• Title/Summary/Keyword: Paralysis

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Laryngeal silicone stent as a treatment option for laryngeal paralysis in dogs: a preliminary study of 6 cases

  • Theron, Marie-Laure;Lahuerta-Smith, Tomas
    • Journal of Veterinary Science
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    • v.23 no.4
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    • pp.58.1-58.10
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    • 2022
  • Background: Laryngeal paralysis is a common idiopathic degenerative neurological disease in older medium-to-large breed dogs, with surgical correction of the obstruction being the treatment of choice. Objectives: This study evaluated the use of laryngeal silicone stents to treat canine laryngeal paralysis in dogs where classic surgical treatment was not accepted by the owners. Methods: Dogs diagnosed with laryngeal paralysis, for which the owners refused arytenoid lateralization surgery as a first-line treatment, were treated with laryngeal silicone stents. Results: Six dogs with bilateral laryngeal paralysis were included in the study. All dogs showed improvement in clinical signs immediately after the procedure. No clinical signs or radiographic changes were noted in four out of six dogs in the follow-up visit performed 1 wk later. One dog was suspected of aspirating water while drinking, but the signs disappeared after repositioning the stent. Another dog had a relapse of stridor due to caudal migration of the stent. This dog underwent arytenoid lateralization surgery because larger stents are not commercially available. At the time of writing, between seven and 13 mon after stent placement, no significant incidents have occurred in four dogs, and all owners report a satisfactory quality of life. Conclusions: Laryngeal silicone stenting is an interesting alternative for treating dogs with acquired laryngeal paralysis when the owners refuse classic arytenoid lateralization surgery. Furthermore, stent placement can be a temporary solution to stabilize these dogs until a permanent surgical treatment can be performed.

Selecting variables for evidence-diagnosis of paralysis disease using CHAID algorithm

  • Shin, Yan-Kyu
    • 한국데이터정보과학회:학술대회논문집
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    • 2001.10a
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    • pp.76-78
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    • 2001
  • Variable selection in oriental medical research is considered. Decision tree analysis algorithms such as CHAID, CART, C4.5 and QUEST have been successfully applied to a medical research. Paralysis disease is a highly dangerous and murderous disease which accompanied with a great deal of severe physical handicap. In this paper, we explore the use of CHAID algorithm for selecting variables for evidence-diagnosis of paralysis, disease. Empirical results comparing our proposed method to the method using Wilks $\lambda$ given.

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Comparison of the Voice Outcome After Injection Laryngoplasty: Unilateral Vocal Fold Paralysis Due to Cancer Nerve Invasion and Iatrogenic Injury (성대주입술 후 음향학적 분석결과 비교: 암의 신경 침윤으로 인한 일측성 성대마비 환자와 수술 후 발생한 일측성 성대마비 환자)

  • Yongmin, Cho;Hyunseok, Choi;Kyoung Ho, Oh;Seung-Kuk, Baek;Jeong-Soo, Woo;Soon Young, Kwon;Kwang-Yoon, Jung;Jae-Gu, Cho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.3
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    • pp.172-178
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    • 2022
  • Background and Objectives Injection laryngoplasty is a common method for treatment of unilateral vocal fold paralysis. Unilateral vocal fold paralysis has various causes, including idiopathic, infection, stroke, neurologic condition, surgery and nerve invasion by cancer. To the knowledge of the authors, there was no study on the relationship between the causes of vocal cord paralysis and the outcome of injection laryngoplasty. Therefore, we tried to investigate the difference in the outcomes of injection laryngoplasty between vocal cord paralysis after surgery group and nerve invasion by cancer group. Materials and Method A retrospective analysis was performed for 24 patients who underwent vocal cord injection due to unilateral vocal cord paralysis caused by surgery or nerve invasion by cancer. The objective quality of the voice was assessed by acoustic voice analysis with the Multi-Dimensional Voice Program. Results Both group showed an improvement of fundamental frequemcy (F0), jitter percent, shimmer (percent), and noise to hearmonic ratio (NHR) after injection laryngoplasty. The vocal cord paralysis due to nerve invasion group showed more improvement in both the mean and median value of F0, shimmer percent and NHR than the vocal cord paralysis due to surgery group, but there was not statistically significant. Conclusion Our study did not show a statistically significant difference in outcome between vocal cord paralysis due to cancer invasion group and surgery group, but statistically tendency was suggested. The vocal cord paralysis due to nerve invasion group showed more improvement in both the mean and median value of acoustic voice analysis than surgery group.

The Comparative Study on Oriental Medicine Treatments of Facial Paralysis Due to Mastoiditis and Bells Palsy

  • Kim, Sung-Lae;Kim, Yeon-Mi;Ko, Seung-Kyoung;Kim, Eun-Mi;Song, Hyong-Gun;Choi, Ka-Won;Kim, Young-Il;Hong, Kwon-Eui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.23 no.2
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    • pp.181-189
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    • 2006
  • Objectives : The purpose of this study is to compare the improvement of facial paralysis due to mastoiditis and bells palsy. Methods : Fifteen patients with facial paralysis due to mastoiditis and Fifteen patients with bells palsy who visited the Daejeon Oriental Medical Hospital of Daejeon University were evaluated. Evaluation was carried out by Yanagihara's unweighted grading system. Results : 1. According to bells palsy and facial paralysis due to mastoiditis, in grade comparison between two groups according to cure period, there is no difference between the averages of both groups. 2. According to bells palsy and facial paralysis due to mastoiditis, theraputic effects are similarly increased between two groups. 3. According to bells palsy and facial paralysis due to mastoiditis, In cure score change according to cure period, there is grade difference according to cure period. Conclusion : With this result, when the same treatment is done to bells palsy and facial paralysis due to mastoiditis, there is the same theraputic significance.

