title: [Analysis of phonosurgical methods of treatment in spasmodic dysphonia].
abstract: Spasmodic dysphonia (SD) is rather a rare voice disorder. It is most often seen in woman aged 40-50. The disease is caused by deep emotional and neurological disorders of extrapyramidal system. Two main clinical forms of SD are distinguished: about 90% of cases - adductor spasmodic dysphonia and abductor spasmodic dysphonia roughly 10%. Conservative therapy does not always yield sufficient effects. Botulinum toxin - type A injections into the thyroarytenoid muscle are also used in therapy. Though results are temporary and reversible. Among phonosurgical methods thyroplasty type II according to Isshiki and tyroarytenoid muscle myectomy (TAM) should be also mentioned among phonosurgical methods. The aim of the work is to evaluate results of conservative and phonosurgical treatment of SD. Spasmodic dysphonia markedly restricts communication process of patients and public relations both social and occupational.
authors.affiliation: Department of Clinical Phonoaudiology and Logopedics, Medical University of Bialystok, Poland.
authors.forename: Bożena
authors.initials: B
authors.lastname: Kosztyła-Hojna
authors.affiliation: Department of Clinical Phonoaudiology and Logopedics, Medical University of Bialystok, Poland.
authors.forename: Greta
authors.initials: G
authors.lastname: Berger
authors.affiliation: Department of Clinical Phonoaudiology and Logopedics, Medical University of Bialystok, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Zdrojkowski
mesh_terms: D000328:Adult; D001905:Botulinum Toxins / Q000008:administration & dosage / Q000627:therapeutic use; D055154:Dysphonia / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D007821:Laryngeal Muscles / Q000187:drug effects / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures
chemical_list: D001905:Botulinum Toxins
keywords: botulinum toxin type A; phonosurgery; spasmodic dysphonia; thyroplasty