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Vocal fold paralysis

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https://www.readbyqxmd.com/read/29454226/dysphagia-and-laryngeal-pathology-in-post-surgical-cardiothoracic-patients
#1
Anna Miles, Naomi McLellan, Rochelle Machan, David Vokes, Alexandra Hunting, Mary McFarlane, Jennifer Holmes, Kelly Lynn
PURPOSE: Cardiothoracic surgery is known to result in dysphagia and laryngeal injury. While prevalence has been explored, extent, trajectory and longevity of symptoms are poorly understood. This retrospective, observational study explored dysphagia and laryngeal injury in patients following cardiothoracic surgery referred for instrumental swallowing assessment. METHODS: Clinical notes and endoscopic recordings of 106 patients (age range 18-87yrs; mean 63yrs; SD 15yrs) (including 190 endoscopes) at one large tertiary centre were reviewed by two speech-language pathologists and a laryngologist...
February 9, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29451964/a-long-term-comparative-prospective-study-between-reinnervation-and-injection-laryngoplasty
#2
SeungWon Lee, KiNam Park
OBJECTIVES: This study compared and assessed long-term voice outcomes when thyroidectomy-related unilateral vocal fold paralysis (VFP) was managed using injection laryngoplasty (IL) and recurrent laryngeal nerve reinnervation (RLNR). STUDY DESIGN: Prospective clinical study. METHODS: A prospective clinical trial was performed from March 2005 to January 2016 at Soonchunhyang University Bucheon Hospital (Bucheon, South Korea). Nineteen patients who underwent ansa cervicalis to RLNR or direct reinnervation, and 43 patients who underwent IL to treat thyroidectomy-related unilateral VFP, were enrolled...
February 16, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29429357/-the-role-of-laryngeal-electromyography-in-the-diagnosis-of-vocal-cord-movement-disorders
#3
Ádám Bach, Balázs Sztanó, József Géza Kiss, Gerd Fabian Volk, Andreas Müller, Claus Pototschnig, László Rovó
The development of the therapeutic possibilities of vocal cord immobility necessitated the parallel renewal of diagnostic methods. In the last years, laryngeal electromyography, which was first introduced more than 70 years ago, has been re-discovered. After reviewing the international literature and their own experience, the authors present the indications, technical requirements, method and, particularly, the evaluation of the results of this procedure. Laryngeal electromyography makes the differentiation between mechanical fixation and immobility with neurological origin of the vocal folds possible...
February 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29405850/unilateral-vocal-fold-paralysis-and-risk-of-pneumonia-a-nationwide-population-based-cohort-study
#4
Ming-Shao Tsai, Yao-Hsu Yang, Chia-Yen Liu, Meng-Hung Lin, Geng-He Chang, Yao-Te Tsai, Hsueh-Yu Li, Ying-Huang Tsai, Cheng-Ming Hsu
Objective To investigate pneumonia risk among patients with unilateral vocal fold paralysis (UVFP). Study Design Retrospective population-based cohort study. Setting This study used data from the National Health Insurance Research Database of Taiwan, a nationwide population-based database. Subjects and Methods A total of 419 patients newly diagnosed with UVFP between January 1, 1997, and December 31, 2013, were identified from the Longitudinal Health Insurance Database 2000, a nationally representative database of 1 million randomly selected patients...
January 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29402673/idiopathic-unilateral-vocal-fold-paralysis-in-the-adult
#5
F Rubin, A Villeneuve, L Alciato, L Slaïm, P Bonfils, O Laccourreye
GOAL: To analyze the characteristics of adult idiopathic unilateral vocal-fold paralysis. MATERIAL AND METHODS: Retrospective study of diagnostic problems, clinical data and recovery in an inception cohort of 100 adult patients with idiopathic unilateral vocal-fold paralysis (Group A) and comparison with a cohort of 211 patients with isolated non-idiopathic non-traumatic unilateral vocal-fold paralysis (Group B). RESULTS: Diagnostic problems were noted in 24% of cases in Group A: eight patients with concomitant common upper aerodigestive tract infection, five patients with a concomitant condition liable to induce immunodepression and 11 patients in whom a malignant tumor occurred along the path of the ipsilateral vagus and inferior laryngeal nerves or in the ipsilateral paralyzed larynx...
