1
|
Fuentes C, Castañón S, Roldán L. Differences between the Perilaryngeal Pressure Pain Thresholds in Asymptomatic Women, Women With Bruxism, and Women With Odynophonia. J Voice 2023:S0892-1997(23)00219-9. [PMID: 37661520 DOI: 10.1016/j.jvoice.2023.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 07/12/2023] [Accepted: 07/13/2023] [Indexed: 09/05/2023]
Abstract
OBJECTIVE This study was aimed at comparing perilaryngeal pressure pain thresholds (PPT) among asymptomatic women, women with bruxism, and women with odynophonia. DESIGN Observational cross-sectional study. METHODS Eighty-four women whose age mean was 23.75 (SD, 3.02) years were grouped according to inclusion and exclusion criteria into a group of asymptomatic women (G1), another group of women with bruxism (G2), and another of women with odynophonia (G3). Palpation was used to identify regions of interest for this study, and an analog algometer was used to evaluate perilaryngeal PPT in the previously localized regions. Each PPT evaluation was done twice. RESULTS G1 PPT mean were between 1.35 (SD, 0.20) and 2.29 (SD, 0.28) kg/cm2, G2 PPT mean were found between 0.85 (SD, 0.12) and 1.78 (SD, 0.23) kg/cm2, and G3 PPT mean were located between 0.71 (SD, 0.11) and 1.45 (SD, 0.19) kg/cm2. Differences were observed between PPT in the three groups evaluated (P < 0.05). The intra-evaluator agreement between the evaluations performed fluctuated between 60.71% (κ = 0.51) and 92.86% (κ = 0.91). CONCLUSIONS There are significant differences between the perilaryngeal PPT of asymptomatic women, women with bruxism, and women with odynophonia. Asymptomatic women had the highest PPT, while odynophonia sufferers had the lowest.
Collapse
Affiliation(s)
- Christopher Fuentes
- Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, Región Metropolitana, Chile.
| | - Sebastián Castañón
- Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, Región Metropolitana, Chile
| | - Lylia Roldán
- Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, Región Metropolitana, Chile
| |
Collapse
|
2
|
Shembel AC, Kanshin E, Ueberheide B, Johnson AM. Proteomic Characterization of Senescent Laryngeal Adductor and Plantaris Hindlimb Muscles. Laryngoscope 2022; 132:148-155. [PMID: 34115877 PMCID: PMC9118136 DOI: 10.1002/lary.29683] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/23/2021] [Accepted: 06/01/2021] [Indexed: 01/03/2023]
Abstract
OBJECTIVES The goals of this study were to 1) compare global protein expression in muscles of the larynx and hindlimb and 2) investigate differences in protein expression between aged and nonaged muscle using label-free global proteomic profiling methods. METHODS Liquid chromatography-mass spectrometry (LC-MS/MS) analysis was performed on thyroarytenoid intrinsic laryngeal muscle and plantaris hindlimb muscle from 10 F344xBN F1 male rats (5 old and 5 young). Protein expression was compared and pathway enrichment analysis performed for each muscle type (larynx and limb) and age group (old and young muscle). RESULTS Over 1,000 proteins were identified in common across both muscle types and age groups using LC-MS/MS analysis. Significant age-related differences were seen across 107 proteins in plantaris hindlimb and in 19 proteins in thyroarytenoid laryngeal muscle. Bioinformatic and enrichment analysis demonstrated protein differences between the hindlimb and larynx may relate to immune and stress redox responses and RNA repair. CONCLUSION There are clear differences in protein expressions between the laryngeal and hindlimb skeletal muscles. Initial analysis suggests differences between the two muscle groups may relate to stress responses and repair mechanisms. Age-related changes in the thyroarytenoid appear to be less obvious than in the plantaris. Further in-depth study is needed to elucidate how aging affects protein expression in the laryngeal muscles. LEVEL OF EVIDENCE NA Laryngoscope, 132:148-155, 2022.
