Category Archives: English

Vocal Cord Nodules

Vocal cord nodules are symmetrical swellings on the touching surfaces of the vocal cords. They occur in pairs, with one nodule on each vocal cord at the site of greatest irritation. They are benign (in good manner) which means that they do not lead to formation of vocal cord malign (cancerous) pathologies.

They sometimes are called singer’s, screamer’s or teacher’s nodules. This name is given, because they are usullay seen in people who use their voice for long term or in an abnormal form which is called vocal abuse.

The most common symptoms for vocal fold nodules are voice changes (hoarseness, breathy voice, low-pitched voice, loss of active vocal range in voice professionals), sensation of pain in times of long speech or voice use, and feeling a lump in the throat.

Diagnosis of vocal cord nodules is easily made by either rigid or flexible endoscopic examination of larynx.

Main treatment option for vocal cord nodules is voice therapy. Voice therapy is a behavioral method that aims to change the vocal behaviour of the patient, and decreases the trauma that the vocal fold face during phonation. Phonomicrosurgery is another option, which is usually reserved for patients that do not respond well to voice therapy.

I hope you a healthy voice and a beautiful day.

For further information and appointments please contact:

Otolaryngology, Voice Disorders, Head and Neck Surgery
President, Professional Voice Society
Vice President, European Academy of Phoniatrics
E-mail: dr@haldunoguz.com
Telephone: +90 312 284 28 88
GSM: +90 553 251 09 82
Skype: drhoguz_1
Address: Neorama Business Center, Floor 5, Office 20, Sogutozu, Ankara, Turkey

 

 

 

Reklamlar

Polypoid Corditis (Reinke’s Edema)

Reinke preop

Reinke’s edema (polypoid corditis) is a voice disorder, in which, gel-like viscous fluid accumulates in the vocal folds, just below the surface of the vocal fold.

https://www.youtube.com/watch?v=FLwdBuEPDQk&feature=youtu.be

Causes
The most common reasons are cigarette smoking (tobacco use), laryngopharyngeal reflux (backflow og acidic stomach content to the throat) and long term voice overuse or misuse. Repeated or chronic upper respiratory tract infections and frequent throat clearing are also cofactors that can cause Reinke’s edema.

Signs and Symptoms
The mass and volume of the vocal folds increase. This leads to a lower pitch in the voice. Speaking and singing needs more vocal effort and is instable.

Treatment
Surgical treatment (phonomicrosurgery) is indicated. However, before and after surgery, the causes that result in the pathology, must be corrected. If the patient quits smoking, if the reflux is treated and if a hygienic vocal behaviour is adapted, recurrence is not likely. If it is done by an experienced surgeon, both vocal folds may be operated simultaneously. In the early postoperative period, vocal effort may increase for a short period of time. This is secondary to the removal of the oedema, which leaves a gap between the vocal folds that is not present before. This aspect is the most important part of surgery. An important amount of the thin and fragile epithelium covering the oedema must be left in place and should never be resected completely. Further resection may lead to scar and longer lasting vocal problems.

Prognosis
Recurrence of Reinke´s oedema is unlikely following a surgery in experienced hands. An important improvement of voice is expected after surgery. Hygienic vocal behaviour, ie. cessation of smoking and proper vocal use elongates these good results.

Haldun OGUZ, M.D., Professor of Otolaryngology – Head & Neck Surgery

Telephone: +90 312 284 28 88
GSM: +90 531 431 06 94
Address: Neorama İş Merkezi Kat 5 No.20 Söğütözü, Ankara
Detailed Address: Beştepeler Mahallesi, Yaşam Caddesi, Adalet Sokak, Neorama İş Merkezi 13/20, Söğütözü, Ankara
Google Maps: goo.gl/Rd9oJG

 

 

Videonystagmography: A Clinical Tool for Diagnosis of Vertigo

Videonystagmography (VNG) is a clinical test method to evaluate inner ear and central (brain) motor functions about balance. VNG measures the movements of the eyes and gives information about the proper functioning of of inner ear vestibular (balance) function. The testing is comfortable for the patient.  VNG test gives accurate, consistent, and reliable results.
VNG test is used for differential diagnosis between reasons of vertigo. It is performed to understand if a vestibular (inner ear) disease may be causing the balance problem (dizziness, vertigo, lightheadedness, etc) problem. It also gives clue about the side of the disease (right or left inner ear, or sometimes both ears). VNG test involves a group of tests that document the patient’s ability to follow a visual stimulus with his/her eyes and the capacity of the balance system to respond to this stimulus.
VNG test gives information about the functional capacity of each inner ear vestibuler system to understand the origin of the balance problem. Glasses that perform infra-red stimulus (infrared goggles) are worn by the patient during the procedure. The test does not involve any invasive procedure. The patient only wears goggles and the stimulus is given by the glasses. VNG test usually takes less than one hour. According to the specific patient’s needs, one to one and a half hour appointment is given by our clinic. The four main parts of the test are, ocular mobility, optokinetic nystagmus, positional nystagmus and caloric stimulation.
For more information please contact:
+90 312 284 28 88