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Unilateral vocal fold palsy & dysphagia: A review.
Auris Nasus Larynx. 2020 Apr 06 [Online ahead of print]AN

Abstract

OBJECTIVES

Unilateral vocal fold palsy (UVFP) is the commonest neurological laryngeal disorder. Much of the research have focused on its implication on voice, with limited data on its impact on swallowing. The aim of this paper is to examine the current evidence on the pathophysiology, impact and management of UVFP and swallowing.

METHODS

A literature search was conducted on the PubMed, MedLine, and Embase databases based on the keywords "unilateral vocal cord palsy" and "dysphagia" for this narrative review.

RESULTS

Dysphagia is common in UVFP. A safe and effective swallow is more than just glottic competence but coordination of complex events within the aerodigestive tract's sensory and motor systems. It is an important secondary outcome which has short- and long-term impact on our patient's quality of life. It should be managed in a multi-disciplinary manner to optimise patient's outcome.

CONCLUSION

It is important to consider the disease, patient and surgical factors when deciding on the type and timing of management options. There is increasing evidence of benefits with early surgical interventions, challenging the traditional conservative management to rule out spontaneous recovery and compensation.

Authors+Show Affiliations

Department of Paediatrics Otolaryngology Head & Neck Surgery, Perth Children's Hospital, Roberts Road, Nedlands 6009, Australia; Murdoch ENT, Wexford Medical Centre, St John of God Hospital (Murdoch), Suite 17-18, Level 1, 3 Barry Marshall Parade, Murdoch 6150, Australia; School of Surgery, University of Western Australia, Stirling Highway, Crawley 6009, Australia; St John of God Hospital (Murdoch), Wexford Medical Center, Suite 17-18, Level 1, 3 Barry Marshall Parade, Murdoch 6150, Australia. Electronic address: drjennha@yahoo.com.au.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32273191

Citation

Ha, Jennifer F.. "Unilateral Vocal Fold Palsy & Dysphagia: a Review." Auris, Nasus, Larynx, 2020.
Ha JF. Unilateral vocal fold palsy & dysphagia: A review. Auris Nasus Larynx. 2020.
Ha, J. F. (2020). Unilateral vocal fold palsy & dysphagia: A review. Auris, Nasus, Larynx. https://doi.org/10.1016/j.anl.2020.03.001
Ha JF. Unilateral Vocal Fold Palsy & Dysphagia: a Review. Auris Nasus Larynx. 2020 Apr 6; PubMed PMID: 32273191.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unilateral vocal fold palsy & dysphagia: A review. A1 - Ha,Jennifer F, Y1 - 2020/04/06/ PY - 2019/11/10/received PY - 2020/02/11/revised PY - 2020/03/05/accepted PY - 2020/4/11/entrez KW - Dysphagia KW - Swallowing difficulty KW - Swallowing dysfunction KW - Unilateral vocal fold palsy KW - Vocal cord JF - Auris, nasus, larynx JO - Auris Nasus Larynx N2 - OBJECTIVES: Unilateral vocal fold palsy (UVFP) is the commonest neurological laryngeal disorder. Much of the research have focused on its implication on voice, with limited data on its impact on swallowing. The aim of this paper is to examine the current evidence on the pathophysiology, impact and management of UVFP and swallowing. METHODS: A literature search was conducted on the PubMed, MedLine, and Embase databases based on the keywords "unilateral vocal cord palsy" and "dysphagia" for this narrative review. RESULTS: Dysphagia is common in UVFP. A safe and effective swallow is more than just glottic competence but coordination of complex events within the aerodigestive tract's sensory and motor systems. It is an important secondary outcome which has short- and long-term impact on our patient's quality of life. It should be managed in a multi-disciplinary manner to optimise patient's outcome. CONCLUSION: It is important to consider the disease, patient and surgical factors when deciding on the type and timing of management options. There is increasing evidence of benefits with early surgical interventions, challenging the traditional conservative management to rule out spontaneous recovery and compensation. SN - 1879-1476 UR - https://www.unboundmedicine.com/medline/citation/32273191/Unilateral_vocal_fold_palsy__dysphagia:_A_review L2 - https://linkinghub.elsevier.com/retrieve/pii/S0385-8146(20)30068-7 DB - PRIME DP - Unbound Medicine ER -
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