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Laryngoscopic Techniques and Office-Based Phonosurgery in Neurolaryngological Disorders

  • Markus M. HessEmail author
  • Susanne Fleischer
Chapter

Abstract

Neurolaryngological diseases and disorders can affect voice function, swallowing, and breathing. With comprehensive office-based laryngoscopy procedures, mostly performed transnasally, the biomechanics needed for voice production, breathing, and effective swallowing can be assessed in almost all cases. With ambulatory phonosurgical interventions under topical anesthesia such as vocal fold augmentation and botulinum toxin injections, patients can be helped by improving vocal loudness, voice quality, durability, and stabilizing vocal function significantly. Concerning aspiration of liquid and solid food due to glottic insufficiency as one of the most severe problems, office-based vocal fold augmentation may effectively improve swallowing function.

Keywords

Office-based surgery Laryngoscopy Vocal fold hypomobility Augmentation Dysphagia Aspiration Phonosurgery 

Notes

Acknowledgments

Special thanks go to Olympus Europe SE & Co. KG, Hamburg, Germany, and to the Deutsche Stimmklinik Management GmbH for permission to reprint several images from the “office-based laryngoscopy” manual.

Financial Support and Sponsorship

None.

Conflicts of Interest

None.

References

  1. 1.
    Fleischer S, Hess M. Systematic investigation technique in videolaryngoscopy and stroboscopy. HNO. 2003;51(2):160–7.CrossRefGoogle Scholar
  2. 2.
    Fleischer S, Hess M. Durch Augmentation wieder gut bei Stimme. HNO Nachrichten. 2016;46(2):2–6.CrossRefGoogle Scholar
  3. 3.
    Fleischer S, Hess M. Office based laryngoscopy. KG Hamburg: Olympus Europe SE & Co; 2016.Google Scholar
  4. 4.
    Fleischer S, Pflug C, Hess M. High-sensitivity FEES with NBI-illumination. Laryngoscope. 2017;127(5):1140–2.CrossRefPubMedGoogle Scholar
  5. 5.
    Rosen CA, Mau T, Remacle M, Hess M, Eckel HE, Young VN, Hantzakos A, Yung KC, Dikkers FG. Nomenclature proposal to describe vocal fold motion impairment. Eur Arch Otorhinolaryngol. 2016;273(8):1995–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Rosen CA, Amin MR, Sulica L, Simpson CB, Merati AL, Courey MS, Johns MM III, Postma GN. Advances in office-based diagnosis and treatment in laryngology. Laryngoscope. 2009;119(Suppl 2):S185–212.CrossRefPubMedGoogle Scholar
  7. 7.
    Volk GF, Hagen R, Pototschnig C, Friedrich G, Nawka T, Arens C, Mueller A, Foerster G, Finkensieper M, Lang-Roth R, Sittel C, Storck C, Grosheva M, Kotby MN, Klingner CM, Guntinas-Lichius O. Laryngeal electromyography: a proposal for guidelines of the European laryngological society. Eur Arch Otorhinolaryngol. 2012;269(10):2227–45.CrossRefPubMedGoogle Scholar
  8. 8.
    Cates DJ, Venkatesan NN, Strong B, et al. Effect of vocal fold medialization on dysphagia in patients with unilateral vocal fold immobility. Otolaryngol Head Neck Surg. 2016;155(3):454–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Friedrich G, Remacle M, Birchall M, Marie JP, Arens C. Defining phonosurgery: a proposal for classification and nomenclature by the Phonosurgery Committee of the European Laryngological Society (ELS). Eur Arch Otorhinolaryngol. 2007;264(10):1191–200.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Deutsche StimmklinikHamburgGermany
  2. 2.Department of Voice, Speech and Hearing DisordersUniversity Medical Center Hamburg-EppendorfHamburgGermany

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