Laryngeal Chondrosarcoma: an Exceptional Localisation of a not Unfrequent Bone Tumor

After osteosarcoma, chondrosarcoma is the second most common primary bone tumor accounting for 26% of all malignancies. In the laryngeal region however, chondrosarcomas are rather rare. Only 300 cases are reported in literature. Considering laryngeal chondrosarcoma, about 75% occur in the cricoid cartilage, whereas 20% occur in the thyroid cartilage. In this paper we report a case of thyroidal chondrosarcoma, and based on a thorough literature search we suggest some practical guidelines concerning diagnosis and therapy

Acoustical properties in inhaling singing : a case-study

A highly experienced versatile female professional singer displaying no apparent vocal complaint, developed inhaling singing, an innovative approach to reverse phonation. Although there are some reports in literature that describe the characteristics of ingressive phonation and sounds, to the best of our knowledge, no reports on actual inhaling singing are available in literature. This paper reports a case study on the acoustical analysis of inhaling singing, comparing this innovative technique with traditional exhaling singing. As this is rather undiscovered territory, we have decided to address several questions: is it possible to match the same pitches using inhaling singing compared to exhaling singing? Is the harmonic structure and energy distribution similar? Is it possible to maintain the same phonation duration in both techniques? Are there differences in volume and tessitura (vocal range)? This paper, reporting on the experience of one individual, demonstrates that a tessitura can be mastered in inhaling singing. Spectral analysis reveals a similar frequency distribution in both conditions. However, in inhaling singing the energy of the harmonics is significantly lower for the first 3 overtones, while the maximum phonation time is larger, than in exhaling singing. The singer reports that less effort is required for inhaling singing in the high register. As such, inhaling singing offers new possibilities for vocal performance

Spasmodic dysphonia, perceptual and acoustic analysis: presenting new diagnostic tools

In this article, we investigate whether (1) the IINFVo (Impression, Intelligibility, Noise, Fluency and Voicing) perceptual rating scale and (2) the AMPEX (Auditory Model Based Pitch Extractor) acoustical analysis are suitable for evaluating adductor spasmodic dysphonia (AdSD). Voice recordings of 12 patients were analysed. The inter-rater and intra-rater consistency showed highly significant correlations for the IINFVo rating scale, with the exception of the parameter Noise. AMPEX reliably analyses vowels (correlation between PUVF (percentage of frames with unreliable F0/voicing 0.748), running speech (correlation between PVF (percentage of voiced frames)/voicing 0.699) and syllables. Correlations between IINFVo and AMPEX range from 0.608 to 0.818, except for noise. This study indicates that IINFVo and AMPEX could be robust and complementary assessment tools for the evaluation of AdSD. Both the tools provide us with the valuable information about voice quality, stability of F0 (fundamental frequency) and specific dimensions controlling the transitions between voiced and unvoiced segments

Interpretation and visualisation of data from dairy herds

Vets often use key performance indicators (KPIs) to evaluate the actual performance status of a dairy herd. Basic knowledge of data analysis is necessary to interpret these KPIs correctly, but unfortunately vets often lack the training and knowledge required to do this. This article aims to make vets aware of common data interpretation errors and discusses four data misinterpretation pitfalls - variation, momentum, lag and bias - as well as introduces the concept of data visualisation, such as the use of graphs and charts, to help vets avoid these pitfalls

Position Statement of the Union of European Phoniatricians (UEP) : Fees and Phoniatricians' Role in Multidisciplinary and Multiprofessional Dysphagia Management Team

The need for multidisciplinary and multiprofessional management of dysphagia is constantly increasing and creating a major challenge for healthcare professionals and society, especially in terms of professional expertise and human resources. The distribution of tasks among the dysphagia team members, which includes phoniatricians, otolaryngologists, and speech-language therapists, is flexible and overlapping. For assessing dysphagia, the (fibreoptic) flexible endoscopic evaluation of swallowing (FEES), with or without videofluoroscopy, is a pivotal diagnostic tool. This position paper aims to illustrate the phoniatrician's role in performing a FEES, which is an indispensable component of the diagnostic workup of patients suffering from oropharyngeal dysphagia. It is based on the current collaborative expert view of the Swallowing Committee of the Union of European Phoniatricians and a literature review. A FEES is one of the core competences of phoniatricians due to their endoscopic expertise and experience in the field of dysphagia and diseases of the upper aerodigestive tract. Therefore, the phoniatrician is an important member of the dysphagia team, for the medical diagnostics of the aerodigestive tract and dysphagia as well as for FEES. Phoniatric competence is especially important for head and neck cancer patients, infants, and complex cases.Peer reviewe