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Volume 09
Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries
.com
August 15-17, 2019 Rome, Italy
&
3
rd
International Conference on
Craniofacial Surgery
4
th
European Otolaryngology-ENT Surgery Conference
Low Level Laser Therapy and Neuromuscular Electrical Stimulation in ENT Rehabilitation: New
therapeutic resource
Andrea Signoretti
University Center São Camilo, Brazil
T
he newest features in speech therapy clinic like Neuromuscular Electrical Stimulation (NMES) , Transcutaneous
Electrical Nerve Stimulation (TENS ) and more recently, the Low Level Laser Therapy (LLLT) have been
promising and effective in dealing with ENT, both for enabling early intervention as well as speeding up the recovery
process. In our clinic, NMES is used to promote sensory and excitatory stimuli extraoral or intraoral, using FORMA®
extensors, which facilitate strength gain and endurance of musculature , TENS has been used to relieve pain, reducing
fatigue, improving vascularity and helping muscle relaxation and LLLT has biomodulator action in the inflammatory,
nociceptive, scarring , edematous, nervous and muscular repair processes. The use of TENS associated with vocal
techniques was used in a female patient, 38 years old, teacher, with high vocal demand and with the diagnosis of
bilateral sulcus vocalis stria minor and vocal nodules and contributed to total resorption of the vocal nodules. In
another case, a 20-year-old patient, Adenotonsillectomy surgical post, evolved with moderate hypernasal resonance
focus dysphonia and dysphagia, nasal reflux for liquids. Using NMES at a sensory and excitatory level with the
FORMA® extensors on the soft palate and conventional therapy it was possible to recovery functional movement
completely of the soft palate, to equilibrate the ressonantal focus and eliminate the symptoms of dysphagia. Several
studies has been demonstrated that the LLLT is an alternative to speed up facial normality in pediatric and adult Bell’s
Palsy, and it has seen in our clinic too, however, there is no scientific studies to late facial palsy. In an initial process of
rehabilitation, using LLLT combined with NMES with the FORMA® extensors, a male, 40 years old, peripheral facial
paralysis for 18 years Facial SCHWANNOMA removal post, has shown promising results with improvement of the
facial mimic. As we have seen, these new features have great applicability in ENT Rehabilitation. In addition to being
considered as a safe, non-invasive, and widely accepted by patients, the combined use of these new techniques with
the conventional techniques of speech and language rehabilitation has added efficiency, assertiveness and celerity in
the rehabilitation process.
Bi graphy
Dr. Andrea Signoretti is a Speech Language Pathologist, specialized in Dysphagia and Voice. Graduate certificate in Neuromuscular Eletrical Stimulation.
LSVT® LOUD Certified Clinician to Apply Speech Treatment for Parkinson Disease and Neurological Conditions,.For 27 years worked closely with ENT
Andrea Signoretti, Otolaryngol (Sunnyvale) 2019, Volume 09