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Unilateral Vocal Fold Paralysis

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Impact of patient-related factors on successful autologous fat injection laryngoplasty in thyroid surgical treated related unilateral vocal fold paralysis- observational study: Erratum.

Medicine (Baltimore) (Medicine)
[2020, 99(7):e19406]

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Vocal Cord Paralysis as a Complication of Endotracheal Intubation.

Melis Demirag Evman, Ayse Adin Selcuk,

Endotracheal intubation is a commonly used method for securing airway. It is considered to be safe but it can still lead to some complications of the airway. Recurrent nerve paralysis due to endotracheal intubation is a rare complication. Pathophysiology is explained as neuropraxia of RLN's compression between the tube and ... Read more >>

J Craniofac Surg (The Journal of craniofacial surgery)
[2020, 31(2):e119-e120]

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Additional Injection Laryngoplasty for Patients With Unilateral Vocal Fold Paralysis.

Nayeon Choi, Seongjun Won, Hokyung Jin, Hack Jung Kim, Woori Park, Young-Ik Son,

OBJECTIVES:In case of insufficient voice improvement after injection laryngoplasty (IL), additional IL will be one of the next option of treatments. However, little is known about the voice outcomes regarding an additional IL. STUDY DESIGN:Retrospective comparative study in single institution. METHODS:We enrolled the patients of unilateral vocal fold paralysis (UVFP), ... Read more >>

Laryngoscope (The Laryngoscope)
[2020, :]

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The effect of lateral neck dissection on complication rate for total thyroidectomy.

Daniel J Rocke, Hillary Mulder, Derek Cyr, Russel Kahmke, Walter T Lee, Liana Puscas, Kristine Schulz, David L Witsell,

PURPOSE:To determine the complication profile for total thyroidectomy with and without concomitant lateral neck dissection using a large administrative database. MATERIALS AND METHODS:The IBM MarketScan® Commercial Database (2010-2014) analytic cohort was queried for patients ≥18 years or older undergoing total thyroidectomy (or equivalent procedures) from January 1, 2010 to June 30, ... Read more >>

Am J Otolaryngol (American journal of otolaryngology)
[2020, :102421]

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Bilateral vocal fold immobility: Clinical findings of ten cases and suggested treatment options.

Koji Matsushima, Hirose Hajime, Nobuhiko Oridate,

OBJECTIVE:To present the clinical findings of 10 cases of bilateral vocal fold immobility (adducted type) and suggest potential treatment options. METHODS:This retrospective study included 10 patients who underwent tracheostomy for restricted airway due to bilateral vocal fold immobility of the adducted type during the period from 2007 to 2017. All ... Read more >>

Auris Nasus Larynx (Auris, nasus, larynx)
[2020, :]

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Rehabilitation Protocol for Unilateral Laryngeal and Lingual Paralysis (Tapia Syndrome): Comment About "A Challenging Case of Tapia Syndrome After Total Thyroidectomy" By Ildem Deveci, Mehmet Surmeli, and Reyhan Surmeli.

Pietro De Luca, Matteo Cavaliere, Alfonso Scarpa, Luisa Savignano, Ettore Cassandro, Claudia Cassandro, Maurizio Iemma,

Tapia syndrome is a rare complication after surgery, with ipsilateral paralysis of vocal cord and tongue due to extracranial involvement of recurrent laryngeal and hypoglossal nerves. Tapia's case report is extremely interesting for both the rarity of the reported cases and for the importance of an early rehabilitation. In a ... Read more >>

Ear Nose Throat J (Ear, nose, & throat journal)
[2020, :145561320907433]

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Hospitalized Patients With New-Onset Vocal Fold Immobility Warrant Inpatient Injection Laryngoplasty.

Lindsay Reder, Caitlin Bertelsen, Varun Angajala, Karla O'Dell, Laurel Fisher,

OBJECTIVES:To evaluate the impact of early inpatient bedside injection laryngoplasty (IL) in hospitalized patients with iatrogenic unilateral vocal fold immobility (UVFI). STUDY DESIGN:Retrospective cohort study. METHODS:A retrospective review of hospitalized patients with iatrogenic UVFI undergoing IL between September 2013 and June 2017 was performed. Patients had a swallow evaluation by ... Read more >>

Laryngoscope (The Laryngoscope)
[2020, :]

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Precision treatment of post pneumonectomy unilateral laryngeal paralysis due to cancer.

