NEW ASPECTS OF DIAGNOSIS AND TREATMENT OF DYSPHONIA
Keywords:
Keywords: dysphonia, homeopathy, clinical homeopathy, hoarseness, phoniatry, voice, laryngologyAbstract
Abstract. The article discusses the main aspects of diagnosis and treatment of
dysphonia at the present stage and provides modern clinical guidelines. There is a vast
array of pathological processes that can cause dysphonia. Of particular concern in this
context are neoplastic processes and neoplasms, as delays in their diagnosis lead to
higher mortality rates. If dysphonia persists for more than 4 weeks, laryngoscopy is
mandatory to rule out serious laryngeal diseases. People in voice-intensive professions
are most susceptible to dysphonia. It is important to identify risk factors in patients,
which include recent surgeries in the head, neck, and chest area, recent endotracheal
intubation, the presence of neck lesions, voice and speech professions, a history of
smoking, and signs of respiratory failure. Treatment for dysphonia depends on the
cause of the pathological process and may include management of the underlying
disease, pharmacotherapy, non-drug treatment, and surgical intervention. Among the
medications of allopathic medicine, there are very few drugs that specifically improve
the quality of voice function. In this regard, homeopathic medicines play a significant
role in the treatment of voice disorders, as they have demonstrated efficacy in clinical
studies and have a wide range of indications with minimal side effects. However, the
use of traditional homeopathic remedies is limited by the need for specialized
knowledge in homeopathy. To optimize the treatment of these patients, complex
homeopathic medicines have been developed, which can be used in combination with
conventional treatment by specialists without specific knowledge in homeopathy.
References
References
1. Stachler RJ, Francis DO, Schwartz SR, Damask CC, Digoy GP, Krouse HJ et al.
Clinical Practice Guideline: Hoarseness (Dysphonia) (Update). Otolaryngol –
Head Neck Surg. 2018;
2. Reiter R, Hoffmann TK, Pickhard A, Brosch S. Hoarseness: Causes and treatments.
Dtsch Arztebl Int. 2015;
3. Karpishchenko SA, Katinas EB, Kucherova LR, Ryabova MA, Ulupov MYu.
Photodynamic therapy for recurrent laryngeal papillomatosis. Golos i rech Voice
and Speech. 2010;
4. Kunelskaya NL, Romanenko SG, Pavlikhin OG, Eliseev OV. Inhalation treatment
of inflammatory laryngeal diseases. Lechebnoe delo - Medical Business. 2011;
5. Rubin JS, Wendler J, Wustrow V, Dejonckere PH, Wellens W, Kotby N. Phoniatric
provision and training: current European perspectives. J Laryngol Otol. 2007;
6. Vasilenko Y.S. Voice. Phoniatric aspects. Moscow: Energoizdat; 2002;
7. Lowell SY, Barkmeier-Kraemer JM, Holt JD, Story BH. Respiratory and laryngeal
function during spontaneous speaking in teachers with voice disorders. J Speech
Lang Hear Res. 2008;
8. Davids T, Klein A.M., Johns M.M. Current dysphonia trends in patients over the
age of 65: is vocal atrophy becoming more prevalent? Laryngoscope. 2012;
9. Roy N, Merrill RM, Gray SD, Smith EM. Voice disorders in the general
population: prevalence, risk factors, and occupational impact. Laryngoscope.
2005;
10. Titze I.R., Lemke J, Montequin D. Populations in the U.S. workforce who rely on
voice as a primary tool of trade: a preliminary report. J Voice. 1997;
11. Coyle S.M., Weinrich B.D., Stemple J.C. Shifts in relative prevalence of laryngeal
pathology in a treatment-seeking population. J Voice. 2001;
12. Roy N, Kim J, Courey M, Cohen S.M. Voice disorders in the elderly: A national
database study. Laryngoscope. 2016;
13. Chang J, Bevans S.E., Schwartz S.R. Otolaryngology Clinic of North America:
Evidence-Based Practice. Management of Hoarseness/Dysphonia. Otolaryngol
Clin North Am. 2012;
14. Cohen S.M., Dupont W.D., Courey M.S. Quality-of-life impact of non-neoplastic
voice disorders: a meta-analysis. Ann Otol Rhinol Laryngol. 2006;
15. Feierabend R.H., Malik S.N. Hoarseness in adults. Am Fam Physician. 2009;
16. Radtsig E.Y. Dysphonia: causes, methods for correction, and effects of different
groups of drugs on the voice quality. Farmatsiya - Pharmacy. 2014;
17. Karneeva O.V., Ryazantsev S.V., Radtsig E.Y., Kim I.A. The possibilities of
clinical homeopathy in the treatment of acute inflammatory diseases of the upper
respiratory tract. Moscow, Saint Petersburg: Polimed Group, 2017;