Collapse
Affiliation(s)
- Adrianna C. Shembel
- Department of Speech, Language and Hearing, University of Texas at Dallas, Dallas, Texas, U.S.A.,Department of Otolaryngology-Head and Neck Surgery, University of Texas at Southwestern Medical Center, Dallas, Texas, U.S.A
| | - Evgeny Kanshin
- Proteomics Laboratory, Division of Advanced Research Technologies, NYU Grossman School of Medicine, New York, New York, U.S.A
| | - Beatrix Ueberheide
- Proteomics Laboratory, Division of Advanced Research Technologies, NYU Grossman School of Medicine, New York, New York, U.S.A.,Department of Biochemistry and Molecular Pharmacology and Department of Neurology, New York University Grossman School of Medicine, New York, New York, U.S.A
| | - Aaron M. Johnson
- and the Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, New York, U.S.A
| |
Collapse
|
3
|
Abstract
The application of exercise science training knowledge has been of growing interest to voice professionals. This tutorial, derived from the authors' invited presentations from the "Exercise and the Voice" Special Session at the 2018 Voice Foundation Symposium, proposes a foundational theoretical structure based in exercise science, clarifies the wide range of variables that may influence voice training, and summarizes our present understanding of voice physiology from the perspective of muscle training. The body of literature on voice exercise was then analyzed from the perspective of this framework, identifying what we currently know and what we still have yet to learn.
Collapse
Affiliation(s)
- Aaron M Johnson
- Department of Otolaryngology - Head and Neck Surgery, New York University Voice Center, New York University School of Medicine, New York, New York.
| | - Mary J Sandage
- Department of Communication Disorders, Auburn University, Auburn, Alabama
| |
Collapse
|
4
|
Erickson-DiRenzo E, Kuijper FM, Barbosa DAN, Lim EA, Lin PT, Lising MA, Huang Y, Sung CK, Halpern CH. Multiparametric laryngeal assessment of the effect of thalamic deep brain stimulation on essential vocal tremor. Parkinsonism Relat Disord 2020; 81:106-112. [PMID: 33120071 DOI: 10.1016/j.parkreldis.2020.10.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2020] [Revised: 10/09/2020] [Accepted: 10/12/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVE EVT is a refractory voice disorder that significantly affects quality of life. This work aims to conduct a multiparametric assessment of the effect of deep brain stimulation (DBS) of the thalamic ventral intermediate nucleus (VIM) on essential vocal tremor (EVT) and investigate the relation between DBS lead location and EVT outcomes. METHODS Nine participants underwent DBS for essential tremor and were diagnosed with co-occurring EVT in this prospective cohort study. Objective measurements including acoustic evaluation of vocal fundamental frequency (F0) and intensity modulation and subjective measurements including physiologic evaluation of the oscillatory movement of the laryngeal muscles and vocal tract and perceptual ratings of tremor severity were collected PRE and POST DBS. Finally, we investigated the relation between DBS lead location and EVT outcomes. RESULTS Acoustic modulations of F0 and intensity were significantly improved POST DBS. Physiologic assessment showed a POST DBS reduction of oscillatory movement in the laryngeal muscles and vocal tract, but not significantly. Listener and participant perception, of EVT severity was also significantly reduced. Finally, our results indicate better EVT control with increased distance to midline of left VIM thalamic stimulation. CONCLUSIONS By employing a battery of objective and subjective measures, our study supports the benefit of DBS for the treatment of EVT and specifies the acoustic and physiologic mechanisms that mediate its positive effect. We further provide preliminary results on the relation between lead location and EVT outcomes, laying the foundation for future studies to clarify the optimal DBS target for the treatment of EVT.
Collapse
Affiliation(s)
- Elizabeth Erickson-DiRenzo
- Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Fiene Marie Kuijper
- Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Daniel A N Barbosa
- Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Erika A Lim
- Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Peter T Lin
- Valley Parkinson Clinic, 800 Pollard Road, Suite C-30, Los Gatos, CA, USA
| | - Melanie A Lising
- Department of Neurology, Stanford University School of Medicine, Stanford, CA, USA
| | - Yuhao Huang
- Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA
| | - C Kwang Sung
- Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Casey H Halpern
- Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
| |
Collapse
|
5
|
Abstract
The application of exercise science training knowledge has been of growing interest to voice professionals. This tutorial, derived from the authors' invited presentations from the "Exercise and the Voice" Special Session at the 2018 Voice Foundation Symposium, proposes a foundational theoretical structure based in exercise science, clarifies the wide range of variables that may influence voice training, and summarizes our present understanding of voice physiology from the perspective of muscle training. The body of literature on voice exercise was then analyzed from the perspective of this framework, identifying what we currently know and what we still have yet to learn.
