¹Department of Otorhinolaryngology,Juntendo University of Medicine, Shizuoka Hospital.

²Department of Otorhinolaryngology, Juntendo University Faculty of Medicine.

Corresponding Author: Takeshi Kusunoki, Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, 1129 Nagaoka Izunokuni-shi, Shizuoka 410-2295, Japan, Tel: +81-55-948-5088;
E-Mail: [email protected]

Received Date: 03 Sep 2017  
Accepted Date: 07 Oct 2017  
Published Date: 10 Oct 2017

Copyright ©2017 Kusunoki T

Citation: Kusunoki T and Ikeda K. (2017). A Simple Voice Training Method by Emphasizing Abdominal Respiration and Refractory Laryngeal Granulomas. M J Otol. 1(1): 002.

 

ABSTRACT

Background: Previously, we designed a simple method of voice training by emphasizing abdominal respiration and our voice therapy was reported to improve most cases with vocal fold nodules or polyps. Some hospitals reported that operation and proton pump inhibitors (PPI ) were not very effective for laryngeal granulomas. In this study, our voice training method was employed for refractory laryngeal granuloma cases with resistance to PPI(including some operative recurrent cases before or after PPI treatment).A male child 6 year old presenting acutely, following trauma, with the clinical appearance of a right nasal mass appearance like 'blueberry' within the right nasal vestibule since 7 days. We recommend early surgical drainage and excision of this lesion, as delay in definitive treatment may give rise to a cosmetic deformity.

Subjects and Methods: All 29 cases of laryngeal granuloma had not improved with PPI treatment for 8 weeks. Some cases underwent laryngomicrosugery before or after PPI treatment and showed postoperative recurrence. All cases were treated by our method of voice training alone, using no other therapy (e.g., silence therapy, medicine, operation) during the voice training period.

At our hospital otorhinolaryngology out-patient clinic, voice therapy was performed using a simple method of voice training by emphasizing abdominal respiration. In additional to the home exercise program, all patients received a detailed explanation of our voice training method, and exercised twice or three times-daily for 10 minutes. Moreover, we instructed them as follows. If patients sense that phonation during daily conversation excessively stresses the vocal fold, they should correct to naturally relaxed phonation by exhaling with abdominal respiration. Follow up evaluations were scheduled for every month after their initial visit.

Results: In 26 of 29 cases with laryngeal granulomas, the lesions disappeared or reduced.

Conclusions: These results suggest that our method of voice training could improve many cases with refractory laryngeal granuloma.

 

KEYWORDS
Abdominal Type of Respiration; Voice Training; laryngeal Granuloma; Proton Pump Inhibitor (PPI).