Frame by Frame Analysis of Glottic Insufficiency Using Laryngovideostroboscopy

Carroll, Thomas L.; Wu, Yi-Hsuan Emmy; McRay, Marissa; Gherson, Shirley

doi:10.1016/j.jvoice.2011.01.008

Cited by 23 publications

(15 citation statements)

References 16 publications

(27 reference statements)

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“…The above noted studies revealed significant association between paresis and abnormalities of VF configuration (thin, shorter, and bowed VF). Frame‐by‐frame analysis of glottic insufficiency suggested that subjects with paresis typically displayed an open‐phase–dominant pattern. The correlation between paresis and mucosal wave anomalies was examined independently in a 2011 study .…”

Section: Discussionmentioning

confidence: 99%

Laryngoscopic and stroboscopic signs in the diagnosis of vocal fold paresis

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Laryngoscopic and stroboscopic signs in the diagnosis of vocal fold paresis

et al. 2017

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“…Nonetheless, assessing the phase closure using a frame by frame analysis technique has been reported as beneficial in determining the degree of glottal insufficiency in patients with vocal fold atrophy and vocal fold paresis. 15 Perhaps for similar reasons, VLS has been found to be useful in some patients with vocal fold paralysis. 5 Despite the perceived benefit in this clinical scenario, the exact motivation for the VLS and how and for which patients with vocal fold paralysis and paresis VLS was beneficial remain important unknowns.…”

Section: Discussionmentioning

confidence: 99%

Frequency and factors associated with use of videolaryngostroboscopy in voice disorder assessment

et al. 2014

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Objective Videolaryngostroboscopy (VLS) is considered an important diagnostic tool in the evaluation of patients with laryngeal/voice disorders. We evaluated the frequency of, diagnoses associated with, and factors related to VLS use in the evaluation of outpatients with laryngeal/voice disorders. Study Design Retrospective analysis of a large, national administrative U.S. claims database. Methods Patients with a laryngeal disorder based on ICD-9-CM codes from January 1, 2004 to December 31, 2008, seen by an otolaryngologist were included. Patient age, gender, geographic region, laryngeal diagnosis, comorbid conditions, and whether laryngoscopy or VLS was performed during the outpatient otolaryngology visit were collected. Results 168,444 unique patients saw an otolaryngologist for 272,112 outpatient visits. 6.2% of outpatient otolaryngology visits had a VLS performed. Patient age was related to VLS use with lower odds in the elderly (≥65 years of age) and those 0–17 years of age. Geographic variation was noted with higher odds of VLS use in urban versus rural areas and greater odds in the northeast versus the south. Laryngeal diagnosis was associated with VLS use with greatest odds for patients with multiple diagnoses, vocal fold paralysis and paresis followed by non-specific dysphonia and benign vocal fold/laryngeal pathology followed by acute and chronic laryngitis and laryngeal cancer. Patients with gastro-esophageal reflux (GER) had greater odds of VLS use than patients without GER. Conclusions VLS was used in 6.2% of outpatient otolaryngology outpatient visits, and its use was influenced by multiple factors. Level of evidence 2b

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“…All data were collected and reviewed in compliance with approval from the University of Colorado Hospital Multiple Institutional Review Board. After review, 23 patients met the inclusion criteria of a documented chronic cough, with symptoms lasting more than 8 weeks and a diagnosis of glottic insufficiency—defined as a glottic vibratory pattern with 40% or less of frames in the closed phase at comfortable pitch and loudness (diagnosed using frame‐by‐frame analysis) . Exclusionary criteria included lack of cough complaints; incomplete data sets; vocal fold immobility; vocal fold lesions; cough related to dysphagia; active smoking status at the time of visit; or documented comorbid pulmonary conditions that might contribute to cough symptoms including chronic obstructive pulmonary disorder; reflux symptoms including heartburn, belching, and regurgitation; allergies; asthma; and sinusitis.…”

Section: Methodsmentioning

confidence: 99%

“…After review, 23 patients met the inclusion criteria of a documented chronic cough, with symptoms lasting more than 8 weeks and a diagnosis of glottic insufficiency-defined as a glottic vibratory pattern with 40% or less of frames in the closed phase at comfortable pitch and loudness (diagnosed using frame-by-frame analysis). 11 Exclusionary criteria included lack of cough complaints; incomplete data sets; vocal fold immobility; vocal fold lesions; cough related to dysphagia; active smoking status at the time of visit; or documented comorbid pulmonary conditions that might contribute to cough symptoms including chronic obstructive pulmonary disorder; reflux symptoms including heartburn, belching, and regurgitation; allergies; asthma; and sinusitis. Data collected from this chart review included age; gender; past medical history including laryngopharyngeal reflux/GERD, allergic rhinitis, or chronic sinusitis; amount of time the symptoms were present; previous treatments; pre-and post-Cough Severity Index (CSI) scores; and patient report of percent change in cough symptoms at 1-month postinjection visit obtained and documented by the laryngologist.…”

Section: Methodsmentioning

confidence: 99%