Salvatore Cocuzza, Milena Di Luca, Antonino Maniaci, Michele Russo, Paola Di Mauro, Marcello Migliore, Agostino Serra, Giacomo Spinato,

Aim: The aim of this study is to assess the efficacy of external laryngeal medialization acquired through a Gore-Tex implant in a 45 patients affected by unilateral vocal fold paralysis in abduction after pneumonectomy. Method: The cohort of patients was made up of 30 male (73.1%) and 11 female patients (26.9%) ... Read more >>

Future Oncol (Future oncology (London, England))
[2020, :]

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Prognostic value of the posterior cricoarytenoid muscle atrophy in computerized tomography scans for unilateral vocal fold paralysis recovery.

Doh Young Lee, Dmitriy Kogay, Seulki Song, Ye Ji Shim, Bo Hae Kim, Young Ju Jin, Seong Dong Kim, Yewon Kim, Eun Jae Chung, Tack-Kyun Kwon,

OBJECTIVES:To evaluate the prognostic value of the posterior cricoarytenoid (PCA) muscle atrophy observed on neck computed tomography (CT) in patients with unilateral vocal fold paralysis. METHODS:CT images of 87 subjects with unilateral vocal fold paralysis (UVFP) were evaluated to analyze the PCA muscle atrophy and to measure the severity of ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, 277(3):827-832]

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Immediate Ansa Cervicalis-to-Recurrent Laryngeal Nerve Anastomosis for the Management of Recurrent Laryngeal Nerve Infiltration by a Differentiated Thyroid Carcinoma.

Wei Wang, Fei Liu, Caiyun Zhang, Meng Li, Shicai Chen, Yingna Gao, Mengjie Chen, Hongliang Zheng,

OBJECTIVES:The optimal surgical approach to treat recurrent laryngeal nerve (RLN) infiltration by differentiated thyroid cancer (DTC) remains a subject of debate. This study explored the feasibility and efficiency of immediate ansa cervicalis nerve (ACN)-to-RLN anastomosis for the management of RLN infiltration by DTC. MATERIAL AND METHODS:Fifty-three patients who underwent immediate ... Read more >>

ORL J. Otorhinolaryngol. Relat. Spec. (ORL; journal for oto-rhino-laryngology and its related specialties)
[2020, 82(2):93-105]

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Effect of voice therapy with or without transcutaneous electrical stimulation on recovery of injured macroscopically intact recurrent laryngeal nerve after thyroid surgery.

Martin Formánek, Radana Walderová, Šárka Baníková, Irina Chmelová, Debora Formánková, Karol Zeleník, Pavel Komínek,

PURPOSE:Electrical stimulation-supported therapy is an often used modality. However, it still belongs to experimental methods in the human larynx. Data are lacking with which to evaluate the real effect in recurrent laryngeal nerve injury. The aim of this study was to investigate whether transcutaneous electrical stimulation added to voice therapy ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, 277(3):933-938]

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Cricopharyngeal myotomy for delayed Cricopharyngeal dysfunction after head and neck surgery - case report.

An Sung, Ka-Wo Lee,

BACKGROUND:Head and neck surgeries can perturb normal structures of neck muscles and nerve innervations, which are supposed to function in harmony to allow complicated process like swallowing. It is still likely that cricopharyngal dysfunction emerges years after the head and neck surgeries. CASE PRESENTATION:We report a case with history of ... Read more >>

BMC Surg (BMC surgery)
[2020, 20(1):6]

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Effect of Unilateral Cordotomy on Perception of Dysphagia.

