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Pesquisa : C08.360.940.160 [Categoria DeCS]
Referências encontradas : 281 [refinar]
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  1 / 281 MEDLINE  
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[PMID]:28528064
[Au] Autor:Velez-Cubian FO; Toosi K; Glover J; Pancholy B; Hong E
[Ad] Endereço:Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida.
[Ti] Título:Transient Aphonia After Mediastinoscopy.
[So] Source:Ann Thorac Surg;103(6):e549-e550, 2017 Jun.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:The most common adverse event after cervical mediastinoscopy is recurrent laryngeal nerve (RLN) injury, which has an incidence of 0.6% [1]. We report the case of a 68-year-old man with non-small cell lung cancer (NSCLC) who experienced transient bilateral vocal cord paralysis after mediastinoscopy, which manifested in complete aphonia. This patient's ability to maintain his airway was carefully followed up, but neither endotracheal intubation nor tracheostomy was required. The vocal cord paralysis resolved without intervention after 5 hours. To our knowledge, this is the first reported case in which bupivicaine used at the end of a cervical mediastinoscopy diffused through the freshly dissected planes to paralyze both RLNs along the tracheoesophageal grooves.
[Mh] Termos MeSH primário: Afonia/etiologia
Mediastinoscopia/efeitos adversos
Paralisia das Pregas Vocais/etiologia
[Mh] Termos MeSH secundário: Idoso
Carcinoma Pulmonar de Células não Pequenas/diagnóstico
Seres Humanos
Neoplasias Pulmonares/diagnóstico
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170522
[St] Status:MEDLINE


  2 / 281 MEDLINE  
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[PMID]:27933632
[Au] Autor:Benedict PA; Abdou RM; Dion GR; Woo P; Branski RC; Amin MR
[Ad] Endereço:NYU Voice Center, Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, New York, New York, U.S.A.
[Ti] Título:Association of alirocumab therapy with inflammatory lesions of the vocal folds: A case report.
[So] Source:Laryngoscope;127(7):1652-1654, 2017 Jul.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Therapeutic monocolonal antibodies (MAbs) are a new, rapidly growing class of medications that frequently have poorly characterized side-effect profiles. We present a patient who developed inflammatory lesions of the vocal folds in temporal relation to the initiation of alirocumab. Lesions of the vocal folds represent a previously unreported adverse effect of alirocumab therapy, making it the second MAb documented with such a side effect. The potential laryngeal effects of alirocumab specifically, and of MAbs more broadly, warrant investigation. Laryngoscope, 127:1652-1654, 2017.
[Mh] Termos MeSH primário: Anticorpos Monoclonais/efeitos adversos
Laringite/induzido quimicamente
[Mh] Termos MeSH secundário: Idoso
Anticorpos Monoclonais/uso terapêutico
Afonia/induzido quimicamente
Esquema de Medicação
Feminino
Seres Humanos
Laringite/tratamento farmacológico
Laringoscopia
Prednisona/administração & dosagem
Qualidade da Voz/efeitos dos fármacos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Monoclonal); PP0SHH6V16 (alirocumab); VB0R961HZT (Prednisone)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161210
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26426


  3 / 281 MEDLINE  
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Registro de Ensaios Clínicos
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[PMID]:27959736
[Au] Autor:Vansteensel MJ; Pels EGM; Bleichner MG; Branco MP; Denison T; Freudenburg ZV; Gosselaar P; Leinders S; Ottens TH; Van Den Boom MA; Van Rijen PC; Aarnoutse EJ; Ramsey NF
[Ad] Endereço:Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (M.J.V., E.G.M.P., M.P.B., Z.V.F., P.G., S.L., M.A.V.D.B., P.C.V.R., E.J.A., N.F.R.), and the Department of Anesthesiology (T.H.O.), University Medical Center Utrecht, Utrecht, the Netherlands; the Neuropsychology Laboratory, Depar
[Ti] Título:Fully Implanted Brain-Computer Interface in a Locked-In Patient with ALS.
[So] Source:N Engl J Med;375(21):2060-2066, 2016 11 24.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Options for people with severe paralysis who have lost the ability to communicate orally are limited. We describe a method for communication in a patient with late-stage amyotrophic lateral sclerosis (ALS), involving a fully implanted brain-computer interface that consists of subdural electrodes placed over the motor cortex and a transmitter placed subcutaneously in the left side of the thorax. By attempting to move the hand on the side opposite the implanted electrodes, the patient accurately and independently controlled a computer typing program 28 weeks after electrode placement, at the equivalent of two letters per minute. The brain-computer interface offered autonomous communication that supplemented and at times supplanted the patient's eye-tracking device. (Funded by the Government of the Netherlands and the European Union; ClinicalTrials.gov number, NCT02224469 .).
[Mh] Termos MeSH primário: Esclerose Amiotrófica Lateral/reabilitação
Afonia/reabilitação
Interfaces Cérebro-Computador
Auxiliares de Comunicação para Pessoas com Deficiência
Quadriplegia/reabilitação
[Mh] Termos MeSH secundário: Esclerose Amiotrófica Lateral/complicações
Afonia/etiologia
Eletrodos Implantados
Feminino
Seres Humanos
Meia-Idade
Córtex Motor
Reabilitação Neurológica/instrumentação
Quadriplegia/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161214
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMoa1608085


