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Head and Neck
Published in Adnan Darr, Karan Jolly, Jameel Muzaffar, ENT Vivas, 2023
Hannah Nieto, Theofano Tikka, Adnan Darr, Karan Jolly, Paul Pracy, Vinidh Paleri
Examination: Full head and neck examination to rule out malignancy/metastatic diseaseFlexible nasolaryngoscopy: Posterior lesion, smooth, over vocal process
Rhinolaryngoscopy for the Allergist
Published in Pudupakkam K Vedanthan, Harold S Nelson, Shripad N Agashe, PA Mahesh, Rohit Katial, Textbook of Allergy for the Clinician, 2021
Jerald W Koepke, William K Dolen
The true vocal folds are anteriorly attached to the thyroid cartilage. The posterior attachment is to the vocal processes of the arytenoid cartilages. The true vocal folds often reflect light in such a manner that they appear whiter than the surrounding mucosa. The strong vocal ligaments are covered by a connective tissue and a thin layer of epithelium. Reinke’s space is the potential space between the vocal ligaments and the subepithelial connective tissue layer. The mobile arytenoid cartilages move in and out with respiration and phonation.
Laryngeal tumours
Published in Anju Sahdev, Sarah J. Vinnicombe, Husband & Reznek's Imaging in Oncology, 2020
Philip Touska, Steve Connor, Robert Hermans
The paired arytenoid cartilages articulate with synovial facets on the upper margins of the cricoid lamina. Their anterior vocal processes provide attachment for the vocal ligaments, which extend anteriorly to the inner surface of the thyroid cartilage and form the medial supports of the true vocal cords (Figure 3.2). The ventricular ligaments extend from the upper arytenoids to the thyroid cartilage and form the medial margins of the false vocal cords. The corniculate cartilages project superolaterally from the apices of the arytenoids, and the cuneiform cartilages lie within the aryepiglottic folds.
Mobility of the arytenoid cartilage in glottic carcinoma: a CT image study
Published in Acta Oto-Laryngologica, 2023
Li Wang, Xi Zeng, Kai Li, Yunxin Lu, Dongxiao Nong
Laryngeal carcinoma is the commonest head and neck malignancy causing VC mobility problems. To a great extent, T staging of laryngeal carcinoma relies on the evaluation of VC mobility through laryngoscopy, clinically useful but of pitfalls of subjective judgment and lack of precision. Many researchers are focusing on laryngeal carcinoma infiltrations using computed tomography (CT), but rare reports concerning CT findings of the motion of the CAJ are found [4,5]. The cartilaginous vocal process (VP) and muscular process (MP) in adults are conspicuous landmarks identified in regular CT images. Internal or external rotation of the AC causes the ipsilateral VC to adduct or abduct, respectively. However, the AC is a complex three-dimensional structure that rotates both in the medial-lateral plane and also provides forward and backward tilts [6], which is unable to be assessed through endoscopy and regular CT images unless image three-dimensional reconstruction is conducted. This CT image study aimed to observe the CAJ mobility in patients with glottic carcinoma and to explore a novel and more precise assessment of VC mobility.
Cognitive influences on perceived phonatory exertion using the Borg CR10
Published in Logopedics Phoniatrics Vocology, 2020
Miriam van Mersbergen, Lisa A. Vinney, Alexis E. Payne
A Pearson product-moment correlation analysis between the Mental and Vocal Effort scales for all the vocal tasks (Reading and Speaking) and Lombard Suppression conditions (With and Without) answered questions about the degree of interdependence between mental and vocal effort. This analysis was previously reported by Vinney and colleagues [14] but is included in this paper to clarify the current analysis. Higher correlations reflect greater degree of interdependence. The correlation between Mental and Vocal Effort during Reading and Speaking tasks answered the question as to whether there was interdependence between cognitive processes and vocal processes on a given vocal task. The correlation between Mental and Vocal Effort during both Lombard Suppression tasks (With and Without) answered the question as to whether there was interdependence between cognitive processes and vocal processes on a given cognitive task. Significance for all statistical tests was set at p = .05.
Different cutoffs of the reflux finding score for diagnosing laryngopharyngeal reflux disease should be used for different genders
Published in Acta Oto-Laryngologica, 2018
Cheng-Kai Gao, Yan-Fei Li, Lu Wang, Xiao-Yan Han, Ting Wu, Fang-Fang Zeng, Xiang-Ping Li
Laryngopharyngeal reflux disease (LPRD) is a condition that develops when retrograde movement of gastric contents into the larynx, pharynx, and upper aerodigestive tract occurs. It is not always secondary to gastroesophageal reflux disease (GERD) [1]. The symptoms of LPRD include dysphonia, globus sensation, cough, subglottic stenosis, laryngospasm, vocal process granuloma, asthma, and possibly chronic sinusitis [2] and laryngeal carcinoma [1]. However, there is no uniform gold standard for diagnosing LPRD. The management of patients with extra-esophageal reflux is exceptionally costly; it is estimated that it is five times costlier than managing patients with typical GERD [3]. Minimally invasive, cost-effective, and reliable diagnostic tools that accurately identify LPRD are needed. Recently, the Restech Dx-pH (Respiratory Technology Corp., San Diego, CA) probe has been developed. It is a minimally invasive device that detects posterior oropharyngeal acid to evaluate LPR. Nonetheless, its cost, inconvenience, and, to some degree, its unavailability has prevented its wider use as a diagnostic modality, although pH monitoring is considered an advanced instrument for diagnosing LPRD.