Laryngeal physiology and voice acoustics are maintained after minimally invasive parathyroidectomy.

Objectives: This prospective single-arm study investigated both laryngeal physiology and voice acoustic measures in patients undergoing minimally invasive parathyroidectomy (MIP) due to primary hyperparathyroidism (primary HPTH).

Background: Avoidance of recurrent or superior laryngeal nerve injury and maintenance of normal laryngeal physiology and vocal function are key goals in the treatment of primary HPTH. No data are available comparing pre- and postoperative MIP laryngeal physiology and voice acoustics.

Success of recommending oral diets in acute stroke patients based on passing a 90-cc water swallow challenge protocol.

Purpose: This study investigated the success of recommending specific oral diets following an acute stroke based on passing a 90-cc water swallow challenge protocol.

Method: The study was a single group consecutively referred case series design. The study took place in a large, urban, tertiary care teaching hospital and involved 75 acute adult stroke inpatients in a 90-cc water swallow challenge.

Effect of orogastric tubes on aspiration status and recommendations for oral feeding.

Objective: To investigate the effects, if any, of the presence of an orogastric tube on incidence of aspiration and oral diet recommendations.

Study Design: Case series with planned data collection.

Setting: Large, urban, tertiary care teaching hospital.

Investigation of tracheoesophageal voice prosthesis leakage patterns: patient's self-report versus clinician's confirmation.

Background: This study investigated the patient's self-report and clinician's confirmation of tracheoesophageal voice prosthesis leakage patterns (through or around) with or without the cough reflex and whether prosthesis diameter affected the leakage route.

Methods: Sixty-six consecutive participants with a total of 200 patient-initiated reasons for prosthesis changes were enrolled prospectively. Patient's self-report of leakage and cough reflex were recorded prior to clinician's confirmation.

Comparison of the glottic closure reflex in traditional "open" versus endoscopic laser supraglottic laryngectomy.

Objectives: Cancer of the supraglottic larynx may be surgically treated with either traditional "open" supraglottic laryngectomy (OSL) or endoscopic laser supraglottic laryngectomy (ELSL). Pharyngeal dysphagia is a well-documented consequence of traditional OSL from which near-normal swallowing characteristically recovers 14 to 40 days after surgery. Conversely, ELSL results in the resumption of serviceable swallowing within 2 to 7 days after surgery.

Voice restoration with the advantage tracheoesophageal voice prosthesis.

Objectives: To determine whether the Blom-Singer indwelling Advantage tracheoesophageal voice prosthesis (TEP) extends prosthesis life span significantly in patients with documented premature device failure due to fungal colonization.

Study Design And Setting: Data were collected in a prospective manner on a total of 42 standard indwelling TEP users who exhibited early device failure, that is, between 2 weeks and 6 months, due to fungal colonization of the flap valve despite appropriate use of oral antifungal agents. There were 29 men and 13 women, whose ages ranged from 36 years 10 months to 86 years 8 months.

Fiberoptic endoscopic evaluation of swallowing (FEES) with and without blue-dyed food.

The purpose of this prospective study was to determine if fiberoptic endoscopic evaluation of swallowing (FEES) maintains high intra- and interrater reliability in detecting pharyngeal dysphagia and aspiration without the addition of FD&C Blue No. 1 to food. Twenty consecutive adults referred for a swallow evaluation participated.