  4 / 281 MEDLINE  
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[PMID]:27208007
[Au] Autor:Kohlberg GD; Gal YK; Lalwani AK
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons, New York, New York, USA.
[Ti] Título:Development of a Low-Cost, Noninvasive, Portable Visual Speech Recognition Program.
[So] Source:Ann Otol Rhinol Laryngol;125(9):752-7, 2016 Sep.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Loss of speech following tracheostomy and laryngectomy severely limits communication to simple gestures and facial expressions that are largely ineffective. To facilitate communication in these patients, we seek to develop a low-cost, noninvasive, portable, and simple visual speech recognition program (VSRP) to convert articulatory facial movements into speech. METHODS: A Microsoft Kinect-based VSRP was developed to capture spatial coordinates of lip movements and translate them into speech. The articulatory speech movements associated with 12 sentences were used to train an artificial neural network classifier. The accuracy of the classifier was then evaluated on a separate, previously unseen set of articulatory speech movements. RESULTS: The VSRP was successfully implemented and tested in 5 subjects. It achieved an accuracy rate of 77.2% (65.0%-87.6% for the 5 speakers) on a 12-sentence data set. The mean time to classify an individual sentence was 2.03 milliseconds (1.91-2.16). CONCLUSION: We have demonstrated the feasibility of a low-cost, noninvasive, portable VSRP based on Kinect to accurately predict speech from articulation movements in clinically trivial time. This VSRP could be used as a novel communication device for aphonic patients.
[Mh] Termos MeSH primário: Afonia/terapia
Auxiliares de Comunicação para Pessoas com Deficiência
Lábio/fisiologia
Movimento/fisiologia
Interface para o Reconhecimento da Fala
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Laringectomia/efeitos adversos
Masculino
Traqueostomia/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170123
[Lr] Data última revisão:
170123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160522
[St] Status:MEDLINE
[do] DOI:10.1177/0003489416650689


  5 / 281 MEDLINE  
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[PMID]:27108832
[Au] Autor:Moreno CA; Fonseca S
[Ad] Endereço:Hospital São João, Porto, Portugal. Electronic address: carlosmoreno_10@msn.com.
[Ti] Título:Aphonia after shoulder surgery: case report.
[So] Source:Braz J Anesthesiol;66(3):321-3, 2016 May-Jun.
[Is] ISSN:0104-0014
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:In this case report we highlight the uniqueness of aphonia as, to the best of our knowledge, cases of aphonia related to interscalene brachial plexus block (IBPB) are not described in the literature. Although hoarseness is a common complication of IBPB, aphonia is not. Therefore, we think it is important to publicize the first case of aphonia after IBPB, which may have arisen only because of a recurrent laryngeal nerve chronic injury contralateral to the IBPB site.
[Mh] Termos MeSH primário: Afonia/etiologia
Bloqueio do Plexo Braquial/efeitos adversos
Complicações Pós-Operatórias/etiologia
Articulação do Ombro/cirurgia
[Mh] Termos MeSH secundário: Anestesia Geral
Artroscopia
Feminino
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170503
[Lr] Data última revisão:
170503
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160426
[St] Status:MEDLINE


