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Vocal folds paralysis

Molly L Naunheim, Katherine C Yung, Sarah L Schneider, Jennifer Henderson-Sabes, Hardik Kothare, Danielle Mizuiri, David J Klein, John F Houde, Srikantan S Nagarajan, Steven W Cheung
OBJECTIVES: To evaluate differences in vocal motor control and central auditory processing between treated unilateral vocal fold paralysis (UVFP) and healthy control cohorts. STUDY DESIGN: Cross-sectional. METHODS: Ten UVFP study patients treated by type I thyroplasty with stable voices were compared to 12 control subjects for vocal motor control using a pitch perturbation response task and central auditory processing performance using a battery of complex sound intelligibility assays that included adverse temporal and noise conditions...
November 28, 2018: Laryngoscope
Kara D Meister, April Johnson, Douglas R Sidell
OBJECTIVE: Vocal fold immobility with resultant dysphagia is a known cause of morbidity in the pediatric population. Herein we evaluate the efficacy and adverse events of injection laryngoplasty in children. STUDY DESIGN: Case series with chart review. SETTING: Tertiary academic children's hospital. SUBJECTS AND METHODS: Patients <12 years of age with unilateral vocal fold immobility, dysphagia, and objective swallow study data were included...
November 20, 2018: Otolaryngology—Head and Neck Surgery
B Duan, Y H Ni, Y Q Dai, Z M Xu
Objective: To investigate the etiology and clinical characteristics of vocal fold paralysis in children. To provide useful information for diagnosis, management and prognosis in the clinical work. Methods: Two hundred and seven children with vocal fold paralysis in Children's Hospital of Fudan University were retrospectively studied, and followed-up. Results: All the patients had hoarseness.151 cases had vocal paralysis in the left side and the main etiology was pulmonary arterial hypertension.43 cases had bilateral vocal paralysis and all of them had respiratory problems...
November 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Farzad Masroor, Debbie R Pan, Julia C Wei, Miranda L Ritterman Weintraub, Nancy Jiang
PURPOSE: To determine the incidence and spontaneous recovery rate of idiopathic vocal fold paralysis (IVFP) and paresis (IVFp), and the impact of steroid treatment on rates of recovery. METHODS: This retrospective cohort study included all patients with IVFP or IVFp within a large integrated health-care system between January 1, 2008 and December 31, 2014. Patient demographics and clinical characteristics, including time to diagnosis, spontaneous recovery status, time to recovery, and treatment, were examined...
November 15, 2018: European Archives of Oto-rhino-laryngology
Kenichi Watanabe, Ai Hirano, Yohei Honkura, Kazutaka Kashima, Masayuki Shirakura, Yukio Katori
PURPOSE: This study was performed to evaluate the incidence and contributing factors of complications associated with medialization laryngoplasty using Gore-Tex in patients with unilateral vocal fold paralysis. METHODS: A retrospective chart review was conducted for all patients who underwent medialization laryngoplasty using Gore-Tex at Tohoku University Hospital between January 2014 and April 2018. A search of series and case reports in PubMed was performed to determine the incidence of complications following medialization laryngoplasty using Gore-Tex...
November 13, 2018: European Archives of Oto-rhino-laryngology
Alexandria L Irace, Natasha D Dombrowski, Kosuke Kawai, Pamela Dodrill, Jennifer Perez, Kayla Hernandez, Kathryn Davidson, Anne Hseu, Roger Nuss, Reza Rahbar
OBJECTIVES/HYPOTHESIS: To describe the prevalence of aspiration in children with unilateral vocal fold paralysis who underwent objective assessment of swallow function. STUDY DESIGN: Retrospective chart review. METHODS: A study of patients presenting to our institution with unilateral vocal fold paralysis in 2015 was conducted. All patients were diagnosed using flexible laryngoscopy. Patients were included if they underwent at least one modified barium swallow (MBS) study for evaluation of their swallowing function due to recurrent respiratory issues and/or feeding difficulty...