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Nonlinear Canonical Correlation Analysis for Paralysis Disease Data

  • Shin, Yang-Kyu
    • Journal of the Korean Data and Information Science Society
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    • v.15 no.3
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    • pp.515-521
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    • 2004
  • Categorical data are mostly found in oriental medical research. The nonlinear canonical correlation analysis does not assume an interval level of measurement. In this paper, we apply nonlinear canonical correlation analysis to quantification and explain how similar sets of variables are to one another for paralysis disease data.

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Efficacy of Soyeom Pharmacopuncture on Postauricular Pain Accompanied with Peripheral Facial Paralysis (말초성 안면신경마비에 동반된 이후통에 대한 소염약침의 치료 효과)

  • Shin, Hee-Woong;Kang, Jae-Hui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.26 no.6
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    • pp.41-49
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    • 2009
  • Objectives : This study was designed to evaluate the effect of Soyeom Pharmacopuncture on postauricular pain accompanied acute peripheral facial paralysis. Methods : We observed thirty peripheral facial palsy inpatients with postauricular pain at Cheonan oriental hospital of Daejeon university from Jan. 1st, 2009 to July 31th, 2009. These inpatients were divided into two groups; Group A was treated using general treatment and Group B was treated using general treatment and Soyeom Pharmacopuncture on the posterior ear area. Results : 1. Postauricular pain was significantly decreased in Group B. 2. Duration of postauricular pain was significantly reduced in Group B. 3. Improvement of facial paralysis was not significantly different between Group A and Group B. Conclusions : Soyeom Pharmacopuncture has significant effects on a postauricular pain accompanied with peripheral facial paralysis.

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Influence of Dysgeusia on Prognosis of Peripheral Facial Paralysis (미각장애(味覺障碍)가 말초성안면신경마비(末梢性顔面神經麻痺)의 예후에 미치는 영향)

  • Yang, Ka-Ram;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.24 no.3
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    • pp.1-8
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    • 2007
  • Objectives : This study was to evaluate the influence of dysgeusia on prognosis of peripheral facial paralysis. Methods: We investigated 40 cases of patients with Peripheral Facial Paralysis, and classified them as existence of dysgeusia. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System before treatment and after final treatment. Results: 1. Postauricular pain showed the highest frequency in symptoms at onset. 2. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after final treatment was marked higher than that before treatment within each group. 3. After final treatment, non-dysgeusia group showed signficant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with dysgeusia group. Conclusions: These results suggested that non-dysgeusia group should be get better than dysgeusia group in the patient with peripheral facial paralysis.

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Physical Therapy Strategies for the Patient With Hysterical Motor Paralysis Disorder : A Case Report and Literature Review

  • Oh, Duck-Won;Yoo, Eun-Young
    • Physical Therapy Korea
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    • v.11 no.4
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    • pp.43-49
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    • 2004
  • It is not common in rehabilitation situation to encounter patients exhibiting paralysis or other disabilities which have no apparent organic basis. Even without organic causes for their signs and symptoms these patients often require comprehensive treatment and management. Patients with conversion disorder often pose particular difficulties because of diagnostic confusion and the lack of therapeutic strategies for rehabilitation management. We feel that systematic functional rehabilitation is helpful in resolving symptom and recovering normal function in the patient suffering from conversion disorder since it provides motivation and reduces reinforcements which contribute to sustained disabled state. This report describes the patient with hysterical motor paralysis who is successfully treated with structured physical therapy. The objectives of this report are to provide therapeutic guidelines for physical therapy and to emphasize the role of physical therapist in the assessment and treatment of hysterical paralysis.

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Effect of Cupping Complex Therapy on Peripheral Facial Paralysis (말초성 안면신경마비에 대한 섬관법 복합치료 효과)

  • Oh, Hyun-Jun;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.28 no.4
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    • pp.119-125
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    • 2011
  • Objectives : This study was to investigate the effectiveness of cupping therapy on peripheral facial paralysis. Methods : We investigated 39 cases of patients with peripheral facial paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with cupping therapy, and did the other group by complex oriental medical treatment without cupping therapy. To evaluate the effectiveness of treatment applied for two groups, we used gross grading system of House-Brackmann(HB score), Yanagihara's unweighed grading system(Y score) at baseline and final. Results : 1. In cupping group and non-cupping group, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, cupping group showed significant decrease on HB score and significant increase on Y score compared with non-cupping group. Conclusions : Cupping therapy can be available for relieving symptoms related with peripheral facial paralysis.

A Clinical Review of Phrenic Nerve Paralysis associated with the Use of Iced Slush for Topical Hypothermia during Cardiac Surgery (개심술후 합병되는 횡격신경마비에 관한 임상적 고찰)

  • 이재성
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.483-488
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    • 1987
  • Phrenic nerve injury has been reported with the use of iced slush for topical cardiac hypothermia. A review of the preoperative and the postoperative chest roentgenograms was performed to detect phrenic nerve injury in patients undergoing cardiac operation with the use of iced slush for topical hypothermia from January, 1985 to June, 1987. The reviewed series included 45 patients who had undergone valve replacement. In this review, the injured site of phrenic nerve was left in 13 cases, right in 1 case and the overall incidence of phrenic nerve paralysis following open heart surgery was 31%. Compared to the incidence of phrenic nerve paralysis in the control group [without pericardial insulation] [406, 12 cases/30 cases], that in the group of patients receiving pericardial insulation [13.3%, 2 cases/15 cases] was lower, but there was no statistical significance. The initial time that diaphragmatic paralysis developed was mean 3.5 days [range 1-8 days] postoperatively and the recovery time of the paralysis was mean 4.7 months [range 0.5-10.5 months] postoperatively.

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