Melissa Conklin, Matthew S Clary, Elizabeth M Cuadrado, Marie E Jetté,

OBJECTIVES:CO2 laser medial transverse cordotomy is a permanent static procedure performed to achieve adequate functional airway in cases of posterior glottic stenosis and bilateral vocal fold paralysis. Although it is the preferred method to manage long-term bilateral vocal fold immobility, it is widely believed that cordotomy has the potential to ... Read more >>

Ann. Otol. Rhinol. Laryngol. (The Annals of otology, rhinology, and laryngology)
[2019, :3489419898711]

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Influence of level difference due to vocal folds angular asymmetry on auto-oscillating replicas.

Anne Bouvet, Isao Tokuda, Xavier Pelorson, Annemie Van Hirtum,

Dysphonia is often caused by level difference between left and right vocal folds, which are positioned on different angles with respect to the transverse plane, resulting in angular asymmetry. Unilateral vocal fold paralysis may cause such angular asymmetry. In this case, the normal vocal fold is located on the transverse ... Read more >>

J. Acoust. Soc. Am. (The Journal of the Acoustical Society of America)
[2020, 147(2):1136]

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[Effect of partial cricotracheal resection and extended cricotracheal resection for severe laryngotracheal stenosis].

P C Cui, D Q Zhao, Z H Guo, L P Liang, W Wang,

Objective: To assess the outcomes of partial cricotracheal resection (CTR) and extended cricotracheal resection (ECTR) for severe laryngotracheal stenosis. Methods: From November 2009 to September 2017, 18 patients underwent CTR and ECTR at the Department of Otorhinolaryngology Head and Neck Surgery, Tangdu Hospital, Air Force Medical University for severe laryngotracheal ... Read more >>

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi (Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery)
[2020, 55(2):94-97]

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Objectivation of laryngeal electromyography (LEMG) data: turn number vs. qualitative analysis.

Lukas Kneisz, Gerd Fabian Volk, Winfried Mayr, Matthias Leonhard, Claus Pototschnig, Berit Schneider-Stickler,

PURPOSE:This paper describes a first attempt to quantify LEMG data based on turn number calculation. The results obtained for both healthy and ailing thyroarytenoid (TA) muscles of patients with unilateral vocal fold immobility (UVFI) were compared with the respective qualitative evaluation concerning volitional activity to determine whether the two types ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, :]

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Intra-operative vagal neuromonitoring predicts non-recurrent laryngeal nerves: technical notes and review of the recent literature.

S Van Slycke, K Van Den Heede, K Magamadov, J-P Gillardin, H Vermeersch, N Brusselaers,

Background: During thyroid surgery, extreme caution must be taken not to harm the recurrent laryngeal nerve to avoid vocal cord palsy. A non-recurrent laryngeal nerve (NRLN) is a rare anatomical variation that is extremely vulnerable during thyroid surgery.Methods: Description of two NRLN during thyroid surgery discovered early by using continuous ... Read more >>

Acta Chir. Belg. (Acta chirurgica Belgica)
[2020, :1-6]

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Impact of patient-related factors on successful autologous fat injection laryngoplasty in thyroid surgical treated related unilateral vocal fold paralysis- observational study.

Wen-Yang Lin, Wen-Dien Chang, Li-Wei Ko, Yung-An Tsou, Sheng-Hwa Chen,

The aim of this study was to compare major voice indicators in different sub-categories, the outcome of lipoinjection for patients might be refined and some voice prognostic factors could be more particularized in specific sub-groups. This is an observational study, and sub-grouped UVFP patients into 3 categories: male vs female, ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(1):e18579]

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Normalisation of voice parameters in patients with unilateral vocal fold palsy: is it realistic?

R Kumar, N Banumathy, P Sharma, N K Panda,

BACKGROUND:Disorders of voice can limit an individual's participation and impair social interaction, thus affecting overall quality of life. Perceptual and objective evaluations can provide the clinician with detailed information regarding voice disorders. METHODS:This study comprised 40 subjects aged 34-46 years, 20 of whom (10 male, 10 female) had unilateral vocal ... Read more >>

J Laryngol Otol (The Journal of laryngology and otology)
[2019, 133(12):1097-1102]

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Main branch of ACN-to-RLN for management of laryngospasm due to unilateral vocal cord paralysis.

