The Immediate and Long-Term Effects of Tube and Mask+Tube Phonation in Water Exercises and Their Duration as Measured by Electroglottographic and Nasometric Parameters

Tulunoğlu, Serenay; Cangi, Mehmet Emrah; Yılmaz, Göksu; Polat, Beyza Nur

doi:10.1016/j.jvoice.2022.07.011

Cited by 4 publications

(1 citation statement)

References 35 publications

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“…No strict home training program was imposed, and the patient was free to choose the frequency of home exercise. However, an exercise duration of five to ten minutes was advised based on previous literature about the optimal duration of SOVTEs (Bassetto & Constantini, 2021;Gillespie et al, 2022;Kang et al, 2019;Pozzali et al, 2021;Tulunoğlu et al, 2022), and he was instructed not to fatigue his voice during these exercises.…”

Section: Voice Therapy Programmentioning

confidence: 99%

Longitudinal Vocal Outcomes and Voice-Related Quality of Life After Selective Bilateral Laryngeal Reinnervation: A Case Study

Kissel

Lierde

D’haeseleer

et al. 2023

J Speech Lang Hear Res

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Purpose: Bilateral vocal fold paralysis (BVFP) is a severe disorder that can result in respiratory, swallowing, and voice-related problems. Most surgical treatments do not restore laryngeal function and often need to compromise voice quality to preserve respiratory function. Laryngeal reinnervation (LR) may offer a solution to this problem, but literature on longitudinal outcomes of this procedure is scarce. This study aims to report the longitudinal vocal outcomes of BVFP after LR and subsequent voice therapy. Method: The case of a 23-year-old man with BVFP after a traumatic dissection of both recurrent laryngeal nerves is described. Selective bilateral LR of both adductors and abductors was performed 5 months after the onset of BVFP. Voice therapy was provided after the LR procedure. Multidimensional voice assessments, including acoustic, perceptual, and patient-reported outcome measures (PROMs), were conducted 2, 5, 6.5, 8, and 31 months after LR. Results: An improvement of vocal capabilities and voice quality was noticed 6.5 months after LR, after 4.5 months of voice therapy, with normative values after 2.5 years. PROMs showed an improvement of voice-related quality of life, but some limitations to activities of daily living were still present. Inspiratory arytenoid abduction was not observed on laryngeal videostroboscopic findings in this patient, but tracheostomy was not required. Conclusions: Voice therapy after LR helps establish healthy and efficient voice use without increasing compensatory hyperfunctional behavior. More research is needed to examine potential merits of voice therapy in the rehabilitation of vocal and respiratory functions after LR.

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