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  • ISSN: 2379-948X
    Volume 5, Issue 2
    Research Article
    Afaq Abbasova* and Elcin Tadihan Ozkan
    Objectives: Voice therapy is one of the options for management of dysphonia. Therapy attendance affects the voice therapy outcome. The aim of this study is to analyze the demographic features of voice therapy patients in Turkey and patient’s attendance to voice therapy.
    Methods: 468 dysphonic patients (279 female, 179 male), aged between 4-74 years, were included in this study. Their documents analyzed retrospectively. Patients’ age, gender, professions, diagnosis, and attendance to therapy were analyzed.
    Results: The patients were divided into two age groups: 4-18 years were in the pediatric group, and 19-74 years were in the adult group. The most prominent professions among the patients of the adult group were teacher, homemakers and students. The predominant diagnoses among children who were directed to voice therapy were vocal nodules, mutational falsetto and functional dysphonia. The predominant diagnoses among the adults were vocal nodules, functional dysphonia, and vocal fold paralysis. 50,21% of the total patient underwent voice therapy. 27,14% of the patients who were referred for voice therapy didn’t begin therapy after the first assessment by a speech and language therapist. 54 patients had attended to 3-6 therapy sessions, whereas 52 patients had attended to only 1 or 2 therapy sessions, and because of several reasons they dropped out from the voice therapy programme.
    Conclusions: Adults were directed to voice therapy more frequently than children. The frequent diagnoses of patients who were referred for voice therapy were nodules and functional dysphonia. A high percentage of nonattendance to voice therapy sessions was observed.
    Review Article
    Goubran Eskander*
    Background: The diagnosis and management of Idiopathic Sudden Sensorineural Hearing Loss (ISSNHL) has been always controversial and is likely to remain so. As being a disease of unknown/putative causes and unpredictable outcome, standard documentation/ definitions/ plan of management are needed. A large array of empiric treatments has been used and serious side effects can occur from such empiric treatment(s). The lack of one or more uniformly accepted treatment(s)/investigation(s) potentially increases the cost of management/ risks on patients. Even the presence of clinical guidelines doesn’t mean that all physicians are aware of it, and its implementation may be difficult, impractical or not feasible. Therefore, it is important for each hospital/ local department to provide clinicians with evidence-based local protocol/ agreement in evaluating patients with ISSNHL, with particular emphasis on management.
    Aim: The aim is to develop protocol for management of ISSNHL using evidence-based medicine (EBM) and available clinical guidelines. This protocol/policy is intended for local hospitals/ departments to aid diagnose or manage patients who present with ISSNHL. This protocol follows available EBM and published guidelines, and at the same time will be cost-effective with reasonable risk-benefit. The protocol is aimed to be a one paper sheet, to be clear and easy to follow on display panels in clinics/emergency departments or on intranet to be viewed or printed easily
    Conclusions: This protocol represents a good practice with high levels of clinical effectiveness in use. It is feasible, applicable and in line with recent EBM and guidelines. It can be used by local hospitals/ departments in actual practice to provide safe and high standard care. Though it is intended to represent the local care for patients’ management through easy clear steps that every physician can follow, as it is important to standardize the management of ISSHL in a local hospital/ department, but it can mainly be a nucleus upon which further audit/research can proceed to build up more EBM and measure its practicality.
    Stave Salgado Karen Vanessa*
    Dysphagia is any disruption to the swallow sequence that results in compromise to the safety, efficiency, or adequacy of nutritional intake. Pediatric dysphagia has focused largely on a number of specific populations at risk for swallowing difficulties, such as children with cerebral palsy, acquired/traumatic brain injury, other neuromuscular disorders, craniofacial malformations, airway malformations, congenital cardiac disease, and gastrointestinal disease.
    The gastroesophageal disorders that cause dysphagia and swallowing/feeding difficulties, such as gastroesophageal gastroesophageal reflux disease, eosinophilic esophagitis and achalasia need an early diagnosis because they can compromise quality of life and produce complications at the patients.
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