November 8, 2018: Laryngoscope
Yoshihiko Kumai, Takumi Miyamoto, Keigo Matsubara, Yasuhiro Samejima, Naoya Yoshida
OBJECTIVES: To clarify the reliability of fiberoptic endoscopic evaluation of swallowing (FEES) compared to videofluoroscopic swallowing studies (VFSSs). Second, we explored the effect of the chin-down maneuver in the presence or absence of vocal fold paralysis (VFP) using FEES in patients with three-field lymphadenectomy (3FL) post-esophagectomy. DESIGN: Retrospective data collection from FEES and VFSS SETTING: Dysphagic clinics at ENT department. PARTICIPANTS: Fifteen patients underwent esophagectomy with 3FL at the Department of Gastroenterological Surgery, during a period of 12 months...
November 1, 2018: Archives of Physical Medicine and Rehabilitation
Peak Woo
Diplophonia can occur in patients with polyps, atrophy, paralysis, or scars. Its vibratory patterns have not been well characterized. High-speed video (HSV) analysis can contribute to their understanding. Twenty subjects with a diplophonic voice quality were studied by HSV. Diplophonia was due to medical causes including vocal fold paresis (n = 7), vocal atrophy (n = 5), polyps (n = 5), and scars/sulci (n = 3). The HSV was analyzed using a multislice digital videokymography (DKG). The DKG tracing was analyzed qualitatively and then transformed into a vibrogram waveform signal for frequency analysis...
October 30, 2018: Journal of Voice: Official Journal of the Voice Foundation
Maria Heikkinen, Svantte Halttunen, Markku Terävä, Jussi M Kärkkäinen, Heikki Löppönen, Elina Penttilä
Between January 2006 and December 2015, 320 patients with vocal fold paralysis (VFP) were identified in Kuopio University Hospital, Finland. The overall annual incidence rate of VFP was 11.4 per 100 000 inhabitants (95% confidence interval 10.1-12.8). The most common etiologies of VFP were iatrogenic (50.6%), idiopathic (21.6%), and neoplasm (14.7%). The incidence of VFP during surgical procedures was 5.2% in thyroid surgery, 4.3% in parathyroid surgery, 16.6% in esophageal surgery, 5.6% in mediastinoscopy, 4% in non-cardiac surgery through sternotomy, 3...
October 28, 2018: Clinical Otolaryngology
Solomon Husain, Babak Sadoughi, Niv Mor, Lucian Sulica
OBJECTIVE: To clarify the time course of recovery in patients with iatrogenic vocal fold paralysis. STUDY DESIGN: Retrospective chart review. METHODS: Medical records for all patients with iatrogenic vocal fold paralysis over a 10-year period were reviewed to obtain demographic and clinical information, including onset of disease and recovery of vocal function. Stroboscopic exams of patients who recovered voice were reviewed blindly to assess return of vocal fold motion...
October 16, 2018: Laryngoscope
H Gurbuz Aytuluk, O Aktas
Cranial nerve palsy is a rare neurological complication of epidural and subarachnoid blocks. Most of these complications are attributed to secondary intracranial hypotension due to cerebrospinal fluid leakage following dural puncture. Vocal fold paralysis (VFP) seems more likely to be overlooked and underreported due to delayed onset of symptoms and lack of attribution of dysphonia to spinal anesthesia. Therefore, VFP can often be missed and described as idiopathic. This article describes a case of VFP due to vagus nerve injury following subarachnoid block...
November 2018: Der Anaesthesist
Maria Catalina Espinosa, Julina Ongkasuwan
PURPOSE OF REVIEW: Ansa to recurrent laryngeal nerve reinnervation, otherwise known as a nonselective laryngeal reinnervation (NSLR), is growing in popularity for the management of pediatric unilateral neuronal vocal fold movement impairment (VFMI). In this chapter, we will review the current treatment options for neuronal VFMI and role that NSLR plays in the treatment algorithm. RECENT FINDINGS: In 2018, Bouhabel and Hartnick published a survey of fellowship trained pediatric otolaryngologists and found an increasing comfort level with NSLR...
December 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
Y N Gao, S C Chen, D H Chen, M Li, W Wang, F Liu, M H Zhu, H L Zheng
Objective: To discuss the long-term efficacy of laryngeal reinnervation using the anterior root of the ansa cervicalis in the treatment of unilateral vocal fold paralysis (UVFP) caused by thyroid surgery. Method: From January 2010 to January 2016, a total of 39 UVFP patients who underwent ansa cervicalis anterior root-to-recurrent laryngeal nerve (RLN) anastomosis and who had suffered nerve disfunction for 6 to 24 months were enrolled as UVFP group.Another 39 age and gender matched normal subjects served as control group...