Wei Wang, Jianxiong Sun, Haihong Tang, Yingna Gao, Shicai Chen, Meng Li, Hongliang Zheng,

OBJECTIVES/HYPOTHESIS:This study explored the feasibility and efficiency of main branch of ansa cervicalis nerve (ACN)-to-recurrent laryngeal nerve (RLN) anastomosis for management of paroxysmal laryngospasm due to unilateral vocal cord paralysis (UVCP). METHODS:Thirteen patients who underwent main branch of ACN-to-RLN anastomosis for management of paroxysmal laryngospasm due to UVCP were enrolled ... Read more >>

Laryngoscope (The Laryngoscope)
[2019, :]

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A unique case of hoarseness of voice following left supraclavicular brachial plexus block.

Shagufta Naaz, Adil Asghar, Nandan K Jha, Erum Ozair,

Hoarseness of voice following supraclavicular brachial plexus block is a rare complication and is seen in 1.3% of cases. It has been reported in cases of right supraclavicular brachial block exclusively. The reason for this is the course of recurrent laryngeal nerve which is not the same in the left ... Read more >>

Saudi J Anaesth (Saudi journal of anaesthesia)
[2020, 14(1):109-111]

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Prevalence, incidence, and characteristics of dysphagia in those with unilateral vocal fold paralysis.

Benjamin Schiedermayer, Katherine A Kendall, Maya Stevens, Zhining Ou, Angela P Presson, Julie M Barkmeier-Kraemer,

OBJECTIVES/HYPOTHESIS:The purpose of this study was to investigate the impact of dysphagia definition on the incidence and overall prevalence of dysphagia in patients with unilateral vocal fold paralysis (UVP) stratified by etiology. STUDY DESIGN:Retrospective medical chart review. METHODS:Data was collected from the records of individuals diagnosed with UVP from 2013 ... Read more >>

Laryngoscope (The Laryngoscope)
[2019, :]

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Kommerell's diverticulum: rare cause of unilateral vocal cord palsy.

Pawan Kumar, Anuradha Singh, Sheragaru Hanumanthappa Chandrashekhara,

Kommerell's diverticulum is a relatively rare congenital aortic arch anomaly. A 56-year-old man presented with complaint of gradually progressive hoarseness of voice since 6 months. Clinical examination revealed no evidence of palpable neck mass or cervical lymphadenopathy. Indirect laryngoscopy showed right vocal cord in median position and was immobile during ... Read more >>

BMJ Case Rep (BMJ case reports)
[2019, 12(11):]

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Natural Course of Unilateral Vocal Fold Paralysis and Optimal Timing of Permanent Treatment.

Dong-Han Lee, Sang-Youp Lee, Minhyung Lee, Jungirl Seok, Sung Joon Park, Young Ju Jin, Doh Young Lee, Tack-Kyun Kwon,

Importance:Permanent surgical treatment for unilateral vocal fold paralysis (UVFP) should be performed when further neural recovery is improbable. Conservative delay of the surgical procedure may cause unnecessary deterioration of the patient's quality of life. Knowledge of the natural course of UVFP is important for better management and counseling. Objective:To evaluate ... Read more >>

JAMA Otolaryngol Head Neck Surg (JAMA otolaryngology-- head & neck surgery)
[2019, :]

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Nonselective Laryngeal Reinnervation versus Type 1 Thyroplasty in Patients with Unilateral Vocal Fold Paralysis: A Single Tertiary Centre Experience.

Azlina Ab Rani, Mawaddah Azman, Muhammad Azhan Ubaidah, Mohd Razif Mohamad Yunus, Abdullah Sani, Marina Mat Baki,

OBJECTIVE:This study compared the voice outcomes of selected patients with unilateral vocal fold palsy (UVFP) who underwent either nonselective laryngeal reinnervation (LR) or Type 1 thyroplasty (thyroplasty) in a Malaysian tertiary centre using multidimensional voice assessments. PARTICIPANTS:The study included 16 patients with UVFP who underwent either LR (9 patients) or ... Read more >>

J Voice (Journal of voice : official journal of the Voice Foundation)
[2019, :]

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