Types and Timing of Therapy for Vocal Fold Paresis/Paralysis After Thyroidectomy: A Systematic Review and Meta-Analysis

Chen, Xuhui; Wan, Ping; Yu, Yabin; Li, Ming; Xu, Yanyan; Huang, Ping; Huang, Zaoming

doi:10.1016/j.jvoice.2014.02.003

Cited by 49 publications

(55 citation statements)

References 38 publications

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“…The majority of our patients (66.7%) had had tracheotomy performed previously. An excellent alternative for tracheotomy seems to be the technique of laterofixation after Lichtenberger et al [10,20]. The technique is simple, fast, and inexpensive and most importantly of all -reversible.…”

Section: Discussionmentioning

confidence: 99%

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Możliwości naprawcze porażeń fałdów głosowych w wyniku operacji gruczołu tarczowego

Lisowska

Sowa

Misiołek

et al. 2015

Endokrynologia Polska

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Introduction: Surgery of the thyroid gland remains the main cause of bilateral vocal cord palsy (VCP). Ventilation problem is the main problem in such situations. There are a couple of corrective surgical procedures in the case of VCP. The aim of our study was to show the possibility of widening of the glottis, and to evaluate the techniques and effects of surgical treatments due to bilateral VCP resulting from thyroid gland surgery. Material and methods: Five methods of surgical treatment were used: laser-assisted posterior cordectomy, according to Denis and Kashima; laser-assisted bilateral medial arytenoidectomy, as proposed by Crumley; laser-assisted posterior ventriculocordectomy, as described by Pia; laser-assisted total arytenoidectomy with posterior cordectomy, as presented by Ossoff; and laterofixation, according to Lichtenberger. The postoperative patient's subjective improvement was assessed using visual analogue scale. Results: Between 1998 and 2014 we operated on 270 patients with bilateral VCP. Paresis occurred as the result of the iatrogenic effect of thyroid gland surgery in 255 patients (94.4%) vs. 15 (7.6%) from other causes. The majority of our patients (77.6%) had undergone laser arytenoidectomy with posterior partial cordectomy, and in 13.7% of them Lichtenberger laterofixation had been performed. Ossoff 's surgery gives good ventilation results: successful decannulation (62.9% after first surgery; 97.6% final rate) and significant subjective ventilation improvement in 96% of patients.

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Section: Discussionmentioning

confidence: 99%

“…Since it is not possible to easily distinguish the paresis from paralysis right away, an observation time of 6-12 months is needed before the laryngeal corrective surgery can be performed [10]. Numerous different techniques of surgery in the case of the bilateral vocal cord palsy have been proposed [11,12].…”

Section: Prace Oryginalnementioning

confidence: 99%

Możliwości naprawcze porażeń fałdów głosowych w wyniku operacji gruczołu tarczowego

Lisowska

Sowa

Misiołek

et al. 2015

Endokrynologia Polska

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“…The patient's surgery was more than a year prior and as selfhealing of RLN mostly occurs within a half year [20], the treatment was scheduled for a long term about 6 months, at the beginning of November 28 th , 2015, for a total of 23 outpatient treatments (which is divided into 8 sessions and 15 sessions). After two months (8 sessions, once every Thursday) of LQG practice, breathiness was more obvious, but roughness and hoarseness were somewhat alleviated ( Figure 2).…”

Section: Methodsmentioning

confidence: 99%

“…Laryngeal nerve injury after thyroidectomy is a primary cause of UVFP, but timely intervention can improve hoarseness. Chen's group report that for unilateral vocal fold paralysis after thyroidectomy, injection laryngoplasty, voice training and neurolysis are recommended during the first 12 months but laryngeal re-innervation is suggested after 12 months [20]. The patient who had hoarseness after thyroidectomy a year previously did not accept another surgery and he wanted to learn voice training methods to improve hoarseness.…”