Collapse
|
6
|
Gerstenberger C, Döllinger M, Kniesburges S, Bubalo V, Karbiener M, Schlager H, Sadeghi H, Wendler O, Gugatschka M. Phonation Analysis Combined with 3D Reconstruction of the Thyroarytenoid Muscle in Aged Ovine Ex Vivo Larynx Models. J Voice 2017; 32:517-524. [PMID: 28964638 DOI: 10.1016/j.jvoice.2017.08.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 08/11/2017] [Accepted: 08/16/2017] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The aim of the study was to establish a basic data set of combined functional and anatomical measures of aged sheep larynges using ex vivo models. Combining these two approaches in one and the same larynx is an unmet goal so far yet is important as newer treatment strategies aim to preserve the organ structure and new assessment tools are required. Ovine larynges were used as their dimensions, and muscle fiber type distribution highly resemble the human larynx. STUDY DESIGN Ex vivo animal study. METHODS Larynges of six sheep (~9 years of age) were subjected to ex vivo functional phonatory experiments. Phonatory characteristics were analyzed as a function of longitudinal vocal fold (VF) prestress. Anatomical measurements of the same larynges comprised micro-computed tomography scans followed by three-dimensional (3D) reconstructions. Using specially adapted radiological scan protocols with subsequent 3D reconstruction, muscle volumes, surface areas, and anatomical measurements were computed. RESULTS Increasing longitudinal prestress yielded higher subglottal pressure (PS) for the same airflow. Quantitative differences to previous studies-such as the increased PS and increased phonation threshold pressure-were detected. We achieved excellent visualization of the laryngeal muscles and framework, resulting in accurate 3D reconstructions for quantitative analysis. We found no significant intraindividual volume differences of the thyroarytenoid muscles. CONCLUSION The established protocol allows precise functional and anatomical measures. The data created provide a reference data set for upcoming therapeutic strategies (eg, growth factor therapy, functional electrical stimulation) that target essential structures of the VFs such as the laryngeal muscles and/or the VF mucosa.
Collapse
Affiliation(s)
- Claus Gerstenberger
- Department of Phoniatrics, ENT University Hospital, Medical University of Graz, Graz, Austria.
| | - Michael Döllinger
- Division for Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, Medical School, FAU-Erlangen-Nürnberg, Erlangen, Germany
| | - Stefan Kniesburges
- Division for Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, Medical School, FAU-Erlangen-Nürnberg, Erlangen, Germany
| | - Vladimir Bubalo
- Center of Biomedical Research, Medical University Graz, Graz, Austria
| | - Michael Karbiener
- Department of Phoniatrics, ENT University Hospital, Medical University of Graz, Graz, Austria
| | - Hansjörg Schlager
- Department of Phoniatrics, ENT University Hospital, Medical University of Graz, Graz, Austria
| | - Hossein Sadeghi
- Division for Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, Medical School, FAU-Erlangen-Nürnberg, Erlangen, Germany
| | - Olaf Wendler
- Laboratory of Molecular Biology, Department of Otorhinolaryngology, Head and Neck Surgery, Medical School, FAU-Erlangen-Nürnberg, Erlangen, Germany
| | - Markus Gugatschka
- Department of Phoniatrics, ENT University Hospital, Medical University of Graz, Graz, Austria
| |
Collapse
|
7
|
Rogić Vidaković M, Jerković A, Jurić T, Vujović I, Šoda J, Erceg N, Bubić A, Zmajević Schönwald M, Lioumis P, Gabelica D, Đogaš Z. Neurophysiologic markers of primary motor cortex for laryngeal muscles and premotor cortex in caudal opercular part of inferior frontal gyrus investigated in motor speech disorder: a navigated transcranial magnetic stimulation (TMS) study. Cogn Process 2016; 17:429-442. [PMID: 27130564 DOI: 10.1007/s10339-016-0766-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 04/18/2016] [Indexed: 11/24/2022]
Abstract
Transcranial magnetic stimulation studies have so far reported the results of mapping the primary motor cortex (M1) for hand and tongue muscles in stuttering disorder. This study was designed to evaluate the feasibility of repetitive navigated transcranial magnetic stimulation (rTMS) for locating the M1 for laryngeal muscle and premotor cortical area in the caudal opercular part of inferior frontal gyrus, corresponding to Broca's area in stuttering subjects by applying new methodology for mapping these motor speech areas. Sixteen stuttering and eleven control subjects underwent rTMS motor speech mapping using modified patterned rTMS. The subjects performed visual object naming task during rTMS applied to the (a) left M1 for laryngeal muscles for recording corticobulbar motor-evoked potentials (CoMEP) from cricothyroid muscle and (b) left premotor cortical area in the caudal opercular part of inferior frontal gyrus while recording long latency responses (LLR) from cricothyroid muscle. The latency of CoMEP in control subjects was 11.75 ± 2.07 ms and CoMEP amplitude was 294.47 ± 208.87 µV, and in stuttering subjects CoMEP latency was 12.13 ± 0.75 ms and 504.64 ± 487.93 µV CoMEP amplitude. The latency of LLR in control subjects was 52.8 ± 8.6 ms and 54.95 ± 4.86 in stuttering subjects. No significant differences were found in CoMEP latency, CoMEP amplitude, and LLR latency between stuttering and control-fluent speakers. These results indicate there are probably no differences in stuttering compared to controls in functional anatomy of the pathway used for transmission of information from premotor cortex to the M1 cortices for laryngeal muscle representation and from there via corticobulbar tract to laryngeal muscles.
