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A Case of Thyroarytenoid Myoneurectomy Using LASER and Monopolar Electrical Device in Spasmodic Dysphonia

Lee SJ, Jung SY, Chung SM, Kim HS

Spasmodic dysphonia is a focal laryngeal dystonia that results in involuntary spasms during speech. The etiology of spasmodic dysphonia is not yet defined, but it is presumed to be a...
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Clinical Application of Botulinum Toxin to Contact Granuloma and Vocal Nodule

Lee SW

In the field of otolaryngology-head and neck surgery, botulinum toxins are widely used for the treatment of spasmodic dysphonia and vocal tremors. Recently, the applications of botulinum toxin have gradually...
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Development of a Novel Intraoperative Neuromonitoring System Using an Accelerometer Sensor in Thyroid Surgery: A Porcine Model Study

Sung ES, Lee JC, Shin SC, Kwon HK, Na HS, Park DH, Choi SW, Ro JH, Lee BJ

OBJECTIVES: The sensitivity and positive predictive value of widely used intraoperative neuromonitoring (IONM) using electromyography (EMG) of the vocalis muscle in thyroid surgery are controversial. Thus, we developed a novel...
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Quantitative Measurement of Laryngeal Electromyography Using Motor Unit Action Potential in Unilateral Vocal Cord Paralysis

Ha R, Kim DY, Kim DH, Woo JH

BACKGROUND AND OBJECTIVES: Laryngeal electromyography (LEMG) is valuable to evaluate the innervation status of the laryngeal muscles and the prognosis of vocal fold paralysis (VFP). However, there is a lack...
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Development of the Novel Intraoperative Neuromonitoring for Thyroid Surgery

Sung ES, Lee BJ

It is very important to identify recurrent laryngeal nerve (RLN) and prevent RLN injury during thyroid surgery. The intraoperative neuromonitoring (IONM) for the prevention of RLN injury is a useful...
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Differential Diagnosis between Neurogenic and Functional Dysphonia

Kim SY, Lee SH

Voice disorder is classified into three categories, structural, neurogenic and functional dysphonia. Neurogenic dysphonia refers to a disruption in the nerves controlling the larynx. Common examples of this include complete...
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Comparison of Clinical Characteristics Between Patients With Different Causes of Vocal Cord Immobility

Kim MH, Noh J, Pyun SB

OBJECTIVE: To analyze the clinical characteristics between neurogenic and non-neurogenic cause of vocal cord immobility (VCI). METHODS: The researchers retrospectively reviewed clinical data of patients who underwent laryngeal electromyography (LEMG). LEMG...
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Electromyography-Guided Botulinum Toxin Injection Into the Cricothyroid Muscles in Bilateral Vocal Fold Abductor Paralysis

Sahin M, Aydogdu I, Akyildiz S, Erdinc M, Ozturk K, Ogut F

OBJECTIVES: Bilateral vocal fold abductor paralysis (BVFAP) both deteriorates quality of life and may cause life-threatening respiratory problems. The aim of this study was to reduce respiratory symptoms in BVFAP...
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Macrophage density in pharyngeal and laryngeal muscles greatly exceeds that in other striated muscles: an immunohistochemical study using elderly human cadavers

Rhee S, Yamamoto M, Kitamura K, Masaaki K, Katori Y, Murakami G, Abe SI

Macrophages play an important role in aging-related muscle atrophy (i.e., sarcopenia). We examined macrophage density in six striated muscles (cricopharyngeus muscle, posterior cricoarytenoideus muscle, genioglossus muscle, masseter muscle, infraspinatus muscle,...
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Extraskeletal Myxoid Chondrosarcoma of Larynx

Cho KJ, Yeo SC, Won SJ, Woo SH

Primary cartilaginous tumors of the laryngeal lesion are rare and it accounts for only 1% of laryngeal tumor pathology. They are most commonly located on the endolaryngeal surface of cricoid...
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Voice Outcome in Patients Treated With Endoscopic Laryngopharyngeal Surgery for Superficial Hypopharyngeal Cancer