February 2, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29401237/pre-emptive-glottic-enlargement-before-laryngotracheal-surgery-in-patients-at-high-risk-for-postoperative-bilateral-vocal-fold-paralysis
#6
Thomas Schweiger, Konrad Hoetzenecker, Imme Roesner, Berit Schneider-Stickler, Doris-Maria Denk-Linnert, Walter Klepetko
OBJECTIVES: Bilateral vocal fold paralysis (VFP) is a severe complication after laryngotracheal (LT) surgery. The reduced glottic opening leads to significant respiratory distress immediately after the operation and requires the placement of a tracheostomy in most cases. Patients with a pre-existing unilateral VFP or expected recurrent nerve resection are at the highest risk for glottic failure. These patients might benefit from a pre-emptive glottic enlargement before LT surgery. METHODS: We performed a retrospective review of patients who received a pre-emptive glottis enlargement before LT surgery at the Medical University of Vienna from October 2011 to December 2016...
February 1, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29398504/international-consensus-icon-on-basic-voice-assessment-for-unilateral-vocal-fold-paralysis
#7
A Mattei, G Desuter, M Roux, B-J Lee, M-A Louges, E Osipenko, B Sadoughi, B Schneider-Stickler, A Fanous, A Giovanni
There is a growing need for evaluation tools allowing the quantification of the outcome after voice surgeries. Since the end of the 1990s, multiple unfruitful attempts have been made to reach a consensus, including the Dejonckere protocol for the European Laryngological Society in 2001. This suggested to perform objective and quantifiable measures in the following domains: perception, acoustic, aerodynamic, self-evaluation by the patient and videolaryngostroboscopy. But in a PubMed® search with the keywords "Voice Assessment" and "Voice Outcome" since 2001 retrieving 452 articles, only 33 of them were using methods taking into account the first four dimensions proposed by Dejonckere...
February 2, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29395331/detection-of-arytenoid-dislocation-using-pixel-valued-cuneiform-movement
#8
Ashley P O'Connell Ferster, Michael C Ferster, Haley Glatthorn, Bartholomew J Bacak, Robert T Sataloff
OBJECTIVES: This study aims to assess utility of pixel-valued movement software in detecting arytenoid dislocation preoperatively. STUDY DESIGN: This is a retrospective analysis. METHODS: Twenty-seven patients diagnosed with unilateral arytenoid dislocation were included. Diagnosis of arytenoid dislocation was confirmed by lack of vocal fold paralysis on preoperative laryngeal electromyography and by intraoperative findings of cricoarytenoid dislocation...
January 24, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29395330/efficacy-of-two-dimensional-scanning-digital-kymography-in-evaluation-of-atrophic-vocal-folds
#9
In-Ho Bae, Soo-Geun Wang, Jin-Choon Lee, Eui-Suk Sung, Seong-Tae Kim, Yeon-Woo Lee, Duck-Hoon Kang, Yong-Jin Wang
OBJECTIVE: The purpose of this study was to evaluate the clinical feasibility and diagnostic accuracy of two-dimensional scanning digital kymography (2D DKG) in patients with vocal cord atrophy before and after treatment. MATERIALS AND METHODS: We analyzed the characteristics of vocal fold vibration in five patients with unilateral vocal fold paralysis and five patients with presbyphonia. In patients with vocal cord paralysis, the status before and after intracordal injection was compared...
January 29, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29368893/-laryngeal-disease-endoscopic-characterization-of-1493-procedures-based-on-age
#10
José Luis Che-Morales, Esperanza Figueroa-Hurtado, Arturo Cortes-Télles
BACKGROUND: Based on international epidemiology, some laryngeal diseases could be more frequent at certain ages. The objective was to describe endoscopic findings in patients through distinct decades of age in a laryngoscopy facility. METHODS: retrospective and descriptive study; clinical and endoscopic records were collected from 1493 procedures performed between 2009 and 2015, and organized in five groups of age for analysis. Differences among them were analyzed by chi squared and ANOVA...