Collapse
Affiliation(s)
- Maja Rogić Vidaković
- School of Medicine, Laboratory for Human and Experimental Neurophysiology (LAHEN), Department of Neuroscience, University of Split, Šoltanska 2, 21000, Split, Croatia.
| | - Ana Jerković
- Faculty of Philosophy, University of Zagreb, Ivana Lučića 3, 10000, Zagreb, Croatia
| | - Tomislav Jurić
- Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture, Department of Electronics, University of Split, R. Boškovića 32, Split, Croatia
| | - Igor Vujović
- Faculty of Maritime Studies, Signal Processing, Analysis and Advanced Diagnostics Research and Education Laboratory (SPAADREL), University of Split, Ruđera-Boškovića 37, Split, Croatia
| | - Joško Šoda
- Faculty of Maritime Studies, Signal Processing, Analysis and Advanced Diagnostics Research and Education Laboratory (SPAADREL), University of Split, Ruđera-Boškovića 37, Split, Croatia
| | - Nikola Erceg
- Faculty of Humanities and Social Sciences, University of Split, Put iza nove bolnice 10 C, Split, Croatia
| | - Andreja Bubić
- Faculty of Humanities and Social Sciences, University of Split, Put iza nove bolnice 10 C, Split, Croatia
| | - Marina Zmajević Schönwald
- Clinical Medical Centre "Sisters of Mercy", Department of Neurosurgery, Clinical Unit for Intraoperative Neurophysiologic Monitoring, Vinogradska 29 A, Zagreb, Croatia
| | - Pantelis Lioumis
- Bio Mag Laboratory HUS Medical Imaging center, Helsinki University Hospital, P.O. Box 340, 00029, HUS, Helsinki, Finland
| | - Dragan Gabelica
- School of Medicine, Laboratory for Human and Experimental Neurophysiology (LAHEN), Department of Neuroscience, University of Split, Šoltanska 2, 21000, Split, Croatia.,SGM Medical Monitoring, Grge Novaka 22A, 21000, Split, Croatia
| | - Zoran Đogaš
- School of Medicine, Laboratory for Human and Experimental Neurophysiology (LAHEN), Department of Neuroscience, University of Split, Šoltanska 2, 21000, Split, Croatia
| |
Collapse
|
8
|
Pavoni V, Gianesello L, Martinelli C, Horton A, Nella A, Gori G, Simonelli M, De Scisciolo G. Recovery of laryngeal nerve function with sugammadex after rocuronium-induced profound neuromuscular block. J Clin Anesth 2016; 33:14-9. [PMID: 27555126 DOI: 10.1016/j.jclinane.2016.01.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Revised: 01/02/2016] [Accepted: 01/11/2016] [Indexed: 12/17/2022]
Abstract
STUDY OBJECTIVE The aim of this study was to evaluate the efficacy of sugammadex in reversing profound rocuronium-induced neuromuscular block at the laryngeal adductor muscles using motor-evoked potentials (mMEPs). DESIGN A prospective observational study. SETTING University surgical center. PATIENTS Twenty patients with American Society of Anesthesiologists physical class I-II status who underwent propofol-remifentanil anesthesia for the surgery of the thyroid gland. INTERVENTIONS Patients were enrolled for reversal of profound neuromuscular block (sugammadex 16 mg/kg, 3 minutes after rocuronium 1.2 mg/kg). To prevent laryngeal nerve injury during the surgical procedures, all patients underwent neurophysiologic monitoring using mMEPs from vocal muscles. At the same time, the registration of TOF-Watch acceleromyograph at the adductor pollicis muscle response to ulnar nerve stimulation was performed; recovery was defined as a train-of-four (TOF) ratio ≥0.9. MEASUREMENT AND MAIN RESULTS After injection of 16 mg/kg of sugammadex, the mean time to recovery of the basal mMEPs response at the laryngeal adductor muscles was 70 ± 18.2 seconds. The mean time to recovery of the TOF ratio to 0.9 was 118 ± 80 seconds. In the postoperative period, 12 patients received follow-up evaluation of the vocal cords and no lesions caused by the surface laryngeal electrode during electrophysiological monitoring were noted. CONCLUSIONS Recovery from profound rocuronium-induced block on the larynx is fast and complete with sugammadex. In urgent scenarios, "early" extubation can be performed, even with a TOF ratio ≤0.9. However, all procedures to prevent postoperative residual curarization should still be immediately undertaken.
