High speed digital videolaringoscopy: evaluation of vocal nodules and cysts in women
Videolaringoscopia digital de alta velocidade: avaliação de nódulos e cistos de pregas vocais de mulheres
Renata Cristina Cordeiro Diniz Oliveira, Ana Cristina Côrtes Gama, Patrícia de Freitas Lopes Genilhú, Marco Aurélio Rocha Santos
Abstract
Purpose: To evaluate and compare the parameters of Digital kymography obtained through the High-speed Videolaryngoscopy of women without laryngeal disorders, of women with vocal fold nodules and of women with vocal cysts. Methods: A cross-sectional observational study in which 60 women aged 18 years and 45 years were selected. Three study groups were formed: 20 women without laryngeal disorder forming the control group (Group 1), 20 women with diagnosis of vocal fold nodules forming Group 2 and 20 women with diagnosis of vocal cysts forming Group 3. Subsequently the participants were evaluated by High-speed Videolaryngoscopy for analysis and comparison of laryngeal images using Digital kymography. The laryngeal parameters processed by the program KIPS® were: minimum, maximum and mean opening; dominant amplitude of the left and right vocal folds; dominant frequency of the right and left vocal folds; and close. Results: The analysis of Digital kymography suggests that the presence of the vocal fold nodules and the vocal cysts tend to restrict more to the maximum and minimum opening of the vocal fold and the dominant amplitude of the opening variation in the middle region of the glottis. Conclusion: Digital kymography parameters were similar in the presence of vocal fold nodules and vocal cysts lesions.
Keywords
Resumo
Objetivo: Avaliar e comparar os parâmetros da videoquimografia digital obtidos pela videolaringoscopia de alta velocidade de mulheres sem alterações laríngeas, de mulheres com nódulos de prega vocal e de mulheres com cistos vocais. Método: Estudo observacional transversal, no qual foram selecionadas 60 mulheres com idade entre 18 e 45 anos. Três grupos foram formados: 20 mulheres sem alterações laríngeas formando o grupo controle (Grupo 1), 20 mulheres com diagnóstico de nódulos nas pregas vocais formando o Grupo 2 e 20 mulheres com diagnóstico de cistos vocais formando o Grupo 3. Posteriormente, os participantes foram avaliados por Videolaringoscopia de alta velocidade para análise e comparação de imagens da laringe usando videoquimografia digital. Os parâmetros videoquimográficos avaliados pelo programa KIPS® foram: aberturas mínima, máxima e média; amplitudes da prega vocal direita e esquerda; frequências da abertura da prega vocal direita e esquerda; e fechamento. Resultados: A análise da videoquimografia digital sugere que a presença dos nódulos e dos cistos de pregas vocais tendem a restringir a abertura máxima e média da prega vocal e a amplitude dominante da variação de abertura na região média da glote. Conclusão: Os parâmetros da videoquimografia digital foram semelhantes na presença de nódulos nas pregas vocais e lesões de cistos vocais.
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Referências
1. Barata LF, Madazio G, Behlau M, Brasil O. Vocal and laryngeal analyses in diagnostic hypotheses of nodules and cysts. Rev Soc Bras Fonoaudiol. 2010;15(3):349-54. http://dx.doi.org/10.1590/S1516-80342010000300007.
2. Miranda SVV, Mello RJV, Silva HJ. Correlation between aging and vocal fold dimensions. Rev CEFAC. 2011;13:444-51. http://dx.doi.org/10.1590/ S1516-18462011005000029.
3. Krausert CR, Olszewski AE, Taylor LN, McMurray RS, Dailey SH, Jiang JJ. Mucosal wave measurement and visualization techniques. J Voice. 2011;25(4):395-405. http://dx.doi.org/10.1016/j.jvoice.2010.02.001. PMid:20471798.
4. Shau YW, Wang CL, Hsieh FJ, Hsiao TY. Noninvasive assessment of vocal fold mucosal wave velocity using color doppler imaging. Ultrasound Med Biol. 2001;27(11):1451-60. http://dx.doi.org/10.1016/S0301-5629(01)00453- 7. PMid:11750743.
5. Bouchayer M, Cornut G, Witzig E, Loire R, Roch JB, Bastian RW. Epidermoid cysts, sulci, and mucosal bridges of the true vocal cord: a report of 157 cases. Laryngoscope. 1985;95(9 Pt 1):1087-94. PMid:4033333.
6. Sakae FA, Sasaki F, Sennes LU, Tsuji DH, Imamura R. Pólipos de vocal e alterações estruturais mínimas: lesões associadas? Rev Bras Otorrinolaringol. 2004;70(6):739-41. http://dx.doi.org/10.1590/S0034-72992004000600004.
7. Johns MM. Update on the etiology, diagnosis, and treatment of vocal fold nodules, polyps, and cysts. Curr Opin Otolaryngol Head Neck Surg. 2003;11(6):456-61. http://dx.doi.org/10.1097/00020840-200312000-00009. PMid:14631179.
8. Hirano M, Bless DM. Introduction and historical review. In: Hirano M, Bless DM, editores. Videostroboscopic examination of the larynx. San Diego: Singular Publishing Group Inc.; 1993. p. 1-20.
9. Wittenberg T, Tigges M, Mergell P, Eysholdt U. Functional imaging of vocal fold vibration: digital multislice high-speed kymography. J Voice. 2000;14(3):422-42. http://dx.doi.org/10.1016/S0892-1997(00)80087-9. PMid:11021509.