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[PMID]:26971032
[Au] Autor:Freeman-Sanderson AL; Togher L; Elkins MR; Phipps PR
[Ad] Endereço:Speech Pathology Department, Royal Prince Alfred Hospital, Camperdown, Australia; Speech Pathology, Faculty of Health Sciences, University of Sydney, Sydney, Australia. Electronic address: Amy.freeman-sanderson@sswahs.nsw.gov.au.
[Ti] Título:Quality of life improves with return of voice in tracheostomy patients in intensive care: An observational study.
[So] Source:J Crit Care;33:186-91, 2016 Jun.
[Is] ISSN:1557-8615
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To measure patient-reported change of mood, communication-related quality of life, and general health status with return of voice among mechanically ventilated tracheostomy patients admitted to the intensive care unit (ICU). MATERIALS AND METHODS: A prospective observational study in a tertiary ICU was conducted. Communication-related quality of life was measured daily using the Visual Analogue Self-Esteem Scale. General health status was measured weekly using the EuroQol-5D. RESULTS: Aspects of communication self-esteem that significantly improved with the return of voice were ability to be understood by others (P = .006) and cheerfulness (P = .04), both with a median difference from before to after return of voice of 1 on the 5-point scale. Return of voice was not associated with a significant improvement in confidence, sense of outgoingness, anger, sense of being trapped, optimism, or frustration. Reported general health status did not significantly improve. CONCLUSIONS: Return of voice was associated with significant improvement in patient reported self-esteem, particularly in being understood by others and in cheerfulness. Improved self-esteem may also improve quality of life; however, further research is needed to confirm this relationship. Early restoration of voice should be investigated as a way to improve the experience of ICU for tracheostomy patients.
[Mh] Termos MeSH primário: Afonia/psicologia
Qualidade de Vida
Traqueostomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Austrália
Cuidados Críticos
Feminino
Seres Humanos
Unidades de Terapia Intensiva
Masculino
Meia-Idade
Complicações Pós-Operatórias/psicologia
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160314
[St] Status:MEDLINE


  7 / 281 MEDLINE  
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[PMID]:26924602
[Au] Autor:Ganos C; Crowe B; Stamelou M; Kresojevic N; Lukic MJ; Bras J; Guerreiro R; Taiwo F; Balint B; Batla A; Schneider SA; Erro R; Svetel M; Kostic V; Kurian MA; Bhatia KP
[Ad] Endereço:Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, University College London, London, UK; Department of Neurology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
[Ti] Título:The clinical syndrome of dystonia with anarthria/aphonia.
[So] Source:Parkinsonism Relat Disord;24:20-7, 2016 Mar.
[Is] ISSN:1873-5126
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: In dystonia the formulation of a clinical syndrome is paramount to refine the list of etiologies. We here describe the rare association of dystonia with anarthria/aphonia, by examining a large cohort of patients, to provide a narrow field of underlying conditions and a practical algorithmic approach to reach diagnosis. METHODS: We retrospectively reviewed cases, which were evaluated between 2005 and 2014, to identify those with dystonia combined with marked anarthria and/or aphonia. We reviewed demographic information, clinical characteristics, as well as clinico-genetic investigations. We evaluated video material where available. RESULTS: From 860 cases with dystonia as the predominant motor feature, we identified 32 cases (3.7%) with anarthria/aphonia. Age at neurological symptom onset was variable, but the majority of cases (n = 20) developed symptoms within their first eight years of life. A conclusive diagnosis was reached in 27 cases. Monoamine neurotransmitter disorders, neurodegeneration with brain iron accumulation syndromes, hypomyelination with atrophy of the basal ganglia and cerebellum, and syndromes with inborn errors of metabolism were the most common diagnoses. Brain MRI was crucial for reaching a diagnosis by examining the structural integrity of the basal ganglia, the cerebral cortex, brain myelination and whether there was abnormal metal deposition. Pathophysiological mechanisms underlying anarthria/aphonia included dystonia, corticobulbar involvement, apraxia and abnormalities of brain development. CONCLUSIONS: The spectrum of conditions that may present with the syndrome of dystonia with anarthria/aphonia is broad. Various causes may account for the profound speech disturbance. A practical brain MRI-based algorithm is provided to aid the diagnostic procedure.
[Mh] Termos MeSH primário: Afonia/complicações
Distonia/complicações
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idade de Início
Afonia/diagnóstico por imagem
Afonia/genética
Encéfalo/diagnóstico por imagem
Hidrolases de Éster Carboxílico/genética
Criança
Pré-Escolar
Distonia/diagnóstico por imagem
Distonia/genética
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Fosfotransferases (Aceptor do Grupo Álcool)/genética
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
EC 2.7.1.- (Phosphotransferases (Alcohol Group Acceptor)); EC 2.7.1.33 (pantothenate kinase); EC 3.1.1.- (Carboxylic Ester Hydrolases); EC 3.1.1.- (SERAC1 protein, human)
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160301
[St] Status:MEDLINE


