerning its underlying mechanism, and a range of empirical studies have examined its manifestation. This article reviews the literature pertaining to the nature, underlying processes, and salient features of vocal fatigue. First, vocal fatigue is defined, its major symptoms are discussed, and hypotheses concerning its primary physiological and biomechanical mechanisms are considered. Second, studies of experimentally induced vocal fatigue in humans are evaluated.
                            • Research Article

                              Photoglottographic measures in parkinson's disease

                              Journal of Voice
                              Vol. 13Issue 1p25–35Published in issue: March, 1999
                              • Emily Lin
                              • Jack Jiang
                              • Stephen Hone
                              • David G. Hanson
                              Cited in Scopus: 8
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                                This study examines the usefulness of photoglottographic measures in reflecting the phonatory effect of Parkinson's disease. In the first experiment, data obtained by photoglottography were compared between 15 male patients with Parkinson's disease and 15 normal male speakers of similar age. Six photoglottographic parameters, mean open quotient (OQ), mean speed quotient (SQ), perturbation of open quotient (POQ), perturbation of speed quotient (PSQ), frequency perturbation ratio (FPR), and amplitude perturbation ratio (APR), in sustained vowel phonation were investigated.
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