The Application and Efficacy of Voice Therapy and Closed Reduction Under Local Anesthesia Combination for Arytenoid Dislocation. Journal of voice : official journal of the Voice Foundation OBJECTIVE:To explore the efficacy of voice therapy combined with closed reduction under local anesthesia upon arytenoid dislocation (AD) and to provide new reference for the clinical treatment of AD. METHODS:Fifty-eight patients diagnosed with unilateral AD were enrolled in the study, which were divided into the closed reduction group under local anesthesia alone (25 cases) and the closed reduction group under local anesthesia combined with voice therapy (33 cases) according to the treatment regimen. The vocal cord movements of the two groups were observed under laryngoscopy before and after treatment. Fundamental frequency (F0), fundamental frequency perturbation (Jitter), amplitude perturbation (Shimmer), and harmonic noise ratio (HNR) of the two groups before and after treatment were analyzed. Maximum vocal time (MPT) and simplified Voice Disturbance Index Scale (VHI-10) scores were obtained. RESULTS:After treatment, the redness and swelling around the affected AD of all patients were improved by an electronic dynamic laryngoscope, and the movement of vocal cords and mucosal waves were improved to diverse degrees. After treatment, F0, Jitter, Shimmer, and HNR in both groups were lower than before treatment, and MPT values were higher than before treatment, and the differences before and after treatment were statistically significant (P < 0.05), and the score of VHI-10 in both groups was lower than before treatment (P < 0.05). Patients in the closed reduction group under local anesthesia combined with voice therapy revealed better outcome over those in the closed reduction group under local anesthesia alone (P < 0.05). CONCLUSIONS:The effect of voice therapy combined with closed reduction under local anesthesia was better than that of closed reduction alone upon AD. 10.1016/j.jvoice.2024.10.002

Incidence of Airway Complications in ICU. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India To show the incidence of airway complications in ICU. Endotracheal intubation is an essential skill performed by multiple medical specialists to secure a patient's airway as well as provide oxygenation and ventilation through the oral route or nose. The goal of endotracheal intubation in the emergency setting is to secure the patient's airway and obtain first-pass success. There are many indications for endotracheal intubation, including poor respiratory drive, questionable airway patency, hypoxia, and Hypercapnia. These indications are assessed by evaluating the patient's mental status, conditions that may compromise the airway, level of consciousness, respiratory rate, respiratory acidosis, and level of oxygenation. In the setting of trauma, a Glasgow Coma Scale of 8 or less is generally an indication for intubation. There are many different complications of intubation as hoarseness of voice, dental injuries, arytenoid dislocation, laryngeal stenosis, tracheal stenosis and tracheomalacia. . 150 patients who were sat in the ICU that developed certain complications. 86 patients (57.3%) were sitting in the ICU develoed certain complications. Liver diseases were the main cause of ICU admission 34 (22.7%) patients then shock 32 (21.3%) patients. Blockage of endotracheal tube was the main ICU complications 18 (12%) patients then sinusitis 16 (10.7%) patients. Endotracheal intubation is a lifesaving procedure and its complications are significant problems in ICUs. A successful procedure of intubation avoids complications. Skilled endotracheal intubation in the ICU decreases the complications. 10.1007/s12070-023-03850-x