Collapse
Affiliation(s)
- Vittorio Pavoni
- Department of Anesthesia, Santa Maria Nuova Hospital, Florence, Italy
| | - Lara Gianesello
- Department of Anesthesia and Intensive Care, University-Hospital Careggi, Florence, Italy.
| | - Cristiana Martinelli
- Department of Spinal Unit, Section of Neurophysiology, University-Hospital Careggi, Florence, Italy
| | - Andrew Horton
- Department of Medical Staff Services, Primary Children's Hospital, Lake City, UT, USA
| | - Alessandra Nella
- Department of Anesthesia, Santa Maria Nuova Hospital, Florence, Italy
| | - Gabriele Gori
- Department of Anesthesia, Santa Maria Nuova Hospital, Florence, Italy
| | - Martina Simonelli
- Department of Anesthesia and Intensive Care, University-Hospital Careggi, Florence, Italy
| | - Giuseppe De Scisciolo
- Department of Spinal Unit, Section of Neurophysiology, University-Hospital Careggi, Florence, Italy
| |
Collapse
|
9
|
Balata PMM, Silva HJD, Pernambuco LDA, de Oliveira JHP, de Moraes SRA. Normalization patterns of the surface electromyographic signal in the phonation evaluation. J Voice 2014; 29:129.e1-8. [PMID: 24930371 DOI: 10.1016/j.jvoice.2014.03.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2013] [Accepted: 03/17/2014] [Indexed: 11/26/2022]
Abstract
PURPOSE The aim of the study was to compare the different parameters, regarding the peak and mean, at different phonatory tasks for standardization of electromyography signal of electrical activity (EA) of the laryngeal extrinsic muscles on voice evaluation. METHODS The electrical potentials of the suprahyoid (SH) and infrahyoid (IH) muscles of 35 voluntary nondysphonic subjects were evaluated using three evaluations of rest, two maneuvers to determine maximum voluntary sustained activity (MVSA), and usual and strong intensity of vowel /ɛ/ and 20-30 count emissions. The EA signal was converted using root mean square in microvolts and normalized by mean and peak of each task. The selected normalization task was that with minor coefficient of variation for all muscles. RESULTS The tasks that provided minor coefficient of variation of EA in both muscle groups were the peak of vowel /ɛ/ (mean potentials equal to 43.31 ± 2.97 for right IH, 36.27 ± 2.76 for left IH, and 42.11 ± 2.57 for SH) and the 20-30 count emissions (mean potentials equal to 31.30 ± 308 for right IH, 30.56 ± 2.76 for left IH, and 30.43 ± 4.22 for SH), both in usual intensity and MVSA, as second option. CONCLUSIONS The peak of vowel /ɛ/ and 20-30 count emissions is usual intensity, and the MVSA as second option should be considered for signal normalization in SH and IH muscles, and may provide conditions for using the surface electromyography in voice clinic.
Collapse
Affiliation(s)
| | - Hilton Justino da Silva
- Speech and Language Department, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | | | - Jabson Herber Profiro de Oliveira
- Speech and Language Department, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil; Institute of Human Sciences, Communication and Arts, Universidade Federal de Alagoas, Maceió, Alagoas, Brazil
| | | |
Collapse
|