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Chapter
Een hese amateurzanger van het levenslied
Een 54-jarige man bezoekt de polikliniek Keel-, neus- en oorheelkunde in verband met een ongeveer vier maanden bestaande heesheid. In het verleden had hij altijd een goede stem en tot voor kort trad hij met wi...
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Benauwd na de geboorte
Na een ongecompliceerde zwangerschap van 39 weken en een niet-vlottende partus, wordt uiteindelijk met behulp van een verder ongecompliceerde vacuümextractie een ogenschijnlijk gezond jongetje van 4.200 gram g...
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Chapter
Een 69-jarige man met slikklachten
Een 69-jarige man bezoekt de polikliniek Keel-, neus- en oorheelkunde in verband met gestoorde voedselpassage die al ten minste een halfjaar zou bestaan en progressief is. Bij navraag bestaan de klachten missc...
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Article
Open AccessVoice in early glottic cancer compared to benign voice pathology
The purpose of this study is to compare (Dutch) Voice Handicap Index (VHIvumc) scores from a selected group of patients with voice problems after treatment for early glottic cancer with patients with benign vo...
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19 Aandoeningen van larynx en trachea
De larynx bevindt zich op het kruispunt van luchtweg en voedselweg en vervult ter plaatse een cruciale rol met betrekking tot ademhaling, slikken, stemgeving en regulering van de luchtweerstand ten behoeve van...
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Chapter
22 Slikstoornissen en slokdarm
De belangrijkste kenmerken van slikstoornissen zijn dysfagie en aspiratie.
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Article
Development of a Double-Membrane Sound Generator for Application in a Voice-Producing Element for Laryngectomized Patients
For voice rehabilitation after total laryngectomy a shunt valve is usually placed in the tracheo-esophageal (TE) wall, thereby enabling the production of a TE voice. Some patients, however, are unable to produ...
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Chapter
Zijn er zelfhulpmethoden voor chronisch recidiverend glottisoedeem?
Chronisch recidiverend glottisoedeem is geen ziektebeeld maar een symptoom. Daarom is er ook geen eenduidig antwoord op de vraag te formuleren. Het ontstaan van dit symptoom is sterk afhankelijk van het onderl...
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Medical Devices
The development of new medical devices is a very time-consuming and costly process. Besides the time between the initial idea and the time that manufacturing and testing of prototypes takes place, the time nee...
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Article
Female-pitched sound-producing voice prostheses – initial experimental and clinical results
In order to improve voice quality in female laryngectomees and/or laryngectomees with a hypotonic pharyngo-oesophageal segment, a sound-producing voice prosthesis was designed. The new source of voice consist...
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Article
Laryngeal framework surgery: a proposal for classification and nomenclature by the Phonosurgery Committee of the European Laryngological Society
Laryngeal framework surgery, developed by Isshiki in the 1970s, is one of the most dynamic areas of phonosurgery and these procedures have served to considerably widen our spectrum and options for surgical im...
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Article
Reinnervation aspects of laryngeal transplantation
Although restoration of laryngeal function after laryngeal transplantation depends on appropriate reinnervation, non-selective reinnervation procedures result in synkinesis and poor function restoration. This...
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Article
Malignant lymphoma of mucosa-associated lymphoid tissue in the larynx
A 36-year-old woman was referred to the department of Otolaryngology / Head and Neck Surgery, University Hospital Vrije Universiteit, because of complaints of hoarseness. A submucosal swelling of the right ve...
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Article
In vitro and in vivo microbial adhesion and growth on argon plasma-treated silicone rubber voice prostheses
Patients who undergo a total laryngectomy usually receive a silicone rubber voice prosthesis for voice rehabilitation. Unfortunately, biofilm formation on the esophageal side of voice prostheses limits their l...
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Article
Laryngeal reinnervation surgery — results of a selective approach in an animal study
Laryngeal reinnervation surgery is a difficult subject due to the fact that the recurrent laryngeal nerve (RLN) is responsible for both adductor and abductor laryngeal activity. Non-selective reinnervation pro...
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Article
Correction of dysphonia using laryngeal framework surgical techniques
Many dysphonias caused by incomplete glottis closure or inadequate vocal fold tension are eligible for phonosurgical correction. Most phonosurgeons presently advocate laryngeal framework surgery as the first t...
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Article
A new method for in vivo evaluation of biofilms on surface-modified silicone rubber voice prostheses
A new method is presented that permits a rapid and accurate in vivo evaluation of biofilm formation on surface-modified silicone rubber voice prostheses. The method is based on partial modification of a Gronin...
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Article
Quantitative analysis of voice quality in early glottic laryngeal carcinomas treated with radiotherapy
The quality of voice after radiotherapy is generally considered to be better than that after surgery for early glottic (Tla and Tlb) carcinomas. Studies concerning voice quality after radiotherapy are scarce, ...
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Article
New surgical techniques for voice improvement
Laryngeal framework surgery for improving or changing the voice is a challenging development in phoniatric surgery. Basically two categories can be distinguished: (1) attempted medialization of the vocal fold,...
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Article
Abstracts of papers
