Vocal Fold Paresis: An Evolving Clinical Concept

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Vocal fold paresis and paralysis.

Diagnosis and treatment of the immobile or hypomobile vocal fold are challenging for the otolaryngologist. True paralysis and paresis result from vocal fold denervation secondary to injury to the laryngeal or vagus nerve. Vocal fold paresis or paralysis may be unilateral or bilateral, central or peripheral, and it may involve the recurrent laryngeal nerve, superior laryngeal nerve, or both. The...

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Diagnosis of vocal fold paresis: current opinion and practice.

OBJECTIVES/HYPOTHESIS No accepted standard exists for the diagnosis of vocal fold paresis (VFP). Laryngeal specialists are surveyed to establish expert opinion on diagnostic methodology and criteria. STUDY DESIGN Cross-sectional survey. METHODS Questionnaires were distributed at laryngology conferences in fall 2013. Responses were collated anonymously and subjected to cross-tabulated data a...

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Bilateral vocal fold paresis and multiple system atrophy.

OBJECTIVE To review a case series of patients with systemic neurodegenerative disease presenting to a laryngologist for workup of dysphonia and found to have bilateral vocal fold paresis. DESIGN Case series. SETTING Tertiary care voice center. PATIENTS Series of patients with neurodegenerative disorders examined for dysphonia. MAIN OUTCOME MEASURES History and physical examination inclu...

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Neuromuscular compensation mechanisms in vocal fold paralysis and paresis.

OBJECTIVES/HYPOTHESIS Vocal fold paresis and paralysis are common conditions. Treatment options include augmentation laryngoplasty and voice therapy. The optimal management for this condition is unclear. 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. STUDY DESIGN In v...

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Vibratory asymmetry in mobile vocal folds: is it predictive of vocal fold paresis?

OBJECTIVES The purpose of this study was to determine whether the videostroboscopic finding of vibratory asymmetry in mobile vocal folds is a reliable predictor of vocal fold paresis. In addition, the ability of experienced reviewers to predict the distribution (left/right/bilateral) of the paresis was investigated. METHODS This is a retrospective chart review of all patients who presented to...

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ژورنال

عنوان ژورنال: Current Otorhinolaryngology Reports

سال: 2013

ISSN: 2167-583X

DOI: 10.1007/s40136-013-0019-4