1) A review of the literature and an analysis of the data in this study indicate that excellent local control may be expected following SCPL. 2) The QOL following SCPL, as measured by three validated QOL instruments, is superior to TL with TEP. 3) A histologic assessment of whole organ sections of TL specimens indicates that many patients who have been subjected to TL may have been candidates for SCPL. 4) If the indications and contraindications are rigorously adhered to, SCPLs are reasonable alternatives to TL in selected cases.
We conducted a study of 47 pati ents with various voice disorders to determin e the prevalence of concomitant psychopathology. The prevalence of psychiatric symptoms varied considerably among patients with the three most common voice disorders: 63.6 % among patients with vocal f old paralysis, 29.4% am ong those with fun ctiona I dysphonia , and 7.1 % among those with spasmodic dysphonia. Levels of anxiety and depression correlated moderately with the seve rity ofvoice symptoms in patients with vocalfo ld paralysis, but not in those with functional or spasmodic dysphonia. Certain abnormal personality traits-including interpersonal sensitivity and distrust of others-were more common among pat ients with fun ctional dysphonia. The low rate ofp sychopathology among pat ients with spasmodic dysphonia is consi stent with rates reported in previous investigatio ns. Our fi ndings suggest that the p revalence of psychopathology in patients with voice disorders varies acco rding to the specific voice diagnosis, as does the relationship between specific psychiatric and voice symptoms.
The omeprazole test may be useful in confirming the suspicion of reflux laryngitis in patients suspected of having this disease after an otolaryngology evaluation. However, there is a potential for false-positive and false-negative test results. A gastroenterology evaluation may aid in the identification of false-positive test results by documenting the absence of reflux in certain responders.
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