[Speech rehabilitation after reconstructive laryngectomy].
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Biomedical subjects
Publications and source records attributed to Iu S Vasilenko.
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Explore the source record for details and available documents.
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The paper reports the results of teflon paste implantation into the vocal folds of 368 patients with laryngeal unilateral paralysis and scar deformities, atrophy of vocal muscles. Implantation of teflon paste polytef produces a high functional effect in unilateral laryngeal paralysis. 38 patients underwent implantation with collagen. The response of the adjacent tissues to collagen injection is minimal positively comparing to teflon. However, 10 patients needed more injections of liquid collagen 6-18 months following the initial administration because of collagen metabolism.
Clinical, neurological, endoscopic, psychological findings, questionnaire data on vegetative sphere, diaphragm x-ray, articulation test and Viene test system evidence obtained on 25 patients with phonic spasm confirm organic neurological nature of spastic dysphonia as focal muscular dystonia. This condition can be accompanied with tremor, rotatory, winking and writers' spasms, oromandibular dystonia. As indicated by positive treatment outcomes, combined treatment of phonic spasm with GABA-ergic drugs of clonazepam (antelepsin) and baclofen, orthophonic voice correction, physiotherapy is pathogenetically justified.