A comparison of outcomes in interventions for unilateral vocal fold paralysis: A systematic review

  title={A comparison of outcomes in interventions for unilateral vocal fold paralysis: A systematic review},
  author={Jennifer M Siu and Samantha Tam and Kevin Fung},
  journal={The Laryngoscope},
OBJECTIVES/HYPOTHESIS To critically review current literature comparing interventional approaches for unilateral vocal fold paralysis. [] Key Method Studies involving treatment of bilateral vocal fold paralysis and nonprocedural interventions were excluded. Included studies were categorized according to level of evidence. Outcomes analyzed were acoustic and aerodynamic measures, auditory perceptive evaluation, laryngoscopic findings, and complications.

Preliminary Clinical Outcomes of VOIS‐Implant in Patients With Unilateral Vocal Fold Paralysis

Evaluation of the clinical outcomes after 6 months of treatment with a novel adjustable implant, the APrevent® Vocal‐Implant‐System (VOIS), in conjunction with medialization thyroplasty (MT) in

Neuromuscular compensation mechanisms in vocal fold paralysis and paresis

The objective of this study was to assess possible neuromuscular compensation mechanisms that could potentially be used in the treatment of vocal fold paresis and paralysis.

Primary Repair Versus No Repair for Transected Recurrent Laryngeal Nerve

This chapter will examine the data regarding this rare but serious complication of thyroid surgery with recommendations regarding immediate primary repair versus no repair in patients with an identified transected RLN during thyroid surgery.

Voice outcomes following medialization laryngoplasty with and without arytenoid adduction

Voice outcomes following medialization laryngoplasty (ML) for unilateral vocal fold paralysis (UVFP) were compared to those who underwent ML plus arytenoid adduction (AA) (ML+AA).

Static Medialization: Fat Injection Versus Medialization Laryngoplasty

There are now many options in the management of unilateral vocal fold paralysis, which can range from temporary vocal fold augmentation in the office under local anesthesia to more permanent options such as framework surgery.

Very long‐term Voice Handicap Index Voice Outcomes after Montgomery Thyroplasty: A cross‐sectional study

  • G. DesuterE. Zapater E. Sjögren
  • Medicine
    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2018
The aim of this multicentric cross‐sectional study was to examine the permanency of Montgomery thyroplasty (MTIS) results from a patient's perspective.

Voice Outcome Measures for Adult Patients With Unilateral Vocal Fold Paralysis: A Systematic Review

This article aims to critically evaluate the literature for voice outcome measures that are used for patients with UVFP to ensure they are adequate for purpose and are psychometrically sound to detect the treatment effect.

Swallowing Disorders and Rehabilitation in Patients with Laryngeal Cancer

In this chapter, expected dysphagia phenotypes and methods of rehabilitation will be highlighted.

Pediatric Unilateral Vocal Fold Immobility.

Vocal fold immobility in children can affect breathing, swallowing, and speech function, and many treatment options exist to improve function and quality of life, including vocal fold injection and laryngeal innervation.



Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis

To determine whether injection laryngoplasty or medialization laryngoplasty is more effective in the long‐term treatment of unilateral vocal fold paralysis (UVFP).

Medialization versus reinnervation for unilateral vocal fold paralysis: A multicenter randomized clinical trial

Vocal fold medialization laryngoplasty (ML) and laryngeal reinnervation (LR) as treatments for unilateral vocal fold paralysis (UVFP) were compared in a multicenter, prospective, randomized clinical

Evidence-based practice: evaluation and management of unilateral vocal fold paralysis.

Complications of Type I Thyroplasty and Arytenoid Adduction

Type I thyroplasty in combination with arytenoid adduction is a proven technique for medialization of the paralyzed vocal fold but must be evaluated in light of potential complications following laryngeal framework surgery.

Unilateral vocal fold paralysis: causes, options and outcomes.

Vocal fold augmentation with autologous fat was particularly successful in achieving sustained improvement of voice and early intervention for symptomatic patients was found to be rewarding and safe.

Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis: follow‐up at six months

Injection and medialization laryngoplasty were comparable in their improvement of subjective and objective voice outcomes and both treatment modalities should be included in the otolaryngologist's armamentarium for managing unilateral vocal fold paralysis.

Videolaryngoscopic assessment of laryngeal edema after arytenoid adduction

Arytenoid adduction as surgical treatment for unilateral vocal fold paralysis is associated with higher morbidity from airway complications due to postoperative laryngeal edema compared with other larygeal framework surgeries, and a new videolaryngoscopic (VL) scoring assessment is evaluated.

Medialization thyroplasty: vocal outcome of silicone and titanium implant

Both silicone and titanium medialization implants showed improvement of vocal outcome, the results of the titanium implant being superior.

Arytenoid adduction with medialization laryngoplasty versus injection or medialization laryngoplasty: The role of the arytenoidopexy

Objective analysis of acoustic and aerodynamic measures were performed before and after surgery to try to resolve controversy about the added role of arytenoid adduction in the rehabilitation of unilateral vocal cord paralysis.