10. Jiang JJ, Chang CIB, Raviv JR, Gupta S, Banzali FM Jr, Hanson DG. Quantitative study of mucosal wave via videokymography in canine larynges. Laryngoscope. 2000;110(9):1567-73. http://dx.doi.org/10.1097/00005537- 200009000-00032. PMid:10983964.
11. Woo P. Objective measures of Laryngeal Imaging: what have we learned since Dr. Paul Moore. J Voice. 2014;28(1):69-81. http://dx.doi.org/10.1016/j. jvoice.2013.02.001. PMid:24094798.
12. Mendelsohn AH, Remacle M, Courey MS, Gerhard F, Postma GN. The diagnostic role of high-speed vocal fold vibratory imaging. J Voice. 2013;27(5):627-31. http://dx.doi.org/10.1016/j.jvoice.2013.04.011. PMid:23911007.
13. Svec JG, Sram F, Schutte HK. Videokymography in voice disorders: what to look for? Ann Otol Rhinol Laryngol. 2007;116(3):172-80. http://dx.doi. org/10.1177/000348940711600303. PMid:17419520.
14. Mehta DD, Hillman RF. Current role of stroboscopy in laryngeal imaging. Curr Opin Otolaryngol Head Neck Surg. 2012;20(6):429-36. http://dx.doi. org/10.1097/MOO.0b013e3283585f04. PMid:22931908.
15. Yan Y, Ahmad K, Kunduk M, Bless D. Analysis of vocal-fold vibrations from high-speed laryngeal images using a Hilbert transform-based methodology. J Voice. 2005;19(2):161-75. http://dx.doi.org/10.1016/j.jvoice.2004.04.006. PMid:15907431.
16. Sung MW, Kim KH, Koh TY, Kwon TY, Mo JH, Choi SH, et al. Videostrobokymography: a new method for the quantitative analysis of vocal fold vibration. Laryngoscope. 1999;109(11):1859-63. http://dx.doi. org/10.1097/00005537-199911000-00027. PMid:10569423.
17. Tsutsumi M, Isotani S, Pimenta RA, Dajer ME, Hachiya A, Tsuji DH, et al. High-speed videolaryngoscopy: quantitative parameters of glottal area waveforms and high-speed kymography in healthy individuals. J Voice. 2017;31(3):282-90. http://dx.doi.org/10.1016/j.jvoice.2016.09.026. PMid:27793519.
18. Pontes P, Kyrillos L, Behlau M, De Biase N, Pontes A. Vocal nodules and laryngeal morphology. J Voice. 2002;16(3):408-14. http://dx.doi. org/10.1016/S0892-1997(02)00112-1. PMid:12395993.
19. Tuma J, Brasil OOC, Pontes PAL, Yasaki RK. Vestibular folds configuration in vocal nodule. Rev Bras Med Otorrinolaringol. 2005;71(5):576-81. http:// dx.doi.org/10.1590/S0034-72992005000500006. PMid:16612517.
20. Kunduk M, McWhorter AJ. True vocal fold nodules: the role of differential diagnosis. Curr Opin Otolaryngol Head Neck Surg. 2009;17(6):449-52. http://dx.doi.org/10.1097/MOO.0b013e3283328b6d. PMid:19779347.
21. Kendall KA. High-speed digital imaging of the larynx: recent advances. Curr Opin Otolaryngol Head Neck Surg. 2012;20(6):466-71. http://dx.doi. org/10.1097/MOO.0b013e328359840d. PMid:23000735.
22. Shaw HS, Deliyski DD. Mucosal wave: a normophonic study across visualization techniques. J Voice. 2008;22(1):23-33. http://dx.doi. org/10.1016/j.jvoice.2006.08.006. PMid:17014988.
23. Patel RR, Liu L, Galatsanos N, Bless DM. Differential vibratory characteristics of adductor spasmodic dysphonia and muscle tension dysphonia on highspeed digital imaging. Ann Otol Rhinol Laryngol. 2011;120(1):21-32. http://dx.doi.org/10.1177/000348941112000104. PMid:21370677.
24. Zacharias SRC, Deliyski DD, Gerlach TT. Utility of laryngeal high-speed videoendoscopy in clinical voice assessment. J Voice. 2018;32(2):216-20. http://dx.doi.org/10.1016/j.jvoice.2017.05.002. PMid:28596101.
25. Noordzij JP, Woo P. Glotal área waveforms of benign vocal fold lesions before and after surgery. Ann Otol Rhinol Laryngol. 2000;109(5):441-6. http://dx.doi.org/10.1177/000348940010900501. PMid:10823471.
26. Kang DH, Wang SG, Park HJ, Lee JC, Jeon GR, Choi IS, et al. Real-time simultaneous DKG and 2D DKG using high-speed digital camera. J Voice. 2017;31(2):247.e1. PMid:27839706.
27. Braunschweig T, Flaschka J, Schelhorn-Neise P, Döllinger M. High-speed video analysis of the phonation onset, with an application to the diagnosis of functional dysphonias. Med Eng Phys. 2008;30(1):59-66. http://dx.doi. org/10.1016/j.medengphy.2006.12.007. PMid:17317268.
28. Patel R, Dailey S, Bless D. High-speed digital imaging versus stroboscopy. Ann Otol Rhinol Laryngol. 2008;117(6):413-24. http://dx.doi. org/10.1177/000348940811700603. PMid:18646437.
29. Kunduk M, Doellinger M, McWhorter AJ, Lohscheller J. Assessment of the variability of vocal fold dynamics within and between recordings with high-speed imaging and by phnovibrogram. Laryngoscope. 2010;120(5):981- 7. http://dx.doi.org/10.1002/lary.20832. PMid:20422695.
Submetido em:
04/04/2020
Aceito em:
04/07/2020
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