Search

Treatment of abductory spasmodic dysphonia with botulinum toxin injection into the posterior cricoarytenoid muscles often results in only partial symptom relief. In contrast, excellent results can be achieved after thyroarytenoid injection for the adductory type of spasmodic dysphonia. One reason for disappointing results may be inaccurate placement of the botulinum toxin into the posterior cricoarytenoid muscles. We describe a new approach to posterior cricoarytenoid injection used in 18 patients for treatment of abductory spasmodic dysphonia. Of the 30 patients treated for abductory spasmodic dysphonia at Loyola University–Chicago, 6 underwent both a retrocricoid approach and the newer transcricoid method, thus allowing patient and clinician comparison of techniques. We and all six of our patients preferred the transcricoid approach because of less discomfort, equivalent or better voice results, and fewer side effects. (Otolaryngol Head Neck Surg 1997;117:487-92.)

Laryngeal image biofeedback (LIB) is a new therapeutic technique for selected patients with abnormal vocal production. In particular, patients with false vocal fold phonation or psychogenic aphonia/dysphonia who have failed traditional voice therapy have been found to respond to LIB. The apparatus and procedure used for this technique are presented along with suggested criteria for patient selection.

H. Roger Grant and Charles W. Bohi. The Country Railroad Station in America. Sioux Falls, S.D.: Augustana College, Center for Western Studies, 1988, 192 pp.Julius K. Hunter. Westmoreland and Portland Places: The History ana Architecture of America's Premier Private Streets, 1888-1988. Columbia: University of Missouri Press, 1988, 219 pp. illus. $39.55.Michael Bradshaw. Regions and Regionalism in the United States. Jackson: University Press of Mississippi, 1988, x and 187 pp.David J. Nemeth. The Architecture of Ideology: Neo-Confucian Imprinting on Cheju Island, Korea. Berkeley: University of California Press, 1987, xi, 323 pp., maps, photos, diagrams, glossary, references, not indexed, $42.00.