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Voice outcome following acute unilateral vocal fold paralysis.
Ann Otol Rhinol Laryngol. 2013 Mar; 122(3):197-204.AO

Abstract

OBJECTIVES

We assessed voice outcomes following unilateral vocal fold paralysis (UVFP).

METHODS

We performed a retrospective chart review of 72 patients with UVFP proven by laryngeal electromyography, including their Voice Handicap Index-10 (VHI-10) scores at presentation and at the study end point (at the return of vocal fold motion or before the decision regarding definitive treatment).

RESULTS

The average VHI-10 score on presentation was 26.9 of 40 (27.2 for patients who recovered motion and 26.7 for those who did not; p = 0.847). A recovery of vocal fold motion was experienced by 35% of patients, and 76.4% of patients underwent temporary vocal fold injection. For the patients who recovered motion, the average changes in VHI-10 score were -22.3 for those with injection and -11.4 for those without (p = 0.027). For patients without motion recovery, the average changes in VHI-10 score were -9.5 for those with injection and -0.8 for those without (p = 0.027). At the study end point, 84% of patients with return of motion had normal VHI-10 scores, in contrast to 21% of patients without motion recovery (p = 0.0009).

CONCLUSIONS

A return of vocal fold motion is a vital determinant of voice outcome in patients with UVFP. However, despite recovery of vocal fold motion, 16% of patients in this study still had significant voice handicap. In contrast, 21% of patients without motion recovery had normal VHI-10 scores. This information can be used to counsel patients on voice outcome (precluding permanent treatment) with and without recovery of motion. There may be long-term voice benefit from early temporary vocal fold injection.

Authors+Show Affiliations

University of Pittsburgh Voice Center, Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15219, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23577573

Citation

Young, VyVy N., et al. "Voice Outcome Following Acute Unilateral Vocal Fold Paralysis." The Annals of Otology, Rhinology, and Laryngology, vol. 122, no. 3, 2013, pp. 197-204.
Young VN, Smith LJ, Rosen C. Voice outcome following acute unilateral vocal fold paralysis. Ann Otol Rhinol Laryngol. 2013;122(3):197-204.
Young, V. N., Smith, L. J., & Rosen, C. (2013). Voice outcome following acute unilateral vocal fold paralysis. The Annals of Otology, Rhinology, and Laryngology, 122(3), 197-204.
Young VN, Smith LJ, Rosen C. Voice Outcome Following Acute Unilateral Vocal Fold Paralysis. Ann Otol Rhinol Laryngol. 2013;122(3):197-204. PubMed PMID: 23577573.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Voice outcome following acute unilateral vocal fold paralysis. AU - Young,VyVy N, AU - Smith,Libby J, AU - Rosen,Clark, PY - 2013/4/13/entrez PY - 2013/4/13/pubmed PY - 2013/6/21/medline SP - 197 EP - 204 JF - The Annals of otology, rhinology, and laryngology JO - Ann. Otol. Rhinol. Laryngol. VL - 122 IS - 3 N2 - OBJECTIVES: We assessed voice outcomes following unilateral vocal fold paralysis (UVFP). METHODS: We performed a retrospective chart review of 72 patients with UVFP proven by laryngeal electromyography, including their Voice Handicap Index-10 (VHI-10) scores at presentation and at the study end point (at the return of vocal fold motion or before the decision regarding definitive treatment). RESULTS: The average VHI-10 score on presentation was 26.9 of 40 (27.2 for patients who recovered motion and 26.7 for those who did not; p = 0.847). A recovery of vocal fold motion was experienced by 35% of patients, and 76.4% of patients underwent temporary vocal fold injection. For the patients who recovered motion, the average changes in VHI-10 score were -22.3 for those with injection and -11.4 for those without (p = 0.027). For patients without motion recovery, the average changes in VHI-10 score were -9.5 for those with injection and -0.8 for those without (p = 0.027). At the study end point, 84% of patients with return of motion had normal VHI-10 scores, in contrast to 21% of patients without motion recovery (p = 0.0009). CONCLUSIONS: A return of vocal fold motion is a vital determinant of voice outcome in patients with UVFP. However, despite recovery of vocal fold motion, 16% of patients in this study still had significant voice handicap. In contrast, 21% of patients without motion recovery had normal VHI-10 scores. This information can be used to counsel patients on voice outcome (precluding permanent treatment) with and without recovery of motion. There may be long-term voice benefit from early temporary vocal fold injection. SN - 0003-4894 UR - https://www.unboundmedicine.com/medline/citation/23577573/Voice_outcome_following_acute_unilateral_vocal_fold_paralysis_ L2 - http://journals.sagepub.com/doi/full/10.1177/000348941312200309?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -