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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2020, Number 2

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Acta Med Cent 2020; 14 (2)

Parálisis recurrencial en pacientes atendidos en Consulta de Foniatría

Márquez AA, Domínguez MA, Hernández LM, Águila MO, Pérez CH, Montes de Oca BA

Language: Spanish
References: 25
Page: 172-181
PDF size: 215.15 Kb.


ABSTRACT

Introduction: Recurrent paralysis is a pathological condition caused by the elimination of the supply of nerve stimuli that reach one or both vocal cords through the recurrent nerves and cause laryngeal function disorders. Objective: to characterize the patients treated for recurrent paralysis in the Phoniatrics Consultation of the Teaching Polyclinic “Joaquín Albarrán” in the period from January to December 2016. Method: cross-sectional descriptive study. A total of 49 patients were selected through intentional non-probabilistic form from 55 patients who were the study population. Data collection was carried out by reviewing the medical records. Statistical methods of absolute and relative frequency were used. The results were presented in texts and statistical tables. Results: there was a predominance of the female sex (83.67%) and 57.14% of the age group of 45 to 59 years was the most affected. The surgical cause (48.98%) and the dysphonia symptom (100%) predominated in recurrent paralysis. Vocal physical synkinesia was the most widely used technique. Perceptual evaluation of the voice showed pathological voices. Conclusions: in recurrent paralysis, hoarseness, as a translation of the alteration of the vocal timbre, was the symptom for which patients mostly go to the Phoniatrics Consultation for the rehabilitation of their voice.


REFERENCES

  1. Copeta I, Nuñez F, Fernández S. Patología de la voz [Internet]. Barcelona: Marge Medica Books; 2013 [citado 17 May 2019]. Disponible en: http://seorl.net/PDF/ponencias%20oficiales/2013%20Patolog%C3%ADa%20de%20la%20voz.pdf

  2. Plaza Rivas F. Historia de la nomenclatura de los nervios craneales. Rev Sociedad Venezolana Historia Medicina. [Internet]. 2008 [citado 17 May 2019];57(1-2):7-16. Disponible en: http://revista.svhm.org.ve/ediciones/2008/1-2/art-1/

  3. Nervio vago. En: Schünke S, Shumacher V. Prometheus: Texto y Atlas de Anatomia [Internet]. Madrid: Editorial Médica Panamericana; 2015 [citado 17 May 2019]. Disponible en: https://www.medicapanamericana.com/Libros/Libro/5142/Prometheus-Texto-y-Atlas-de-Anatomia.html

  4. Duque Parra JE, Barco Ríos J, Quintero Bedoya LE. El Concepto Histórico Posgalénico sobre la Estructura y Función de los Nervios Craneales. Int J Morphol [Internet]. 2015 Dic [citado 17 May 2019];33(4):1273-1276. Disponible en: https://scielo.conicyt.cl/pdf/ijmorphol/v33n4/art13.pdf

  5. Méndez Garrido S, Ocete Pérez RF. Manifestaciones en imagen y causas de las parálisis del nervio laríngeo recurrente. Radiología [Internet]. 2016 May-Jun [citado 17 May 2019];58(3):225-234. Disponible en: http://www.sciencedirect.com/science/article/pii/S0033833816000606

  6. Bothe C, López M, Quer M, León X, García J, López J. Etiología y tratamiento de la parálisis laríngea: estudio retrospectivo de 108 pacientes. Acta Otorrinolaringol Esp [Internet]. 2014 Jul-Ago [citado 2 May 2019];65(4):225-230. Disponible en: https://www.elsevier.es/es-revista-acta-otorrinolaringologica-espanola-102-articulo-etiologia-tratamiento-paralisis-laringea-estudio-S0001651914000636

  7. Hong YT, Park MJ, Shin YJ, Minh PHN, Hong KH. The Phonetic Characteristics in Patients of Bilateral Vocal Fold Paralysis without Tracheotomy. Clin Exp Otorhinolaryngol [Internet]. 2017 Sep [citado 2 May 2019];10(3):272-277. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545702/. https://dx.doi.org/10.21053/ceo.2016.00626

  8. Little MA, Costello DA, Harries ML. Objective dysphonia quantification in vocal fold paralysis: comparing nonlinear with classical measures. J Voice [Internet]. 2011 Jan [citado 2 May 2019];25(1):21-31. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160475/. https://doi.org/10.1016/j.jvoice.2009.04.004

  9. Elisei NG, Evin DA, Goméz Fernández F, Gurlekian JA. Aplicación de métodos acústicos lineales y no lineales en parálisis cordales unilaterales. Rev Árete [Internet]. 2012 [citado 2 May 2019];12(1):24-32. Disponible en: https://arete.ibero.edu.co/article/view/354/319

  10. Rosenthal LH, Benninger MS, Deeb RH. Vocal fold immobility: a longitudinal analysis of etiology over 20 years. Laryngoscope [Internet]. 2007 Oct [citado 2 May 2019];117(10):1864-70. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/17713451. https://doi.org/10.1097/MLG.0b013e3180de4d49

  11. Lin RJ, Munin MC, Rosen CA, Smith LJ. Effect of intralaryngeal muscle synkinesis on perception of voice handicap in patients with unilateral vocal fold paralysis. Laryngoscope [Internet]. 2017 Jul [citado 2 May 2019];127(7):1628-1632. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28105659. https://doi.org/10.1002/lary.26390

