Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative Study
Introduction. This study prospectively evaluates and compares the treatment efficacy of botulinum toxin injection under electromyography guidance (EMG group) and percutaneous botulinum toxin injection under flexible fiberscopic guidance (fiberscopy group). Methods. Thirty patients with adductor spas...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/327928 |
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| author | Jae Wook Kim Jae Hong Park Ki Nam Park Seung Won Lee |
| author_facet | Jae Wook Kim Jae Hong Park Ki Nam Park Seung Won Lee |
| author_sort | Jae Wook Kim |
| collection | DOAJ |
| description | Introduction. This study prospectively evaluates and compares the treatment efficacy of botulinum toxin injection under electromyography guidance (EMG group) and percutaneous botulinum toxin injection under flexible fiberscopic guidance (fiberscopy group). Methods. Thirty patients with adductor spasmodic dysphonia (ADSD), who had never received treatment, were randomly allocated into EMG- or fiberscopy-guided botulinum toxin injections between March 2008 and February 2010. We assessed acoustic and aerodynamic voice parameters, and the voice handicap index (VHI) before injection and at 1, 3, and 6 months after injection. Results. The mean total dosage of botulinum toxin was similar for both groups: 1.7 ± 0.5 U for the EMG group and 1.8 ± 0.4 U for the fiberscopy group (P>0.05). There were no significant differences in outcomes between the two groups in either the duration of effectiveness or complications such as breathy voice and aspiration. Conclusion. Botulinum toxin injection under fiberscopic guidance is a viable alternative to EMG-guided botulinum toxin injection for the treatment of adductor spasmodic dysphonia when EMG equipment is unavailable. |
| format | Article |
| id | doaj-art-231ba3446cf542d3bc687cd536f02f24 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-231ba3446cf542d3bc687cd536f02f242025-02-03T05:43:50ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/327928327928Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative StudyJae Wook Kim0Jae Hong Park1Ki Nam Park2Seung Won Lee3Department of Otolaryngology—Head and Neck Surgery, Soonchunhyang University College of Medicine, 1174 Jung-Dong, Bucheon 420-021, Republic of KoreaDepartment of Otolaryngology—Head and Neck Surgery, Soonchunhyang University College of Medicine, 1174 Jung-Dong, Bucheon 420-021, Republic of KoreaDepartment of Otolaryngology—Head and Neck Surgery, Soonchunhyang University College of Medicine, 1174 Jung-Dong, Bucheon 420-021, Republic of KoreaDepartment of Otolaryngology—Head and Neck Surgery, Soonchunhyang University College of Medicine, 1174 Jung-Dong, Bucheon 420-021, Republic of KoreaIntroduction. This study prospectively evaluates and compares the treatment efficacy of botulinum toxin injection under electromyography guidance (EMG group) and percutaneous botulinum toxin injection under flexible fiberscopic guidance (fiberscopy group). Methods. Thirty patients with adductor spasmodic dysphonia (ADSD), who had never received treatment, were randomly allocated into EMG- or fiberscopy-guided botulinum toxin injections between March 2008 and February 2010. We assessed acoustic and aerodynamic voice parameters, and the voice handicap index (VHI) before injection and at 1, 3, and 6 months after injection. Results. The mean total dosage of botulinum toxin was similar for both groups: 1.7 ± 0.5 U for the EMG group and 1.8 ± 0.4 U for the fiberscopy group (P>0.05). There were no significant differences in outcomes between the two groups in either the duration of effectiveness or complications such as breathy voice and aspiration. Conclusion. Botulinum toxin injection under fiberscopic guidance is a viable alternative to EMG-guided botulinum toxin injection for the treatment of adductor spasmodic dysphonia when EMG equipment is unavailable.http://dx.doi.org/10.1155/2014/327928 |
| spellingShingle | Jae Wook Kim Jae Hong Park Ki Nam Park Seung Won Lee Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative Study The Scientific World Journal |
| title | Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative Study |
| title_full | Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative Study |
| title_fullStr | Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative Study |
| title_full_unstemmed | Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative Study |
| title_short | Treatment Efficacy of Electromyography versus Fiberscopy-Guided Botulinum Toxin Injection in Adductor Spasmodic Dysphonia Patients: A Prospective Comparative Study |
| title_sort | treatment efficacy of electromyography versus fiberscopy guided botulinum toxin injection in adductor spasmodic dysphonia patients a prospective comparative study |
| url | http://dx.doi.org/10.1155/2014/327928 |
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