January 2018: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29355983/early-injection-laryngoplasty-may-lower-risk-of-thyroplasty-a-systematic-review-and-meta-analysis
#11
Peter M Vila, Neel K Bhatt, Randal C Paniello
OBJECTIVE: To determine whether injection laryngoplasty within 6 months following the onset of unilateral vocal fold paralysis (UVFP) decreases the rate of permanent thyroplasty in adults. DATA SOURCES: Search strategies created by a medical librarian were implemented in multiple online research databases. REVIEW METHODS: Inclusion and exclusion criteria were designed to capture randomized clinical trials and cohort studies examining adults with UVFP who received injection laryngoplasty early in the course of treatment, within 6 months of onset, or who were observed...
January 22, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29355973/innervation-status-in-chronic-vocal-fold-paralysis-and-implications-for-laryngeal-reinnervation
#12
R Jun Lin, Libby J Smith, Michael C Munin, Shaum Sridharan, Clark A Rosen
OBJECTIVE: Treatment options for symptomatic unilateral vocal fold paralysis (VFP) include vocal fold augmentation, laryngeal framework surgery, and laryngeal reinnervation. Laryngeal reinnervation (LR) has been suggested to provide "tone" to the paralyzed VF. This implies a loss of tone as a result of denervation without reinnervation. We performed laryngeal electromyography (LEMG) in patients with chronic VFP to understand the innervation status associated with a chronically paralyzed vocal fold...
January 22, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29327686/severity-of-dysphonia-in-patients-during-first-days-after-iatrogenic-injury
#13
Katarzyna Jędra, Ewelina Sielska-Badurek, Kazimierz Niemczyk
INTRODUCTION: The most common cause of vocal fold paralysis (VFP) is iatrogenic injury. Patients with symptoms of VFP present to the specialist after a couple of weeks or even months since the onset of symptoms. In the literature, the data regarding speech impairment during the first days after a iatrogenic injury is lacking. AIM: to evaluate the quality of voice during first days of vocal fold paralysis following a iatrogenic injury. MATERIALS AND METHODS: Twenty-five patients with iatrogenic vocal fold paralysis who presented for phoniatric consultation at the Department of Otolaryngology of the Medical University of Warsaw between May 2015 and December 2016 were enrolled in the study...
October 31, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29310828/-sedation-using-dexmedetomidine-and-remifentanil-with-local-anesthesia-for-intraoperative-speech-monitoring-a-case-report
#14
Leonardo Riedi de Andrade, Yara Marcondes Machado Castiglia
BACKGROUND AND OBJECTIVE: Some surgical procedures such as laryngoplasty require patients to remain conscious during the intraoperative phase in order to enable speech monitoring. Dexmedetomidine and remifentanil were used in this study, since they promote appropriate patient collaboration with facilitated awakening, and are rapidly eliminated. CASE REPORT: The patient complained of dysphonia, which had resulted from unilateral vocal fold paralysis after previous thyroidectomy...
January 5, 2018: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/29299524/computed-tomographic-assessment-of-autologous-fat-injection-augmentation-for-vocal-fold-paralysis
#15
Naoki Nishio, Yasushi Fujimoto, Mariko Hiramatsu, Takashi Maruo, Kenji Suga, Hidenori Tsuzuki, Nobuaki Mukoyama, Mariko Shimono, Kazuhiro Toriyama, Keisuke Takanari, Yuzuru Kamei, Michihiko Sone
Objective: To perform a quantitative computed tomography (CT) assessment of short- and long-term outcomes of autologous fat injection augmentation in patients with unilateral vocal fold paralysis. Study Design: Retrospective case series. Methods: Twelve patients who had undergone autologous fat injection augmentation for unilateral vocal fold paralysis in our hospital between 2011 and 2015 were enrolled in this study. The autologous fat for injection was acquired from periumbilical subcutaneous tissue and was injected orally using a special-purpose laryngeal injection needle...