Section: Diplophonia Therapymentioning

confidence: 99%

“…These surgeries could make the affected VF side move to the midline, promoting glottal closure and improving vocal function. Chen's group summarize a review of patients with UVFP in the midline position who used voice training methods and during therapy, the potential psychological stress of UVFP patients was an important factor affecting voice rehabilitation [20]. Such individuals tend to lack confidence and avoid participation in social communication.…”

Section: Introductionmentioning

confidence: 99%

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Liuzijue Qigong, a New Method of Voice Training after Thyroidectomy Due to Unilateral Vocal Fold Paralysis: A Case Study

Tang¹,

Li²,

Yu³

et al. 2017

Otolaryngol

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Multicenter Development and Validation of the Vocal Cord Paralysis Experience (CoPE), a Patient-Reported Outcome Measure for Unilateral Vocal Fold Paralysis–Specific Disability

Fernandes‐Taylor

Damico-Smith

Arroyo

et al. 2022

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Unilateral vocal fold paralysis (UVFP) is a common and life-changing complication of cancer, trauma, and an estimated 500 000 head, neck, and chest surgeries performed annually in the US, among other causes (eg, idiopathic). Consequent disabilities are profound and often permanent and can include severe voice, swallowing, and breathing dysfunction and concomitant anxiety, isolation, and fear. Physiological measures often correlate poorly with patient-reported disability. The measure described herein was designed to be a comprehensive, psychometrically sound UVFP-specific patient-reported outcome measure (PROM) for use in clinical trials or at point of care. OBJECTIVE To evaluate the reliability and validity of the CoPE (vocal Cord Paralysis Experience) PROM in a nationally representative sample for both clinical and research use. DESIGN, SETTING, AND PARTICIPANTS This survey validation study was performed at 34 tertiary care centers across the US and included English-speaking adults with unilateral vocal fold immobility confirmed via laryngoscopy.MAIN OUTCOMES AND MEASURES Reliability (internal consistency, alternate form, and test-retest) and validity (convergent and known-group). RESULTSIn total, 613 patients (mean [SD] age, 58 [15.3] years; 394 [64.5%] women) were recruited, and 555 (92.3%) completed surveys for all time points. Internal consistency was high in the overall 22-item PROM and psychosocial, swallow, and voice subscales (Cronbach α > 0.91). Intraclass correlations for individuals between the baseline and 2-week administrations were moderate for the overall score and subscales (intraclass correlations range, 0.66-0.80). There were significant differences between the online and 2-week paper administrations for the overall score and voice and psychosocial subscales (overall scale mean: 54.4 [95% CI, 49.7-59.1] vs 48.9 [95% CI, 43.7-54.0] at 2 weeks). The confirmatory model was found to be suitably fitted based on average r 2 values 0.5 or greater for subscale and overall scores. Correlations between subscales and existing PROMs (Voice-Related Quality of Life, Eating Assessment Tool, and Communication Participation Item Bank) were all greater than 0.69, and mean PROM subscale scores were significantly different across known quartiles of existing PROMs. CONCLUSIONS AND RELEVANCEThe findings of this survey validation study suggest that the CoPE PROM could serve as a psychometrically sound, comprehensive measure of UVFP-attributed disability suitable for use in clinical and research settings to assess within-person changes. The results will inform a user manual to facilitate use in clinical trials comparing the effectiveness and durability of treatments including behavioral (speech therapy), temporary (eg, injection augmentation), and permanent surgical treatments for UVFP.

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Types and Timing of Therapy for Vocal Fold Paresis/Paralysis After Thyroidectomy: A Systematic Review and Meta-Analysis

Cited by 49 publications

References 38 publications

Możliwości naprawcze porażeń fałdów głosowych w wyniku operacji gruczołu tarczowego

Możliwości naprawcze porażeń fałdów głosowych w wyniku operacji gruczołu tarczowego

Liuzijue Qigong, a New Method of Voice Training after Thyroidectomy Due to Unilateral Vocal Fold Paralysis: A Case Study

Multicenter Development and Validation of the Vocal Cord Paralysis Experience (CoPE), a Patient-Reported Outcome Measure for Unilateral Vocal Fold Paralysis–Specific Disability

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