Abstract
OBJECTIVES/HYPOTHESIS
To determine whether temporary vocal fold injection affects the need for permanent medialization laryngoplasty in patients with unilateral vocal fold paralysis (UVFP).
STUDY DESIGN
Retrospective chart review.
METHODS
A total of 175 patients with dysphonia resulting from UVFP were identified. Patients with documented recovery of vocal fold mobility, <9 months of follow-up after diagnosis of UVFP, previous treatment at other institutions, neoplastic disease involving the larynx, or history of radiation to the larynx were excluded. Fifty-four patients met all inclusion/exclusion criteria. Rates of permanent medialization laryngoplasty in patients undergoing vocal fold injection were compared with those of patients who chose observation or voice therapy.
RESULTS
A total of 35% of patients underwent temporary injection medialization, and the remaining 65% chose conservative management. Five of 19 of the temporary injection medialization patients subsequently underwent permanent intervention compared to 23 of 35 of the conservative management group (P = .0131).
CONCLUSIONS
UVFP patients who underwent vocal fold injection with an agent intended to provide temporary medialization were statistically significantly less likely to undergo permanent medialization laryngoplasty compared to those patients who were treated with conservative management only.
TY - JOUR
T1 - Effect of temporary vocal fold injection medialization on the rate of permanent medialization laryngoplasty in unilateral vocal fold paralysis patients.
AU - Yung,Katherine C,
AU - Likhterov,Ilya,
AU - Courey,Mark S,
Y1 - 2011/09/06/
PY - 2011/03/10/received
PY - 2011/05/06/revised
PY - 2011/05/10/accepted
PY - 2011/9/8/entrez
PY - 2011/9/8/pubmed
PY - 2011/11/16/medline
SP - 2191
EP - 4
JF - The Laryngoscope
JO - Laryngoscope
VL - 121
IS - 10
N2 - OBJECTIVES/HYPOTHESIS: To determine whether temporary vocal fold injection affects the need for permanent medialization laryngoplasty in patients with unilateral vocal fold paralysis (UVFP). STUDY DESIGN: Retrospective chart review. METHODS: A total of 175 patients with dysphonia resulting from UVFP were identified. Patients with documented recovery of vocal fold mobility, <9 months of follow-up after diagnosis of UVFP, previous treatment at other institutions, neoplastic disease involving the larynx, or history of radiation to the larynx were excluded. Fifty-four patients met all inclusion/exclusion criteria. Rates of permanent medialization laryngoplasty in patients undergoing vocal fold injection were compared with those of patients who chose observation or voice therapy. RESULTS: A total of 35% of patients underwent temporary injection medialization, and the remaining 65% chose conservative management. Five of 19 of the temporary injection medialization patients subsequently underwent permanent intervention compared to 23 of 35 of the conservative management group (P = .0131). CONCLUSIONS: UVFP patients who underwent vocal fold injection with an agent intended to provide temporary medialization were statistically significantly less likely to undergo permanent medialization laryngoplasty compared to those patients who were treated with conservative management only.
SN - 1531-4995
UR - https://www.unboundmedicine.com/medline/citation/21898421/Effect_of_temporary_vocal_fold_injection_medialization_on_the_rate_of_permanent_medialization_laryngoplasty_in_unilateral_vocal_fold_paralysis_patients_
L2 - https://doi.org/10.1002/lary.21965
DB - PRIME
DP - Unbound Medicine
ER -