December 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/29288312/factors-predicting-the-recovery-of-unilateral-vocal-fold-paralysis-after-thyroidectomy
#16
Yong-Sug Choi, Young-Hoon Joo, Young-Hak Park, Sang-Yeon Kim, Dong-Il Sun
BACKGROUND: We used voice analysis and clinicopathological factors to explore the prognosis of unilateral vocal fold paralysis after thyroid surgery. METHODS: The medical records of 63 females who developed unilateral vocal fold paralysis after thyroidectomy were reviewed. All patients were divided into two groups: those who recovered from vocal fold paralysis and those who did not. We analyzed clinical parameters and voice analysis results in a search for correlations with recovery from paralysis...
December 30, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29287848/recurrent-laryngeal-nerve-reinnervation-for-management-of-aspiration-in-a-subset-of-children
#17
Karen B Zur, Linda M Carroll
Pediatric aspiration is a multifactorial process that is often complex to manage. Recurrent laryngeal nerve (RLN) injury can cause glottic insufficiency and aspiration. We describe three cases of unilateral vocal fold paralysis resulting in aspiration and the successful use of the RLN reinnervation for its treatment. The theory for utilizing the reinnervation procedure is that when glottic closure improves and a less breathy vocalization occurs, then the larynx is better equipped to protect the lower airway and avoid aspiration...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29280496/silent-aspiration-who-is-at-risk
#18
Priatharisiny Velayutham, Alexandria L Irace, Kosuke Kawai, Pamela Dodrill, Jennifer Perez, Monica Londahl, Lauren Mundy, Natasha D Dombrowski, Reza Rahbar
OBJECTIVE: To determine the prevalence of silent aspiration in pediatric patients and identify which diagnoses may be associated with this finding. METHODS: An institutional review board-approved retrospective review was conducted for all patients under the age of 18 who underwent modified barium swallow (MBS) studies at a tertiary children's hospital in 2015. Speech-language pathologists reviewed MBS studies to identify aspiration/silent aspiration on each fluid consistency tested...
December 27, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29277350/clinical-practicability-of-a-newly-developed-real-time-digital-kymographic-system
#19
Jin-Choon Lee, Soo-Geun Wang, Eui-Suk Sung, In-Ho Bae, Seong-Tae Kim, Yeon-Woo Lee
BACKGROUND: A digital kymogram shows real images of vocal fold vibration. However, DKG is difficult to use in clinical practice because the recorded image cannot be seen instantaneously after examination, as considerable encoding time is required to visualize a digital kymogram. In addition, frame-by frame analysis should be implemented to evaluate high-speed videoendoscopy data, but is time- and labor-intensive. PURPOSE: The purpose of the study was to validate the clinical practicability of a real-time multislice digital kymographic system developed by the authors...
December 22, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29260776/-the-possibilities-for-the-restoration-of-the-laryngeal-function-the-current-state-of-the-art
#20
I V Reshetov, G V Polunin, A V Ananichuk, L I Ippolitov, A A Kovalenko
The restoration of the functional competence of the larynx following bilateral laryngeal nerve damage and vocal fold paralysis is a serious challenge for the surgeon that has thus far no satisfactory solution. Physiological re-innervation that occurs naturally with time is non-selective and, in the majority of the cases, leads to synkinesis. Laryngeal pacing achieved with the application of the implantable microchips appears to be a promising approach. The animal experiments have demonstrated the possibility of successful restoration of all the functions of the larynx by means of laryngeal pacing but simultaneously revealed a number of technical issues that have to be addressed if the further progress in this field is to be achieved including the choice of the proper materials for implantation, solution of problems pertaining to the neuromuscular mapping during pacer implantation, etc...
2017: Vestnik Otorinolaringologii
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