Biomedical subjects

M Rusnov

Publications and source records attributed to M Rusnov.

4 recordsLinked to original sources

PubMed1982

Speech development in aphonic children.

It has been well established that pre-lingually hearing-impaired children experience difficulties in speech development. Little appears in the literature, however, about speech development in aphonic children. The authors have had the opportunity to manage several children who, for various reasons, were unable to phonate from a pre-lingual age to approximately the age of 5 or 6 years. The children in this report developed various compensatory means of communication, including unusual laryngeal, non-laryngeal and nonverbal communication. Representative cases are reviewed and observations are made regarding the effects of aphonia on speech development.

Aphonia↗

PubMed1976

[Paget's disease of the breast in a male].

The case of a 78-year-old man with Paget's disease of the breast, described herein, appears to be only the 22nd histologically proven case of this rare condition; in over 100 years less than 50 cases have been reported. Since this patient had no underlying tumour or nodal involvement the operation consisted of total mastectomy with removal of axillary nodes only, rather than the classical radical mastectomy. All eczematoid lesions of the areola of the breast that persist for more than 2 weeks or are unilateral should be considered Paget's disease until proven otherwise by biopsy.

Aged↗

PubMedDate not supplied

Recurrent layngeal nerve section for spasmodic dysphonia.

Spasmodic dysphonia is a severe disorder of phonation accompanied by extreme tension of the entire phonatory system. The expressive functions of speech such as laughter, singing, and whispering are much less affected if at all. Psychotherapy, speech therapy, stimulant and psychotropic drugs, hypnotism and acupuncture have all been tried as treatment without success. In 1976, Dedo reported 34 patients who were managed with recurrent laryngeal nerve section for spasmodic dysphonia. All of these patients had marked improvement in voice with relief of spasticity. Twenty-two patients with documented spasmodic dysphonia present for at least one year have been managed at the Cleveland Clinic since Dedo's report. None of them had any improvement with conventional voice therapy and were subjected, therefore, to recurrent laryngeal nerve section.

Humans↗

PubMedDate not supplied

Laryngeal reinnervation for unilateral vocal cord paralysis: long-term results.

Since 1976 modified nerve-muscle pedicle reinnervation for restoration of adductor function in unilaterally paralyzed vocal cords has been performed at the Cleveland Clinic. This technique has reserved for patients with "valuable" voices such as clergymen, public speakers, professional singers and actors. It was felt that this technique should offer potential for restoration of quality of voice and in particular of pitch control, superior to that usually obtained by Teflon injection, because of restoration of the ability to tense the vocal cord. In this regard nerve-muscle pedicle reinnervation is potentially superior to any of the other techniques available for medialization of the unilaterally paralyzed cord. At the present time 27 patients have undergone this surgery and have been followed long enough (at least one year) to determine if the procedure was successful or not. All of these have been subjected to preoperative and postoperative voice recordings on high quality tape equipment. Some of them have been subjected to voice printing for vocal analysis. There have been no complications in the group and all but two of the patients have achieved significant voice improvement as a result of the surgery. The details of current technique and demographic data and follow-up will be presented.

Follow-Up Studies↗