Chronic vocal cord palsy in Thuringia, Germany: a population-based study on epidemiology and outcome

Although surgical treatment of patients with chronic vocal cord palsy (VCP) is an integral part of clinical routine of otorhinolaryngologists, there is nearly no population-based data published on incidence and efficiency of this surgery country-wide or nation-wide. 1430 patients with chronic VCP we...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2014-02, Vol.271 (2), p.329-335
Main Authors: Djugai, S., Boeger, D., Buentzel, J., Esser, D., Hoffmann, K., Jecker, P., Mueller, A., Radtke, G., Bohne, S., Finkensieper, M., Volk, G. F., Guntinas-Lichius, O.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Chronic Disease
Female
Germany - epidemiology
Head and Neck Surgery
Humans
Infant
Laryngeal Neoplasms - complications
Laryngeal Neoplasms - pathology
Laryngectomy
Laryngology
Larynx, Artificial
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Invasiveness
Neurosurgery
Otorhinolaryngology
Recurrent Laryngeal Nerve Injuries - complications
Recurrent Laryngeal Nerve Injuries - epidemiology
Recurrent Laryngeal Nerve Injuries - surgery
Retrospective Studies
Tracheostomy
Treatment Outcome
Vocal Cord Paralysis - epidemiology
Vocal Cord Paralysis - etiology
Vocal Cord Paralysis - surgery
Vocal Cords - surgery
Young Adult
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Summary:Although surgical treatment of patients with chronic vocal cord palsy (VCP) is an integral part of clinical routine of otorhinolaryngologists, there is nearly no population-based data published on incidence and efficiency of this surgery country-wide or nation-wide. 1430 patients with chronic VCP were treated in a department of otorhinolaryngology between 2005 and 2010 in Thuringia, Germany. VCP was unilateral and bilateral in 63 and 18 %, respectively. The affected side was not documented in 20 %. Iatrogenic lesions of the recurrent nerve (42 %) and neoplastic infiltration (27 %) were the leading etiologies. 192 patients (13 %) received surgical treatment. 31 % of patient needed more than one surgery. The rate of surgeries was higher for bilateral VCP ( p  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-013-2655-1