Vocal fold paresis: evidence and controversies

@article{Sulica2007VocalFP,
  title={Vocal fold paresis: evidence and controversies},
  author={Lucian Sulica and Andrew Blitzer},
  journal={Current Opinion in Otolaryngology \& Head and Neck Surgery},
  year={2007},
  volume={15},
  pages={159–162}
}
  • L. Sulica, A. Blitzer
  • Published 1 June 2007
  • Medicine
  • Current Opinion in Otolaryngology & Head and Neck Surgery
Purpose of reviewTo present and assess the current state of knowledge regarding vocal fold paresis. Recent findingsNeurogenic compromise of vocal fold function exists along a continuum encompassing partial denervation (paresis), complete denervation (paralysis), and variable degrees and patterns of reinnervation. Not abundantly recognized clinically until recently, paresis typically presents with symptoms of glottic insufficiency. As a result of preserved vocal fold mobility, paresis can be… 

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

Denervation of the external branch of the superior laryngeal nerve: laryngeal and phonatory features

  • N. Roy
  • Medicine
    Current opinion in otolaryngology & head and neck surgery
  • 2011
TLDR
In-vivo modeling of ESLN paralysis combined with clinical case studies suggests that deviation of the petiole of the epiglottis to the side of cricothyroid muscle weakness (during high-pitch voice production) may represent a potentially valuable diagnostic sign of both acute and chronic unilateral ESLN denervation.

Vocal fold paresis - a debilitating and underdiagnosed condition.

TLDR
This study shows that laryngeal electromyography is an important diagnostic tool and patients with persisting dysphonia and apparently normal vocal fold movement, who fail to respond to appropriate speech therapy, should be investigated for a diagnosis of vocal fold paresis.

Vocal Fold Paresis.

Experiencia clínica en el manejo de parálisis cordales en posición abierta: tratamiento actual

TLDR
A significant improvement of the hoarseness with the phoniatric manage exists in patients with vocal cord paralysis in abduction position, and in the group subject medialization thiroplasty 55% were secondary to surgery with a 77% of postoperating satisfactory evaluation.

Vibratory Asymmetry in Mobile Vocal Folds: Is it Predictive of Vocal Fold Paresis?

TLDR
The videostroboscopic finding of vibratory asymmetry in mobile vocal folds is a reliable predictor of vocal fold paresis in most cases, however, the ability of expert reviewers to determine the distribution (left/right/bilateral) of the pareis using videostRoboscopic findings is poor.

Interrater Reliability in Analysis of Laryngoscopic Features for Unilateral Vocal Fold Paresis.

Laryngeal granulomas associated with superior laryngeal nerve paresis.

...

References

SHOWING 1-10 OF 22 REFERENCES

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

Vocal fold paresis

TLDR
A retrospective review of the records of 50 consecutive adult patients with VFP found that VFP appears to be underdiagnosed because many VFP patients have compensatory hyperkinetic disorders at presentation.

Vocal Fold Paresis of Charcot-Marie-Tooth Disease

TLDR
It is concluded that CMT does not spare the cranial nerves, as has been previously thought, and vocal fold paresis is not restricted to CMT type 2 and should not be considered a hallmark of that category.

Muscle Tension Dysphonia as a Sign of Underlying Glottal Insufficiency

TLDR
Clinicians should be aware that compensatory hyperkinetic laryngeal behaviors may mask an underlying organic condition and abnormal MTPs are common in persons with underlying glottal insufficiency.

Vocal cord paralysis, synkinesis and vocal fold motion impairment

TLDR
It is now clear that the neuromuscular pathology of laryngeal innervation is much more complex than previously thought, and it is no longer sufficient to think merely in terms of ‘vocal cord paralysis’.

Laryngeal asymmetry on indirect laryngoscopy in a symptomatic patient should be evaluated with electromyography.

  • K. Altman
  • Medicine
    Archives of otolaryngology--head & neck surgery
  • 2005
TLDR
Controversy remains regarding its limitations, principally whether the use of LEMG ultimately alters the treatment of such a patient, and there is no clear consensus on the choice and timing of intervention to improve the patient’s voice.

Superior laryngeal nerve paresis and paralysis.

Laryngeal myasthenia gravis: report of 40 cases.

Repetitive phonatory tasks for identifying vocal fold paresis.

Vocal cord paralysis, synkinesis and vocal fold motion impairment

for a change in terminology to describe the clinical variations in vocal cord paralysis. Crumley differentiates four clinical types of the condition, although has not personally seen a type IV, nor