Vocal fold paresis: etiology, clinical diagnosis and clinical management

  title={Vocal fold paresis: etiology, clinical diagnosis and clinical management},
  author={Sheila V. Stager},
  journal={Current Opinion in Otolaryngology \& Head and Neck Surgery},
  • S. Stager
  • Published 1 December 2014
  • Medicine
  • Current Opinion in Otolaryngology & Head and Neck Surgery
Purpose of reviewRecent papers on incidence of unilateral paresis in general and for specific causes; techniques to assist clinical diagnosis; computer and animal modeling leading to new assessment tools; and studies on the effectiveness of clinical management. Recent findingsThere is much interest in being able to assess unilateral paresis in patients both pre and post-thyroidectomy. Because the gold standard for defining the presence of paresis is by laryngeal electromyography, which is not… 

Vocal fold paresis: a review of clinical presentation, differential diagnosis, and prognostic indicators

Purpose of reviewVocal fold paresis is a complex, controversial, and unique clinical entity. Guidance in assessing and evaluating these patients is provided in this comprehensive review of the

Vocal Fold Paresis 2020

Purpose of Review Although the clinical significance of vocal fold paresis is generally acknowledged among specialists, details of evaluation and diagnosis remain highly debated. Recent Findings Many

Vocal cord paralysis: What matters between idiopathic and non-idiopathic cases?

Vocal cord paralysis is a relatively common clinical entity with substantial rate of morbidity and identification of the underlying etiology and awareness on the clinical characteristics are keystones for foreseeing complications and determining the appropriate therapeutic modality.

Study of Incidence, Risk Factors and Natural Outcome of Vocal Cord Paresis in Thyroid Operations

Vocal fold (VFP) paresis caused by recurrent laryngeal nerve (RLN) injury is a well known complication of thyroid surgery and it has been widely documented in the literature. The rates of transient

Cricothyroid Muscle Dysfunction Affects Aerodynamic Performance in Patients with Unilateral Vocal Fold Paralysis.

Efficacy of Dexmedetomidine as an Adjunct in Aiding Video laryngoscope-Assisted Assessment of Vocal Cord Movements at Extubation Following Total Thyroidectomy

Assessment of changes in mean arterial pressure during vocal cord assessment following total thyroidectomy using video laryngoscope, with and without the use of dexmedetomidine as an adjunct clinically improved conditions for assessing vocal cord mobility with significant attenuation of associated hemodynamic responses.



Vocal fold paresis: evidence and controversies

Vocal fold paresis is probably a significant source of vocal disability, especially among cases that have eluded straightforward diagnosis, and an accurate assessment of its clinical impact, patterns of dysfunction, natural history and relationship to other pathologies depends on diagnostic rigor and accuracy and is still evolving.

Mild vocal fold paresis: understanding clinical presentation and electromyographic findings.

Is laryngeal electromyography useful in the diagnosis and management of vocal fold paresis/paralysis?

The topic was re-evaluated in 2006 by the Neurolaryngology Study Group of the American Academy of Otolaryngologists Head and Neck Surgery with the conclusion that there is a role for LEMG in the diagnosis of vocal fold movement disorders.

Vocal fold paresis: clinical and electrophysiologic features in a tertiary laryngology practice.

Laryngeal electromyography: clinical application.

Recommendations on follow-up strategies for idiopathic vocal fold paralysis: evidence-based review

Current diagnostic modalities are sufficiently reliable and sensitive to diagnose any significant existing extra-laryngeal pathology and once initial investigation (including computed tomography) has concluded, no further follow up is necessary.

Etiology and Time to Presentation of Unilateral Vocal Fold Paralysis

Iatrogenic injury remains the most common cause of UVFP, and Thyroidectomy remains the leading cause of surgery-related UVFP.

Laryngeal granulomas associated with superior laryngeal nerve paresis.

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

Trial vocal fold injection.