• Title/Summary/Keyword: laryngeal disease

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Office-Based 585 nm Pulsed Dye Laser(PDL) Laryngeal Surgery (외래에서 시행되는 585 nm 펄스다이레이져 후두수술)

  • Kim, Hyung-Tae
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.25-30
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    • 2009
  • Introduction: 585 nm Pulsed dye laser (PDL) laryngeal surgery is based on the photodynamic characteristics of selective photothermolysis and photoangiolysis and recently considered to be the treatment for a variety of benign laryngeal disease. Objective: To review the indications and outcome of office-based 585nm PDL surgery and summarize new developments. Method: Retrospective study involving 402 patients was performed, The PDL surgery could be applied to various laryngeal diseases such as laryngeal papilloma, vocal fold dysplasia, laryngeal granuloma, vocal polyp, capillarectasia, scarred vocal fold and sulcus vocalis. Results : The physiologic properties of the vascular specificity of PDL provide many advantages and appear to be effective for laryngeal treatment. The PDL resulted in precise, selective coagulation of the microvasculature without damage to the surrounding tissue. Therefore PDL surgery is safe and effective for office-based treatment of benign laryngeal disease and for all patients regardless of their overall medical condition. Conclusion: PDL surgery provides potential benefits and advantage for treating common benign laryngeal disease.

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The Correlation between Benign Laryngeal Mucosal Disease and Metabolic Syndrome (양성후두점막질환과 대사증후군의 상관관계)

  • Kim, Hyun-Bum;Han, Kyung-Do;Joo, Young-Hoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.34-38
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    • 2019
  • Background and Objectives : The aim of this study is verify the correlation between benign laryngeal mucosal disease and metabolic syndrome. Materials and Method : Data for patients diagnosed with benign laryngeal mucosal disease and metabolic syndrome from 2006 to 2015 were selected for analysis from the National Health Insurance Service database. Results : The prevalence of Metabolic syndrome was 2,179,785 out of 6,437,051 patients (33.86%). The prevalence of benign laryngeal mucosal disease was 516,594 out of 6,437,051 patients (8.03%). Metabolic syndrome was a risk factor for benign laryngeal mucosal disease [hazard ratio: 0.99, 95% confidence interval: 0.984-0.997] after adjusting for age and other variables including age, gender, smoking status, alcohol intake, exercise, body mass index, and diabetes. The number of metabolic syndrome components was also risk factor. Conclusion : Metabolic syndrome was related to the incidence of benign laryngeal mucosal disease. However this correlation did not seem to be high.

A Study for Acoustic Features of Benign Laryngeal Disease (양성 성대 점막 질환의 음향학적 특성에 관한 연구)

  • Lee, Jae Seok;Kim, Jin Pyeong;Park, Jeong Je;Kwon, Oh Jin;Woo, Seung Hoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.24 no.1
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    • pp.47-50
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    • 2013
  • Background and Objectives:The purpose of this study is to find features in acoustics and to learn useful features of parameters in order to distinguish laryngeal diseases through many acoustic variables. Materials and Methods:The subjects of this study were 125-male patients who had been diagnosed with vocal nodule, vocal polyp, vocal cyst, Reinke's edema, leukoplakia. To research the features of each disease in acoustics, they are measured 34 parameters by using MDVP. Results:It is clear that in order to see a meaning result when distinguishing laryngeal diseases, $F_0$, $MF_0$, $T_0$, Fhi, Flo, PER variables are significant (p<.05). It means that variables related to fundamental frequency are important to anticipate which group will be diagnosed with Reinke's edema and leukoplakia. vAm had an effect on getting a significant result in terms of amplitude perturbation parameters, which is useful to distinguish between laryngeal polyp/cyst and other laryngeal disease (p<.05). ATRI made a significant result in related to tremor parameters, which is useful to distinguish between laryngeal polyp and other laryngeal disease (p<.05). Conclusion:$F_0$, $MF_0$, $T_0$, Fhi, Flo, PER, vAm, ATRI might be meaningful parameters distinguishing pathologic from benign laryngeal diseases. Especially, the vAm and ATRI are an important factor when forecasting which group would be diagnosed with vocal polyp.