  12. Sotres León Y, Quintero Fernández R, Amaro Portuondo M. Uso de la escala GRABS en la evaluación perceptual de la voz de pacientes disfónicos. Rev Cubana Tecnol Salud [Internet]. 2015 [citado 14 May 2019];6(4):78-87. Disponible en: http://www.revtecnologia.sld.cu/index.php/tec/article/view/607/663

  13. Barrios Osuna I, Anido Escobar V, Morera Pérez M. Declaración de Helsinki: cambios y exégesis. Rev Cubana Salud Pública [Internet]. 2016 Ene-Mar [citado 14 May 2019];42(1):132-142. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662016000100014

  14. Busto Crespo O, Uzcanga Lacabe M, Abad Marco A, Berasategui I, Garcia L, Aguilera Albesa S, et al. Parálisis de cuerda vocal unilateral: estudio de la calidad vocal después del tratamiento logopédico. An Sist Sanit Navar [Internet]. 2016 Ene-Abr [citado 14 May 2019];39(1):69-75. Disponible en: Acta Médica del Centro/Vol. 14 No.2 Abril‐Junio 2020 https://recyt.fecyt.es/index.php/ASSN/article/view/38614/%2030470. http://dx.doi.org/10.4321/S1137-6627/2016000100008

  15. Christian Olavarría L, Nicolás Albertz A, Patricio Tabilo C, Constanza Valdés P. Experiencia clínica en el manejo de parálisis cordales en posición abierta: tratamiento actual. Rev Hosp Clín Univ Chile [Internet]. 2008 [citado 14 May 2019];19:97-104. Disponible en: https://www.redclinica.cl/Portals/0/Users/014/14/14/Publicaciones/Revista/experiencia_clinica_manejo_paralisis.pdf

  16. García Pita E, Príncipe L, Latourrette DC, Ruggeri CS. Tratamiento de la inmovilidad cordal bilateral. Rev Hosp Ital B Aires [Internet]. 2016 Mar [citado 14 May 2019];36(1):6-10. Disponible en: https://www1.hospitalitaliano.org.ar/multimedia/archivos/noticias_attachs/47/documentos/24590_6-10-HI1-4-Pita-C.pdf

  17. Toutounchi SJS, Eydi M, Golzari SEJ, Ghaffari MR, Parvizian N. Vocal Cord Paralysis and its Etiologies: A Prospective Study. J Cardiovasc Thorac Res. [Internet]. 2014 [citado 2 may 2019];6(1):47-50. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3992732/. https://dx.doi.org/10.5681/jcvtr.2014.009

  18. Nelson JL, Woodson GE. Airway obstruction due to unilateral vocal fold paralysis. Laryngoscope [Internet]. 2013 Apr [citado 14 May 2019];123(4):969-74. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/ 23529881. https://doi.org/10.1002/lary.23719

  19. Schwarz K, Aparecida Cielo C, Steffen N, Pereira Jotz G, Becker J. Voice and vocal fold position in men with unilateral vocal fold. Braz J Otorhinolaryngol [Internet]. 2011 Nov-Dec [citado 14 May 2019];77(6):761-7. Disponible en: http://www.scielo.br/pdf/bjorl/v77n6/en_v77n6a13.pdf

  20. Badia PI, Hillel AT, Shah MD, Johns MM, Klein AM. Computed tomography has low yield in the evaluation of idiopathic unilateral true vocal fold paresis. Laryngoscope [Internet]. 2013 Jan [citado 14 May 2019];123(1):204-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22965930. https://doi.org/10.1002/lary.23538

  21. Barcelos CB, Silveira PAL, Guedes RLV, Gonçalves AN, Slobodticov LDS, Angelis EC. Multidimensional effects of voice therapy in patients affected by unilateral vocal fold paralysis due to cancer. Braz J Otorhinolaryngol [Internet]. 2018 Sep-Oct [citado 14 May 2019];84(5):620-629. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28882539. https://doi.org/10.1016/j.bjorl.2017.07.012

  22. El-Banna M, Youssef G. Early voice therapy in patients with unilateral vocal fold paralysis. Folia Phoniatr Logop [Internet]. 2014 [citado 14 May 2019];66(6):237-43. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25659839. https://doi.org/10.1159/000369167

  23. Ming-Shao T, Ming-Yu Y, Geng-He C, Yao-Te T, Meng-Hung L, Cheng-Ming H. Autologous thyroid cartilage graft implantation in medialization laryngoplasty: a modified approach for treating unilateral vocal fold paralysis. Sci Rep [Internet]. 2017 Jul [citado 14 May 2019];7:4790. Disponible en: https://www.nature.com/articles/s41598-017-05024-6. https://doi.org/10.1038/s41598-017-05024-6

  24. Oguz H, Demirci M, Arslan N, Arslan E. Long-term voice results of injection with hyaluronic acid-dextranomere in unilateral vocal fold paralysis. Acta Oto-Laryngol [Internet]. 2013 May [citado 14 May 2019];133(5):513-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23294238. https:doi.org/10.3109/00016489.2012.750034

  25. Lopes LW, Almeida de Freitas J, Almeida AA, Oliveira Costa Silva P, dos Santos Alves GA. Performance of the phonatory deviation diagram in the evaluation of rough and breathy synthesized voices. Brazilian J Otorhinolaryngol [Internet]. 2018 Jul-Aug [citado 14 May 2019];84(4):460-472. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942018000400460. http://dx.doi.org/10.1016/j.bjorl.2017.05.012




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