Unilateral vocal fold palsy &amp; dysphagia: A review

Ha, Jennifer F.

doi:10.1016/j.anl.2020.03.001

Cited by 15 publications

(14 citation statements)

References 132 publications

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“…Cervical spine operation [ 30 ] and oropharyngeal/esophageal or mediastinal problems induced by tumorous lesions, such as tongue cancer [ 31 ] or lymphoma [ 32 ], could provoke structural or functional change. Facial [ 33 ] or vocal fold palsy [ 34 ] could also affect swallowing function. All of the above conditions could lead to the incidence of dysphagia and aspiration, and therefore, could be associated with the incidence of pneumonia as well.…”

Section: Discussionmentioning

confidence: 99%

Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia

et al. 2021

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Objective To investigate the relationship between voluntary peak cough flow (PCF), oropharyngeal dysphagia, and pneumonia in patients who were evaluated with videofluoroscopic swallowing study (VFSS).Methods Patients who underwent both VFSS and PCF measurement on the same day were enrolled retrospectively (n=821). Pneumonia (n=138) and control (n=683) groups were assigned based on presence of pneumonia within 1 month from the date of VFSS assessment. In addition, sex, age (<65 and ≥65 years), preceding conditions, modified Barthel Index (MBI), Mini-Mental State Examination (MMSE), PCF value (<160, ≥160 and <270, and ≥270 L/min), and presence of aspiration/penetration on VFSS were reviewed.Results Pneumonia group was more likely to be male (n=108; 78.3%), ≥65 years (n=121; 87.7%), with neurodegenerative (n=25; 18.1%) or other miscellaneous diseases (n=50; 36.2%), and in poor functional level with lower value of MBI (39.1±26.59). However, MMSE was not significantly different in comparison to that of the control group. The pneumonia group was also more likely to have dysphagia (82.6%) and lower value of PCF (<160 L/min, 70.3%). In multivariable logistic regression analysis, male sex (odd ratio [OR]=6.62; 95% confidence interval [CI], 2.70–16.26), other miscellaneous diseases as preceding conditions (OR=2.52; 95% CI, 1.14–5.58), dysphagia (OR=3.82; 95% CI, 1.42–10.23), and PCF <160 L/min (OR=14.34; 95% CI, 1.84–111.60) were factors significantly related with pneumonia.Conclusion Impaired swallowing and coughing function showed an independent association with the development of pneumonia. Patients with PCF <160 L/min require more attention with lung care and should be encouraged with voluntary coughing strategy to prevent possible pulmonary complications.

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Section: Discussionmentioning

confidence: 99%

Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia

et al. 2021

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“…There were often mixed etiologies causing the vocal gap and decreased mucosa wave during phonation. Not only does vocal quality affect the patient’s communication function, but it also affects the swallowing function and causing a reduced quality of life [ 24 ]. Injection laryngoplasty is considered an exemplary method for these patients, and it could be injected as early as possible [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Autologous Fat Injection Laryngoplasty for Unilateral Vocal Fold Paralysis

Chang

Chen

Tsai

et al. 2021

JCM

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Background: Unilateral vocal palsy (UVFP) affects the voice and swallowing function and could be treated by various materials to achieve improved mucosal wave and better closure during phonation. Injection laryngoplasty is considered an exemplary method for these patients and could be injected as early as possible. We conducted a systematic review and meta-analysis for the subjective and objective outcomes of autologous fat injection laryngoplasty (AFIL) and assessed the effects for patients with UVFP. Methods: We searched studies from PubMed and EBSCO databases with PRISMA appraisal to search for articles about the effects of AFIL on UVFP. The published articles were reviewed according to our inclusion and exclusion criteria. The short- and long-term outcomes of perceptual, acoustic analysis, and quality of life were also analyzed by meta-analysis. Results: Eleven articles were reviewed, and seven studies were selected for meta-analysis. AFIL improves the perceptual outcome and some voice parameters in short-term and long-term results, i.e., jitter, shimmer, and maximal phonation time (MPT). It also significantly improved the voice handicap index (VHI) in the long term, suggesting an increase in quality of life. Conclusions: AFIL is considered a reliable treatment method for UVFP and could even last for over 12 months.

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“…4,5 Studies have reported that voice therapy and laryngoplasty improve vocal and swallowing function in patients with UVFP who have dysphonia and dysphagia. [5][6][7][8][9] However, whether treatment for UVFP can prevent pneumonia remains unclear.…”

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confidence: 99%

“…3 Mainstay treatment modalities for UVFP are voice therapy and surgery, including injection laryngoplasty, medialization laryngoplasty, and arytenoid adduction. 4,5 Studies have reported that voice therapy and laryngoplasty improve vocal and swallowing function in patients with UVFP who have dysphonia and dysphagia. [5][6][7][8][9] However, whether treatment for UVFP can prevent pneumonia remains unclear.…”

mentioning

confidence: 99%

“…Our previous study demonstrated that UVFP could increase the risk of short‐ and long‐term pneumonia 1.7‐fold, with the corresponding cumulative 1‐, 4‐, and 8‐year pneumonia incidence being 6.54%, 13.3%, and 18.8% 3 . Mainstay treatment modalities for UVFP are voice therapy and surgery, including injection laryngoplasty, medialization laryngoplasty, and arytenoid adduction 4 , 5 . Studies have reported that voice therapy and laryngoplasty improve vocal and swallowing function in patients with UVFP who have dysphonia and dysphagia 5–9 .…”

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Reduction in Short‐ and Long‐term Pneumonia Rate With Laryngoplasty for Unilateral Vocal Fold Paralysis

Hsu

Tsai

Chang

et al. 2021

Otolaryngol.--head neck surg.

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Objective To examine the association of laryngoplasty, voice therapy, and pneumonia rate in patients with unilateral vocal fold paralysis (UVFP). Study Design Population-based retrospective cohort study. Setting Data were collected from the LHID2000 (Longitudinal Health Insurance Database 2000), containing the information of 1 million randomly selected patients in Taiwan. Methods In the LHID2000, we identified 439 patients having new diagnoses of UVFP from 1997 to 2013. We grouped the aforementioned patients according to UVFP treatment and probed the occurrence of pneumonia: 305 patients underwent laryngoplasty or voice therapy, and 134 patients did not undergo treatment. Follow-up procedures were executed for the enrollees until death or December 31, 2013, representing the end of the study period. We assessed the association of UVFP treatment and pneumonia by executing Cox proportional hazards regression. Results The pneumonia cumulative incidence was significantly higher among enrolled patients without treatment than in those receiving treatment ( P < .001). The pneumonia incidence was significantly lower in patients receiving UVFP treatment (hazard ratio, 0.49; 95% CI, 0.27-0.88; P = .018), as validated by the Cox proportional hazards model after adjustment. Patients undergoing laryngoplasty with or without voice therapy had a significantly lower incidence of pneumonia at 6 months and 1, 3, and 5 years, whereas those undergoing voice therapy alone did not. Conclusion Laryngoplasty was associated with a lower incidence of short- and long-term pneumonia in patients with UVFP. Physicians should encourage patients with UVFP at risk of aspiration to receive prompt evaluation as well as treatment.

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Unilateral vocal fold palsy & dysphagia: A review

Cited by 15 publications

References 132 publications

Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia

Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia

Autologous Fat Injection Laryngoplasty for Unilateral Vocal Fold Paralysis

Reduction in Short‐ and Long‐term Pneumonia Rate With Laryngoplasty for Unilateral Vocal Fold Paralysis

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