Approach to diagnosis of vocal fold immobility: a literature review

Afsah, Omayma

doi:10.4103/1012-5574.156088

Cited by 5 publications

(4 citation statements)

References 65 publications

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“…Consistent with our findings, Dedecjus et al reported a 50% reduction from the pre‐operative value or an absolute value ≤30 cm/sec to be an indicator of VF paralysis . Immobility of VF could be due to nerve transection during surgical dissection, or by virtue of a tumour causing compression (due to mass effect), neuropraxia (from encasement), or direct infiltration . Three patients experienced improvement in both mobility and VFDV after tumour resection which can be explained by the release of nerve compression and improved lymphatic drainage ofVFs …”

Section: Discussionsupporting

confidence: 89%

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Functional analysis of vocal folds by transcutaneous laryngeal ultrasonography in patients undergoing thyroidectomy

Dubey

Mittal

Jaipuria

et al. 2018

Acta Anaesthesiol Scand

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Provided achievement of optimal acoustic window, TCLUS can reliably assess disabled VFs with FL reserved for their confirmation or doubtful cases. Subjective assessment of VF mobility should suffice in most cases with additional VFDV estimation reserved pre-operatively for situations with higher risk of VFs disability, and post-operatively when subjective VF assessment findings are discordant from pre-operative status.

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Section: Discussionsupporting

confidence: 89%

“…The physiological variations in VFDV with age and gender have been explained by an increase in fibrous tissue and shorter length of VF in females respectively . while pathological decrease occurs in association with RLN involvement (neuropraxia or compression effect) …”

Section: Discussionmentioning

confidence: 99%

Functional analysis of vocal folds by transcutaneous laryngeal ultrasonography in patients undergoing thyroidectomy

Dubey

Mittal

Jaipuria

et al. 2018

Acta Anaesthesiol Scand

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“…Vokal kord paralizileri kulak burun boğaz hastalıklarının sık rastladığı bir hastalığın bulgusudur, bir tanı değildir (2). Etyolojisinde neoplastik (%32), cerrahi (%30), idiyopatik (%16), travmatik (%11), nörolojik (%8), enfeksiyonlar (%3) yer alır (3).…”

Section: Discussionunclassified

Tüp Torakostomi̇ Sonrasi Geli̇şen Vokal Kord Parali̇zi̇si̇

Eşme

Doğan

Duran

2020

Kocatepe Tıp Dergisi

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Vokal kord paralizisi vagal sinir disfonksiyonu sonucu ortaya çıkar. Etyolojisinde iyatrojenik sebepler, enfeksiyon, travma ve malignensi yer alır. Tüp torakostomi işlemi göğüs cerrahi kliniklerinde en sık uygulanan cerrahi girişimlerden biridir. Nispeten güvenli bir cerrahi işlem olmasına rağmen, tüp takma ve tüp çıkarma arasındaki dönemde bazen komplikasyonlar görülebilir. En sık komplikasyonları arasında tüpün malpozisyonu, etkin olmayan drenaj, intraparankimal lokalizasyon ve akciğer parankim yaralanması görülebilir. Tüp torakostomiye bağlı ses kısıklığı ve vokal kord paralizisi çok nadirdir. 26 yaşında erkek hasta nefes darlığı ve göğüs ağrısı gelişmesi üzerine kliniğimize başvurdu. Akciğer grafisinde sol hidropnömotoraks tespit edilerek tüp torakostomi uygulandı. İşlem sonrasında hastada ses kısıklığı gelişti. Kulak burun boğaz hastalıkları ile konsülte edildikten sonra sol vokal kord paralizisi tespit edildi. Beyin ve boyun tomografilerinde herhangi bir patoloji tespit edilmedi. Hastanın toraks bilgisayarlı tomografisinde perfore kist hidatikle uyumlu görüntü olması ve hava kaçağı kesilmemesi üzerine hasta opere edildi. Hasta postoperatif 7. günde taburcu edildi. Kontrollerinde yapılan laringoskopisinde vokal kord paralizinin düzeldiği görüldü.

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“…The LEMG was assessed qualitatively using Koufman classification. 15 The patients’ voices were assessed using multidimensional voice outcomes: (1) Bahasa Malaysia version of voice handicap index-10 (mVHI-10), 16 (2) maximum phonation time (MPT), and (3) acoustic analysis. The acoustic analysis, including jitter%, shimmer%, and noise-to-harmonic ratio (NHR), was measured using OperaVOX.…”

Section: Case Reportmentioning

confidence: 99%

Primary Nonselective Laryngeal Reinnervation in Iatrogenic Acute Recurrent Laryngeal Nerve Injury: Case Series and Literature Review

et al. 2021

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Treating an acutely injured recurrent laryngeal nerve by primary nonselective laryngeal reinnervation (LR) during thyroidectomy is encouraged to minimize postoperative morbidity. Performing a concurrent transoral temporary injection laryngoplasty (IL) may improve the patient’s voice while waiting for the effect of successful reinnervation. Chronological multidimensional voice outcomes (qualitative and quantitative) and combination of the primary nonselective LR with concurrent transoral IL were not explicitly demonstrated in previous cases that published the literature. In this study, the authors presented the multidimensional voice parameters of 3 patients undergoing primary nonselective LR with concurrent IL during thyroidectomy. The parameters were measured at different time points (2 weeks and 1, 3, 6, and 12 months) following the surgery. Laryngeal electromyography was done at 1 to 2 months and 12 months postsurgery. The results showed that the voices, qualitatively and quantitatively, were within normal range at within 3 months postintervention. The parameters were slightly beyond the normal limit at 3 months and returned to normal at 6 months postintervention and beyond. The LEMG depicted evidence of successful reinnervation in which the motor unit was normal comparable to the opposite normal vocal fold.

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Approach to diagnosis of vocal fold immobility: a literature review

Cited by 5 publications

References 65 publications

Functional analysis of vocal folds by transcutaneous laryngeal ultrasonography in patients undergoing thyroidectomy

Functional analysis of vocal folds by transcutaneous laryngeal ultrasonography in patients undergoing thyroidectomy

Tüp Torakostomi̇ Sonrasi Geli̇şen Vokal Kord Parali̇zi̇si̇

Primary Nonselective Laryngeal Reinnervation in Iatrogenic Acute Recurrent Laryngeal Nerve Injury: Case Series and Literature Review

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