Laryngeal electromyography: a proposal for guidelines of the European Laryngological Society

  title={Laryngeal electromyography: a proposal for guidelines of the European Laryngological Society},
  author={Gerd Fabian Volk and Rudolf Hagen and Claus Pototschnig and Gerhard Friedrich and Tadeus Nawka and Christoph Arens and Andreas H. Mueller and Gerhard Foerster and Mira Finkensieper and Ruth Lang-Roth and Christian Sittel and Claudio Storck and Maria Grosheva and M. Nasser Kotby and Carsten M. Klingner and Orlando Guntinas-Lichius},
  journal={European Archives of Oto-Rhino-Laryngology},
Although recognized as a valuable diagnostic tool for more than 60 years, many laryngologists do not routinely use laryngeal electromyography (LEMG). This may be due to a persisting lack of agreement on methodology, interpretation, validity, and clinical application of LEMG. To achieve consensus in these fields, a laryngeal electromyography working group of European neurolaryngologic experts was formed in order to (1) evaluate guidelines for LEMG performance and (2) identify issues requiring… 

Teaching laryngeal electromyography

It is suggested that multimodal teaching techniques are most effective in laryngeal electromyography, and an interactive webpage providing videos and animations to promote multi-modal learning was established.

Laryngeal Electromyography: Are the Results Reproducible?

A proposal to extend application of laryngeal electromyography (LEMG)-guided vocal fold injection to treatment of unilateral vocal fold paralysis to enhance clinical popularity of LEMG: response to the paper by G.F. Volk et al.

The ideas about using LEMG-guided vocal fold injection for unilateral vocal fold paralysis (VFP) are shared and an algorithm for adopting this procedure is proposed as an innovative implementation of L EMG.

Vocal fold paresis: Medical specialists’ opinions on standard diagnostics and laryngeal findings

The laryngology experts in Europe rely on LEMG for diagnosis of VFP like the US American experts, but paradoxically only a minority uses L EMG frequently, and motion abnormities were considered to have the best predictive value for the diagnosis ofVFP.

Diagnostic limitation of laryngostroboscopy in comparison to laryngeal electromyography in synkinesis in unilateral vocal fold paralysis

The findings show that synkinesis cannot be diagnosed using only LS, and underlines the importance of LEMG in clinical routine for detection of laryngeal synKinesis in patients with UVFP before any further therapeutic steps are initiated to avoid later therapy failure.

Laryngeal Electromyography Techniques and Clinical Use.

The anatomy and physiology needed to perform laryngeal electromyography and its clinical usefulness in the new field known as neurolaryngology are highlighted.

Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics

These guidelines cover a comprehensive range of management-related factors, including the diagnosis and treatment of UVFP, and provide in-depth information based on current, up-to-date knowledge.

Laryngeal Electromyography: Present and Future

The addition of quantitative analysis and adductor synkinesis testing to the traditional qualitative analysis has improved the accuracy of LEMG and provide opportunities for future research.

State of the Art of Laryngeal Electromyography

Current research is expanding the role for needle and surface LEMG techniques to study the larynx in states of health and disease, and discusses the current controversies in the use of L EMG in modern otolaryngology.



Recommendations of the Neurolaryngology Study Group on laryngeal electromyography

  • A. BlitzerR. Crumley G. Woodson
  • Medicine, Psychology
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2009

Practice Parameter: Laryngeal Electromyography (An Evidence-Based Review)

Diagnostic laryngeal electromyography: The Wake Forest experience 1995-1999.

  • J. KoufmanG. Postma F. Walker
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2001
LEMG is a valuable diagnostic test that aids the clinician in the diagnosis and management of laryngeal neuromuscular disorders and altered the clinical management in 40% of the patients.

Clinical application of electromyography in vocal fold mobility disorders.

In the present study electromyographic investigations of the laryngeal muscles were made of 13 patients with ages ranging from 22 to 70 years, whose clinical diagnoses included a variety of etiological factors.

Prognostic value of laryngeal electromyography in vocal fold paralysis.

The detection of neural degeneration by laryngeal electromyography allows the prediction of poor functional outcome with sufficient reliability in an early phase of the disease process.

Laryngeal electromyography: electrode guidance based on 3-dimensional magnetic resonance tomography images of the larynx.

Electromyography and neurography in neurolaryngology

Single‐fiber electromyography of the laryngeal muscles

Single‐fiber electromyography (SFEMG) is useful in the evaluation of disorders of neuromuscular transmission and the assessment of motor unit morphology and its application in laryngeal dysfunction.

Abstracts from the 7th Congress of the European Laryngological Society, 29th–31st May 2008, Barcelona, Spain

Although available HPV-vaccinations are not likely to cure an existing HPV-infection, it might be possible to attenuate the natural course of disease in the larynx or promote remission of disease.

Semon's Law Revisited: An Electromyographic Analysis of Laryngeal Synkinesis

Patients with persistent vocal fold immobility are studied and electrical activity suggestive of variable reinnervation and synkinesis is found using laryngeal electromyography, suggesting that the medialization and upright position of the arytenoid is due to synkinese.