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Clinical Characteristics of Female Laryngeal Cancer (여성후두암의 임상적 특성)

  • Kwon Soon-Young;Jung Kwang-Yoon;Choi Jong-Ouck
    • Korean Journal of Head & Neck Oncology
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    • v.11 no.2
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    • pp.132-136
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    • 1995
  • The laryngeal cancer is a cancer of secondary sex organ, such as malignant tumors of the mammary gland, endometrium, and prostate. The clinical characteristics of the female laryngeal cancers are considered somewhat to be different from that of male. As cancer of the larynx is principally a disease of men, many investigations have showed the characteristics of the male laryngeal cancers. For understanding the clinical characteristics of the female laryngeal cancers, we analyzed 21 cases of laryngeal cancer in women, diagnosed and treated in our institute during the last 10 years. The results were, 1) In female subjects, supraglottis was most common subsite of laryngeal cancer(85.7%). 2) On histopathologic grade, the moderately differentiated squamous cell carcinoma was the most common (80.9%). 3) The positive neck nodes were 19 %, considered to be lower than that of total laryngeal cancer. 4) The treatment results, the 2 year disease free rate and 5 year survival rate were 88.9%, 83.3%, respectively. These results suggest, therefore, female laryngeal cancers are more likely to be supraglottic cancer than glottic cancer. In spite of high incidence of supraglottic cancer, the nodal metastases are rare, the prognosis appeared to be good.

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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.

A Case of Laryngocele Combined with Laryngeal Carcinoma (후두낭에 병발한 후두암 1치험례)

  • Lee, Young-Ok;Park, Sung-Su;Lee, Jin-Choon;Wang, Soo-Geun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.18 no.2
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    • pp.138-140
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    • 2007
  • A laryngocele is relatively uncommon disease, and it has abnormal dilatation of the laryngeal saccule or appendix of laryngeal ventricle. Etiology and pathogenesis of laryngocele has still dabated, but laryngocele has high relationship with glass blower, wind instrument player, chronic cough, laryngeal cancer, etc. We have experienced an unusual case of laryngocele combined with laryngeal carcinoma. We discuss the relationship of laryngocele and laryngeal carcinoma, and the current literature is reviewed.

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Two Cases of Recurrent Laryngeal Nerve Palsy Related to Aortic Aneurysm (대동맥류로 인한 좌측 반회후두신경마비 2례)

  • 최홍식;강성석;문상우;김명상
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.8 no.2
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    • pp.232-234
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    • 1997
  • After the first report of mitral stenosis as a cause of recurrent laryngeal nerve palsy by Ortner in 1897, many authors have described that some kinds of cardiovascular disease might contribute to the development of recurrent laryngeal nerve palsy. The estimated rate of aortic aneurysm related with recurrent laryngeal nerve palsy is about 5%. Aortic aneurysm is classified into 3 types according to the involving segment of aorta in which aneurysms develop, and the first class-aneurysm in ascending aorta and aortic arch-is known to be the only type related to recurrent laryngeal nerve palsy. Recently we experienced two cases of recurrent laryngeal nerve palsy each of which had aneurysm on aortic arch as a major contributing factor. We report these cases with brief review of the literature.

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Implementation on the Classifier for Differential Diagnosis of Laryngeal Disease using Hierarchical Neural Network (계층적 신경회로망을 이용한 후두질환 감별 분류기)

  • 김경태;김길중;전계록
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.6 no.1
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    • pp.76-82
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    • 2002
  • In this paper, we implemented on the classifier for differential diagnosis of laryngeals disease which is normal, polyp, nodule, palsy, and each step of glottic cancer using hierarchical neural network. We conducted on classifier of various vowels as /a/, /e/, /i/, /o/, /u/ from normal group, laryngeal disease group, each step of cancer group. The experimental result on classification of each vowels as follows. A /a/ vowel shows excellent classification result to the other vowels in regard to each Input parameters. Thus we implemented the hierarchical neural network for differential diagnosis of laryngeals disease using only /a/ vowel. A implemented hierarchical neural network is composed of each other laryngeals disease apply to each other parameter in each hierarchical layer. We take the voice signals from patient who get the laryngeal disease and glottic cancer, and then use the APQ, PPQ, vAm, Jitter, Shimmer, RAP as input parameter of neural networks.

A Case of Laryngeal Amyloidosis (후두아밀로이드증 1례)

  • Park, Ho-Jeong;Yoo, Kang-Mok;Song, Jong-Seok;Choi, G대n;Jung, Kwang-Yoon;Choi, Jong-Ouck
    • Korean Journal of Bronchoesophagology
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    • v.2 no.1
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    • pp.135-139
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    • 1996
  • Laryngeal amyloidosis is a rare benign disease. It is characterized by extracellular deposition of homogeneous and eosinophilic protein material in the form of fibrils. Diagnosis of this disease is made by histologic examination of involved tissue. It is ususlly primary or localized but rarely associated with a systemic or generalized disease. We present a case of primary laryngeal amyloidosis that was treated with KTP 532 laser vaporization.

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