  8 / 281 MEDLINE  
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[PMID]:26456108
[Au] Autor:Tsou YA; Li TS; Tsai MH; Chen HC; Belafsky P
[Ad] Endereço:Department of Otolaryngology Head and Neck Surgery,China Medical University Hospital,Taichung,Taiwan.
[Ti] Título:Optimal ileocolic flap length for a reconstructed voice tube after laryngopharyngectomy.
[So] Source:J Laryngol Otol;130(2):190-3, 2016 Feb.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Voice restoration after laryngopharyngectomy can be achieved with an autologous ileocolic flap. We have observed that the length of the flap influences vocal outcome. This investigation aimed to evaluate the association between ileocolic flap length and vocal quality after laryngopharyngectomy. METHODS: The charts of patients who underwent voice rehabilitation with an ileocolic flap after laryngopharyngectomy between 1 January 2011 and 30 December 2012 were abstracted. The length of ileum segment in the ileocolic flap was stratified, and voice outcome was evaluated three months post-operatively, while adjusting for confounding variables. RESULTS: There was a significant association between flap length and loudness, maximum phonation time and sound pressure level (p < 0.05). All three parameters were best in the 10 cm length group. CONCLUSION: Voice rehabilitation after laryngopharyngectomy is possible with an ileocolic flap. The optimal ileocolic flap contains a 10 cm ileum segment. Complications are frequent but amenable to revision surgery.
[Mh] Termos MeSH primário: Afonia/cirurgia
Laringectomia/efeitos adversos
Faringectomia/efeitos adversos
Procedimentos Cirúrgicos Reconstrutivos
Retalhos Cirúrgicos
Qualidade da Voz/fisiologia
[Mh] Termos MeSH secundário: Afonia/etiologia
Afonia/patologia
Colo
Seres Humanos
Neoplasias Hipofaríngeas/cirurgia
Íleo
Neoplasias Laríngeas/cirurgia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160125
[Lr] Data última revisão:
160125
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:151013
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215115002625


  9 / 281 MEDLINE  
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[PMID]:26577976
[Au] Autor:Trinidade A; Shakeel M; Stickle B; Ah-See KW
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Forresterhill, Aberdeen, AB25 2ZN, UK.
[Ti] Título:Laryngeal Fracture Caused by a Lacrosse Ball.
[So] Source:J Coll Physicians Surg Pak;25(11):843-4, 2015 Nov.
[Is] ISSN:1681-7168
[Cp] País de publicação:Pakistan
[La] Idioma:eng
[Ab] Resumo:Neck injuries in lacrosse are rare and mostly involve the musculoskeletal system. The lacrosse ball is a solid rubber ball of approximately 20 cm in diameter and the fastest shot recorded in professional lacrosse is over 100 mph. Despite wearing full protection, the neck remains prone to blunt trauma by this ball. A 23-year man sustained a direct blow to his left neck by a lacrosse ball during play, resulting in immediate aphonia and stridor. CT scan confirmed a left thyroid lamina fracture. The patient was treated conservatively and his airway was monitored for 24 hours. He made a full recovery. It is important that lacrosse players should be aware of this potential injury and appropriate precautions should be taken to avoid this trauma.
[Mh] Termos MeSH primário: Fixação de Fratura/métodos
Laringe/lesões
Lesões do Pescoço/etiologia
Lesões do Pescoço/terapia
Esportes com Raquete/lesões
[Mh] Termos MeSH secundário: Afonia
Seres Humanos
Laringoscopia
Laringe/diagnóstico por imagem
Masculino
Lesões do Pescoço/diagnóstico por imagem
Sons Respiratórios
Fraturas da Coluna Vertebral
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170103
[Lr] Data última revisão:
170103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151119
[St] Status:MEDLINE
[do] DOI:11.2015/JCPSP.843844


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[PMID]:25429636
[Au] Autor:Dippold S; Timme S; Richter B; Echternach M
[Ad] Endereço:Institut für Musikermedizin, Universitätsklinik Freiburg.
[Ti] Título:[Increasing Hoarseness due to Insufficient Glottical Closure of Unclear Origin].
[Ti] Título:Zunehmende Heiserkeit bei Glottisschlussinsuffizienz unklarer Genese..
[So] Source:Laryngorhinootologie;94(5):322-3, 2015 May.
[Is] ISSN:1438-8685
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Amiloidose/diagnóstico
Amiloidose/fisiopatologia
Glote/fisiopatologia
Rouquidão/etiologia
Rouquidão/fisiopatologia
Cadeias lambda de Imunoglobulina/análise
Doenças da Laringe/diagnóstico
Doenças da Laringe/fisiopatologia
[Mh] Termos MeSH secundário: Afonia/diagnóstico
Afonia/fisiopatologia
Diagnóstico Diferencial
Seres Humanos
Laringoscopia
Masculino
Meia-Idade
Fonação/fisiologia
Qualidade da Voz/fisiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Immunoglobulin lambda-Chains)
[Em] Mês de entrada:1604
[Cu] Atualização por classe:150508
[Lr] Data última revisão:
150508
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141128
[St] Status:MEDLINE
[do] DOI:10.1055/s-0034-1394392



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