Percutaneous laryngeal collagen augmentation for treatment of parkinsonian hypophonia
| Autor: | Joseph P. Atkins, Soo H. Kim, James J. Kearney |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Glottis Percutaneous Hypophonia Injections Intralesional Severity of Illness Index 03 medical and health sciences 0302 clinical medicine medicine Humans Neurologic disease 030223 otorhinolaryngology Aged Retrospective Studies Retrospective review Voice Disorders business.industry Head neck Parkinson Disease Middle Aged Dysphagia Surgery Aphonia Treatment Outcome Otorhinolaryngology Patient Satisfaction 030220 oncology & carcinogenesis Ambulatory Female Collagen medicine.symptom business Follow-Up Studies |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 126(6) |
| ISSN: | 0194-5998 |
| Popis: | Objective: Our goal was to determine whether percutaneous laryngeal collagen augmentation improves hypophonia in parkinsonian patients. Study Design and Setting: A retrospective review of 18 patients was performed. Patients and/or caretakers were called on the telephone and asked about their response to the procedure, if any. Videostroboscopic examinations for all patients were reviewed. Results: Of 18 patients, 11 (61%) reported improvement in their hypophonia for a period of at least 2 months. Five of 7 patients without improvement were relatively aphonic both before and after the procedure. Five of 7 patients without improvement had severe dysphagia, which in 3 necessitated gastrostomy tube placement. Four of 7 patients without improvement were not ambulatory at the time of the procedure. Conclusions: Percutaneous laryngeal collagen augmentation is an effective treatment for parkinsonian hypophonia in a majority of patients. Patients with advanced neurologic disease with aphonia, difficulty with speech initiation, dysphagia, or ambulatory difficulty are less likely to respond to this procedure and should be so informed. (Otolaryngol Head Neck Surg 2002;126:653-656.) |
| Databáze: | OpenAIRE |
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