September 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Hung-Chun Chen, Yu-Cheng Pei, Tuan-Jen Fang
OBJECTIVES/HYPOTHESIS: We aimed to identify the risk factors for iatrogenic unilateral vocal fold paralysis (UVFP) caused by thyroid surgery, to allow the identification of patients requiring nerve-protection procedures and monitoring technologies. STUDY DESIGN: Retrospective case study in a medical center. METHODS: Patients who underwent thyroid surgery from April 2011 to February 2016 and who were diagnosed with UVFP by laryngoscopy and laryngeal electromyography were included...
October 3, 2018: Laryngoscope
Anne Hseu, Nohamin Ayele, Kosuke Kawai, A Lindsay Frazier, Jennifer Mack, Karen Watters, Roger Nuss, Reza Rahbar
No abstract text is available yet for this article.
November 2018: International Journal of Pediatric Otorhinolaryngology
Chloe Walton, Paul Carding, Erin Conway, Kieran Flanagan, Helen Blackshaw
OBJECTIVES: Unilateral vocal fold paralysis (UVFP) typically results in marked changes in voice quality and performance and has a significant impact on quality of life. Treatment approaches generally aim to restore glottal closure for phonation and improve vocal function. There are a wide range of voice outcome measures that are available to measure the treatment effect. Careful selection of voice outcome measures is required to ensure that they are adequate for purpose and are psychometrically sound to detect the treatment effect...
September 19, 2018: Laryngoscope
Matthew G Crowson, Betty C Tong, Hui-Jie Lee, Yao Song, David H Harpole, Harrison N Jones, Seth Cohen
OBJECTIVES/HYPOTHESIS: Vocal fold paralysis/paresis (VFP) is an uncommon but serious complication following esophagectomy. The objectives of this study were to: 1) identify the prevalence of VFP and associated complications after esophagectomy in the United States, and 2) determine the utilization and otolaryngology-head and neck surgery/speech-language pathology (OHNS/SLP) and predictors of such utilization in the management of these patients. STUDY DESIGN: Retrospective database analysis...
September 19, 2018: Laryngoscope
Shekhar K Gadkaree, Alexander Gelbard, Simon R Best, Lee M Akst, Martin Brodsky, Alexander T Hillel
Objective To test the hypothesis that the etiologies of bilateral vocal fold mobility impairment (BLVFI), bilateral vocal fold paralysis (BVFP), and posterior glottis stenosis (PGS) have distinct clinical outcomes. To identify patient-specific and procedural factors that influence tracheostomy-free survival. Study Design Retrospective cohort study. Setting Johns Hopkins Medical Center from 2004 to 2015. Subjects and Methods Case series with chart review of 68 patients with PGS and 17 patients with BVFP. Multiple logistic regression analysis determined factors associated with airway prosthesis dependence at last follow-up and the procedural burden (defined as number of operative procedures per year)...
September 18, 2018: Otolaryngology—Head and Neck Surgery
Cara Sauder, Tanya Eadie
OBJECTIVE/HYPOTHESIS: To determine whether the presence and accuracy of a laryngeal medical diagnosis affects novice listeners' judgments of dysphonia. STUDY DESIGN: Prospective, within subjects, modified factorial experimental design. METHODS: Twenty-six speakers with dysphonia and four normophonic speakers provided speech recordings. Forty novice clinicians evaluated speech samples for roughness and breathiness using 100-mm visual analog scales in two conditions...
September 5, 2018: Journal of Voice: Official Journal of the Voice Foundation
Jonathan H Sin, Hira Shafeeq, Zachary D Levy
PURPOSE: The uses of nimodipine for otolaryngic indications are reviewed, and recommendations for its use in clinical practice are provided. SUMMARY: Nimodipine is currently indicated for the improvement of neurologic outcomes in adult patients with aneurysmal subarachnoid hemorrhage (aSAH). However, other oral and i.v. calcium channel blockers have not exhibited the same beneficial effects in patients with aSAH, leading clinicians to believe that nimodipine possesses unique neuroprotective effects in addition to its calcium channel-blocking and vasodilatory properties...
September 15, 2018: American Journal of Health-system Pharmacy: AJHP
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