Idiopathic vocal fold paralysis: Clinical course and outcomes

Abstract This investigation details the results of a retrospective chart review of 35 patients with idiopathic vocal fold paralysis. Clinical findings at presentation, as well as patient outcomes in both the short and long-term duration are comprehensively reported. Spontaneous improvement of vocal...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the neurological sciences 2009-09, Vol.284 (1), p.56-62
Main Authors: Dworkin, James Paul, Treadway, Corey
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Deglutition Disorders - etiology
Deglutition Disorders - therapy
Dyspnea - etiology
Dyspnea - surgery
Female
Follow-Up Studies
Humans
Idiopathic vocal cord paralysis
Male
Medical sciences
Middle Aged
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Neurology
Paralytic dysphonia
Patient Compliance
Respiratory Sounds - etiology
Retrospective Studies
Tracheotomy - utilization
Treatment Outcome
Vocal Cord Paralysis - complications
Vocal Cord Paralysis - diagnosis
Vocal Cord Paralysis - epidemiology
Vocal Cord Paralysis - physiopathology
Vocal Cord Paralysis - rehabilitation
Vocal Cord Paralysis - surgery
Vocal Cord Paralysis - therapy
Vocal Cords - pathology
Vocal fold paralysis
Voice Quality
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract This investigation details the results of a retrospective chart review of 35 patients with idiopathic vocal fold paralysis. Clinical findings at presentation, as well as patient outcomes in both the short and long-term duration are comprehensively reported. Spontaneous improvement of vocal fold function was observed in 25% of patients with long-term follow up. Of those with unilateral paralysis, 27% elected to undergo surgical intervention for improvement of symptoms. Four out of the five (80%) patients with bilateral paralysis required surgical intervention, including tracheotomy to relieve severe dyspnea and stridor. Discussions regarding possible underlying, occult etiologies of idiopathic vocal fold paralysis are presented, and suggested sequential behavioral and surgical treatment strategies are introduced.
ISSN:0022-510X
1878-5883
DOI:10.1016/j.jns.2009.04.004