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The spectrum of voice disorders – presentation
Published in Stephanie Martin, Working with Voice Disorders, 2020
Acute laryngitis should be of short duration and associated with upper respiratory tract infection, influenza or viral infection. The vocal folds may be inflamed and oedematous, resulting in moderate to severe dysphonia/aphonia caused by the upper respiratory tract infection. Shah (2016) suggests that this dysphonia/aphonia is usually self-limiting; recovery will occur with appropriate treatment of the underlying condition with no need for referral for voice treatment.
Neck
Published in Keith Hopcroft, Vincent Forte, Symptom Sorter, 2020
In acute laryngitis, don’t forget to tell the patient to rest the voice, and remember that occupational factors are important: use of voice (e.g. by telephonists) or working in smoky environment (e.g. a pub) will aggravate and prolong symptoms, causing diagnostic confusion.
Acute Infections of the Larynx
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Sanjai Sood, Karan Kapoor, Richard Oakley
The role of antibiotics in cases of acute laryngitis should be reserved for cases where there is clinical suspicion of bacterial infection. Typically, these patients may have persistent and more severe laryngitis or other associated infections of the upper or lower respiratory tract. In general, antibiotics have little role in the treatment of the majority of cases of acute laryngitis,2, 3 although there is some evidence that erythromycin may reduce voice disturbance in the first week and therefore may be considered in patients who are professional voice users.4 The choice of antibiotic depends on any associated infections but penicillin has been reported as being ineffective5 and macrolides (e.g. erythromycin or clarithromycin) have been shown to be effective, which may be a reflection of infection with Moraxellacatarrhalis.6
Patient reported voice handicap and auditory-perceptual voice assessment outcomes in patients with COVID-19
Published in Logopedics Phoniatrics Vocology, 2023
Emel Tahir, Esra Kavaz, Senem Çengel Kurnaz, Fatih Temoçin, Aynur Atilla
Nonetheless, the infection can also have a significant impact on the upper airway [2]. Olfactory and taste dysfunctions, in particular, have been widely described as characteristic and early signs of COVID-19. Patients infected with COVID-19 may experience typical and non-specific upper airway infection symptoms such as rhinorrhea, nasal congestion, and symptoms due to laryngeal involvement in the inflammatory process [3]. Dysphonia be caused by anything that restricts the vocal chords from vibrating normally, such as edema or inflammation. The most common cause of dysphonia is acute laryngitis prompted by an upper respiratory tract infection [3,4]. Dysphonia has previously been reported in 26.8% of patients with mild-to-moderate COVID-19 [4]. The occurrence of dysphonia with upper respiratory infections is well described in the literature. Also, it is a known fact that viral pathogens may cause vagal neuropathy and vocal cord paralysis [5]. A vagal neuropathy that results in vocal fold paresis or paralysis can impair voice quality due to paradoxical vocal fold movement, persistent coughing, laryngeal paresthesia, laryngospasm, and vocal fatigue. COVID-19 affects the same systems and structures used for voice production; therefore, it may decrease voice quality [4,5].
Diagnosis of von Willebrand disease during the management of deep neck abscess: A case report
Published in Acta Oto-Laryngologica Case Reports, 2022
Akihisa Tanaka, Taeko Ito, Takahiro Kimura, Tadashi Kitahara
DNA requires antibiotic administration and drainage in accordance with severity, because late treatment may cause fatal complications, such as sepsis, jugular vein thrombosis, and mediastinitis [4]. In cases of concurrent severe acute laryngitis and epiglottitis, emergency tracheostomy is needed to avoid airway obstruction [5]. Despite having a slightly elevated APTT, our patient underwent emergency tracheostomy and drainage to prevent airway obstruction due to DNA and pharyngo-laryngeal swelling caused by pharyngo-laryngitis and epiglottitis. Although his condition temporarily improved after surgery, he was suspected to have a bleeding disorder based on the difficulty in achieving haemostasis, prolonged APTT, normal PT and platelet count, history of abnormal bleeding, and family medical history. ISTH-BAT is a useful and easy scoring system used to objectively assess bleeding history and includes epistaxis, cutaneous bleeding, bleeding from minor wounds, bleeding from the oral cavity, abnormal bleeding after tooth extraction, and abnormal bleeding after surgery [6,7]. The patient’s high ISTH-BAT score was consistent with VWD diagnosis.
Validation of the acoustic breathiness index to the Brazilian Portuguese language
Published in Logopedics Phoniatrics Vocology, 2022
Marina Englert, Ben Barsties v. Latoszek, Youri Maryn, Mara Behlau
The ABI has been developed to objectively quantify clinical breathiness ratings, especially in cases with vocal fold paralysis or paresis, vocal nodules, acute laryngitis, and vocal fold bowing [18]. The present study showed a high level of breathiness in cases of vocal fold paralysis/paresis and post-surgery and overall higher level of breathiness for dysphonic patients (Figure 3).