Comparison of Ventilation and Voice Outcomes between Unilateral Laryngeal Pacing and Unilateral Cordotomy for the Treatment of Bilateral Vocal Fold Paralysis

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Comparison of ventilation and voice outcomes between unilateral laryngeal pacing and unilateral cordotomy for the treatment of bilateral vocal fold paralysis.

BACKGROUND/AIMS Rehabilitation of the bilaterally paralyzed human larynx remains a complex clinical problem. Conventional treatment generally involves surgical enlargement of the compromised airway, but often with resultant dysphonia and risk of aspiration. In this retrospective study, we compared one such treatment, posterior cordotomy, with unilateral laryngeal pacing: reanimation of vocal fo...

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Vocal improvement after voice therapy in unilateral vocal fold paralysis.

Unilateral vocal fold paralysis (UVFP) is associated with changes in acoustic and aerodynamic voice measurements and can have a significant impact on a patient's quality of life. Few objective data regarding the efficacy of voice therapy for UVFP exist. The aim of this study was to retrospectively analyze voice modifications in a group of patients with UVFP before and after voice therapy. Forty...

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Non-Selective Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis

Unilateral vocal fold paralysis (UVFP) is a nightmare for professional voice users or people with high voice demand such as singers, lawyers, teachers, training consultants and etc. The UVFP occurs due to physical or physiological injury to the vagus nerve or, more commonly, its branch, the recurrent laryngeal nerve (RLN). Common aetiologies of UVFPare iatrogenic, neoplastic and idiopathic. How...

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Prognostic indicators of unilateral vocal fold paralysis.

OBJECTIVES To determine the possible prognostic indicators of unilateral vocal fold paralysis (UVFP) and survey the timing and values of preset laryngeal electromyography (LEMG) rules for UVFP. DESIGN Cohort study with retrospective data analysis. SETTING Voice clinic of a tertiary medical center. PATIENTS Complete data for 45 patients diagnosed with idiopathic or iatrogenic UVFP. The LEM...

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Indications for Phonosurgical Treatment of Unilateral Vocal Fold Paralysis Based on Laryngeal Tomographic Indices

The authors investigated indication for phonosurgery for treatment of unilateral vocal fold paralysis based on laryngeal tomographs taken during sustained phonation of the vowel/u/, using a computed radiography system. As pre-operative quantitative indices, the thickness ratio (the ratio of the frontal sectional area of the paralyzed vocal fold to that of the other side, TR) and the level diffe...

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ژورنال

عنوان ژورنال: ORL

سال: 2013

ISSN: 1423-0275,0301-1569

DOI: 10.1159/000345501