Tateya I, Morita S, Ishikawa S, Muto M, Hirano S, Kishimoto , Hiwatashi , Ito J

OBJECTIVES: Endoscopic laryngopharyngeal surgery (ELPS) is a minimally invasive transoral surgery that was developed to treat superficial larygo-pharyngeal cancer, in which a mucosal lesion is resected transorally while preserving deeper...
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Management of Post-Throidectomy Voice Problems: Surgeon's Perspectives

Lee SW

Recurrent laryngeal nerve (RLN) injury is not the only cause of voice alteration after thyroidectomy; many patients noticed slight voice changes after thyroidectomy, without evidence of RLN injury. Typical symptoms...
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Regeneration of Recurrent Laryngeal Nerve using Polycaprolactone (PCL) Nerve Guide Conduit Coated with Conductive Materials

Choi JS, Kim H, An HY, Shim BS, Lim JY

BACKGROUND AND OBJECTIVES: Recurrent laryngeal nerve (RLN) damage commonly occurs from a thyroid surgery and causes communication impairment, aspiration and dysphagia. The purpose of this study is to develop a...
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Diagnosis of Spasmodic Dysphonia Manifested by Swallowing Difficulty in Videofluoroscopic Swallowing Study

Yeo HG, Lee SJ, Hyun JK, Kim TU

Spasmodic dysphonia is defined as a focal laryngeal disorder characterized by dystonic spasms of the vocal cord during speech. We described a case of a 22-year-old male patient who presented...
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Unusual morphology of the superior belly of omohyoid muscle

Thangarajan R, Shetty P, Sirasanagnadla SR, D'souza MR

Though anomalies of the superior belly of the omohyoid have been described in medical literature, absence of superior belly of omohyoid is rarely reported. Herein, we report a rare case...
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The Effects of Botulinium Toxin in Vocal Nodules

Ahn CM

BACKGROUND AND OBJECTIVES: Vocal nodules are the most common voice disorder due to vocal misuses. Vocal nodules are primarily treated with voice therapy and are rarely removed through laryngomicrosurgery. Although...
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Quantitative Analysis of Myosin Heavy Chain Expression Change in Laryngeal Muscle after Irradiation in Rats

Kim JP, Khalmuratova R, Jeon SY, Park JJ, Hur DG, Ahn SK, Woo SH, Kang KM, Chai GY

PURPOSE: Radiotherapy for head and neck cancer does not impair the voice quality as much as laser treatment or surgery, but it can induce muscle wasting and fibrosis and symptoms...
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Spasmodic Dysphonia

Yang Y

Spasmodic dysphonia is a primary task specific focal dystonia affecting the laryngeal muscle during speech. Adductor spasmodic dysphonia (ADSD) affects close to 90% of spasmodic dysphonia patients is characterized by...
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Comparative Analysis of Efficiency of Injection Laryngoplasty Technique for with or without Neck Treatment Patients: A Transcartilaginous Approach Versus the Cricothyroid Approach

Lee SW, Kim JW, Koh YW, Shim SS, Son YI

  • KMID: 2278648
  • Clin Exp Otorhinolaryngol.
  • 2010 Mar;3(1):37-41.
OBJECTIVES: These days, the main injection laryngoplasty technique is cricothyroid (CT) approach. However, patients who have previously undergone other neck treatments, such as thyroidectomy or neck dissection have distorted anatomical...
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Clinically Correlated Anatomical Basis of Cricothyrotomy and Tracheostomy

Gulsen S, Unal M, Dinc AH, Altinors N

OBJECTIVE: Cricothyrotomy and tracheostomy are performed by physicians in various disciplines. It is important to know the comprehensive anatomy of the laryngotracheal region. Hemorrhage, esophageal injury, recurrent laryngeal nerve injury,...
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