Bilateral vocal fold immobility: diagnosis and treatment

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Bilateral vocal fold immobility: diagnosis and treatment.

UNLABELLED Vocal fold immobility may be due to bilateral neurogenic paralysis, cricoarytenoid joint fixation, laryngeal synechiae, or posterior glottic stenosis. Treatment aims to establish a patent airway and preserve the function of the glottic sphincter and voice quality. OBJECTIVES To analyze the diagnostic and therapeutic approaches in cases of bilateral vocal fold immobility seen at our...

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Laser arytenoidectomy in children with bilateral vocal fold immobility.

Bilateral vocal fold immobility in children is a challenging problem because a balance between good airway and voice quality has to be achieved. Surgery to improve the airway is often postponed or avoided because of fear of losing the voice. In this study our results of laser arytenoidectomy in children are described. This was a retrospective case notes review at a tertiary level paediatric ENT...

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The evolving etiology of bilateral vocal fold immobility.

In the past, bilateral vocal fold immobility (BVFI) occurred most commonly after thyroidectomy. However, no large series documenting the etiology of adult BVFI has been published within the past fifteen years. This study reviews the etiologic patterns of BVFI at our institutions. We compare BVFI from before and after 1980. We also review combined studies of unilateral vocal fold immobility (UVF...

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MANAGEMENT OF VOCAL CORD IMMOBILITY (J BLUMIN, SECTION EDITOR) Evaluation of Unilateral Vocal Fold Immobility

Unilateral vocal fold immobility (UFVI) is a highly variable clinical entity that may be neurogenic or mechanical in origin. Patients with UVFI have varying degrees of voice, swallowing, and airway disturbance. The patient should be carefully evaluated, including thorough history, head, neck, and neurologic examination, and laryngoscopy, to determine the etiology of UFVI and the current level o...

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Effect of Vocal Fold Medialization on Dysphagia in Patients with Unilateral Vocal Fold Immobility.

OBJECTIVE The effect of vocal fold medialization (VFM) on vocal improvement in persons with unilateral vocal fold immobility (UVFI) is well established. The effect of VFM on the symptom of dysphagia is uncertain. The purpose of this study is to evaluate dysphagia symptoms in patients with UVFI pre- and post-VFM. STUDY DESIGN Case series with chart review. SETTING Academic tertiary care medi...

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ژورنال

عنوان ژورنال: Brazilian Journal of Otorhinolaryngology

سال: 2011

ISSN: 1808-8686

DOI: 10.1590/s1808-86942011000500010