Evaluation and treatment of vocal cord paralysis

Maisel, Robert H.; Ogura, Joseph H.

doi:10.1288/00005537-197402000-00012

Cited by 93 publications

(62 citation statements)

References 25 publications

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“…Injury to the RLN or vagus nerve may occur as a result of a wide range of etiology, including iatrogenic trauma, non-iatrogenic trauma, neoplasm, and systemic disease [1][2][3][4][5]. The lengthy course of the RLNs places them at high risk of injury, particularly the left nerve, which loops around the aorta.…”

Section: Causes Of Vocal Fold Immobilitymentioning

confidence: 99%

Evaluation of Unilateral Vocal Fold Immobility

Kupfer

Meyer

2014

Curr Otorhinolaryngol Rep

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Unilateral vocal fold immobility (UFVI) is a highly variable clinical entity that may be neurogenic or mechanical in origin. Patients with UVFI have varying degrees of voice, swallowing, and airway disturbance. The patient should be carefully evaluated, including thorough history, head, neck, and neurologic examination, and laryngoscopy, to determine the etiology of UFVI and the current level of laryngeal function. If the etiology cannot be determined, cross sectional imaging of the skull base through the mediastinum is recommended to evaluate the underlying cause. Laryngeal electromyography is most useful for predicting poor functional recovery and may affect the decision to proceed with early definitive surgical management. Formal swallowing testing is indicated for patients with dysphagia to identify aspiration.

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Section: Causes Of Vocal Fold Immobilitymentioning

confidence: 99%

Evaluation of Unilateral Vocal Fold Immobility

Kupfer

Meyer

2014

Curr Otorhinolaryngol Rep

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“…For traumatic BVCP Feehery [5] reported an incidence of 32.6 % from Henry ford hospital and 26.7 % from Jefferson hospital. Tucker et al [19] and Maisel [20] reported an incidence of 30 and 31.50 % respectively. The incidence of traumatic BVCP in our study (12.5 %) is less as compared to previous studies, possibly due to small sample size of the patients with BVCP.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of idiopathic BVCP is more erratic than for UVCP. In 1973 Bulteau [23] reported a highest incidence of 50 %; just a year later Maisel [20] reported the lowest incidence literature of 3.7 %. Such differences may be partly ascribed to the criteria used for diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Clinico-Etiolological Study of Vocal Cord Paralysis

Gupta

Varshney

Bist

et al. 2012

Indian J Otolaryngol Head Neck Surg

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The purpose of this study was to identify patients of vocal cord paralysis and to establish an etiological diagnosis. Patients with vocal cord paralysis have been followed prospectively at a tertiary referral center. 120 patients identified with vocal cord paralysis by laryngeal endoscopy were evaluated clinically, radiologically and pathologically to make an etiological diagnosis. Those patients in whom no cause was found, a CT scan from base of skull to thorax was done before labeling them as idiopathic. Most of the patients presented in 5th (26.67 %) and 6th (21.67 %) decade. Males out numbered females in the ratio 2.3:1.0. The most common symptom of vocal cord paralysis was change in voice (98.21 %). Bilateral vocal cord palsy was found in 6.67 % patients and unilateral vocal cord palsy was found in 93.33 % patients. Among patients of unilateral vocal cord paralysis left vocal cord was paralyzed in 69.64 % and right cord in 30.36 %. Malignant (34.16 %) causes accounted for largest number of patients followed by central (15.00 %) and idiopathic causes (14.16 %). VCP has got a variable etiology which varies with the laterality of the vocal cord involvement. Malignant causes predominated in our series, occurring in 34.16 %, followed by central and idiopathic causes.

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“…In weiteren Veröffentlichungen wird die differenzialdiagnostische Abklärung manifester Stimmlippenfunktionsstörun-gen dargestellt [5,31,50,67,74,81,84]. Aufgrund der Anamnese erfolgte bei weniger als 11% der Patienten dieser Untersuchungen die Zuordnung zur Ursache "Intubation".…”

Section: Kritischer Kommentar Aus Anästhesiologischer Sichtunclassified

Nicht jeder Stimmlippenstillstand nach Schilddr�senoperation ist eine chirurgischbedingte Rekurrensparese

Dralle

Kruse

et al. 2004

Chirurg

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Since the phoniatrician H. Bauer described the first case of recurrent laryngeal nerve palsy most likely caused by intubation some 45 years ago, several case reports have been published. However, systematic analyses regarding the frequency of recurrent laryngeal nerve palsies due to intubation are scarce, and none of them has used the proper methods to demonstrate clearly that such a mechanism exists. Currently available data justify the assumption that not every recurrent laryngeal nerve palsy following thyroid surgery is due to the operation itself and that the damage caused by intubation, however, may only account for a minority of these cases. The differential diagnosis of postoperative recurrent laryngeal nerve palsy requires the use of specific tools which go beyond simple laryngoscopy and include stroboscopy as well as intra- and extralaryngeal electromyography. A partial palsy of recurrent laryngeal nerve due to intubation would be associated with severe dysphonia or aphonia, not with dyspnea because of the typical intermediate position of the paralyzed vocal folds with a normal electromyographic function of the cricothyroid muscle. The use of these methods to identify the nature of postoperative recurrent laryngeal nerve palsy is recommended in cases of regular intraoperative neuromonitoring but postoperatively impaired function of the vocal cords.

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Evaluation and treatment of vocal cord paralysis

Cited by 93 publications

References 25 publications

Evaluation of Unilateral Vocal Fold Immobility

Evaluation of Unilateral Vocal Fold Immobility

Clinico-Etiolological Study of Vocal Cord Paralysis

Nicht jeder Stimmlippenstillstand nach Schilddr�senoperation ist eine chirurgischbedingte Rekurrensparese

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