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Vocal Cord Paralysis

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1. Consensus Statement: Using Laryngeal Electromyography for the Diagnosis and Treatment of Vocal Cord Paralysis

Consensus Statement: Using Laryngeal Electromyography for the Diagnosis and Treatment of Vocal Cord Paralysis AANEM PRACTICE TOPIC CONSENSUS STATEMENT: USING LARYNGEAL ELECTROMYOGRAPHY FOR THE DIAGNOSIS AND TREATMENT OF VOCAL CORD PARALYSIS MICHAEL C. MUNIN, MD, 1 YOLANDA D. HEMAN-ACKAH, MD, MS, 2,3 CLARK A. ROSEN, MD, 4 LUCIAN SULICA, MD, 5 NICOLE MARONIAN, MD, 6 STEVEN MANDEL, MD, 7 BRIDGET T. CAREY, MD, 8 EARL CRAIG, MD, 9 and GARY GRONSETH, MD 10 1 Department of Physical Medicine (...) . The electrical activity of voluntary muscle in man under normal and pathological conditions. Brain 1944;67:178–257. 11. Buchtal F. Electromyography of intrinsic laryngeal muscles. Q J Exp Physiol Cogn Med Sci 1959;44:137–148. 12. Hiroto I, Hirano M, Tomita H. Electomyographic investigations of human vocal cord paralysis. Ann Otol 1968;77:296–304. 13. Blitzer A, Jahn AF, Keidar A. Semon’s law revisited: an electromyo- graphic analysis of laryngeal synkinesis. Ann Otol Rhinol Laryngol 1996;105:764–769. 14

2016 American Association of Neuromuscular & Electrodiagnostic Medicine

2. Consensus statement: using laryngeal electromyography for the diagnosis and treatment of vocal cord paralysis

Consensus statement: using laryngeal electromyography for the diagnosis and treatment of vocal cord paralysis AANEM PRACTICE TOPIC CONSENSUS STATEMENT: USING LARYNGEAL ELECTROMYOGRAPHY FOR THE DIAGNOSIS AND TREATMENT OF VOCAL CORD PARALYSIS MICHAEL C. MUNIN, MD, 1 YOLANDA D. HEMAN-ACKAH, MD, MS, 2,3 CLARK A. ROSEN, MD, 4 LUCIAN SULICA, MD, 5 NICOLE MARONIAN, MD, 6 STEVEN MANDEL, MD, 7 BRIDGET T. CAREY, MD, 8 EARL CRAIG, MD, 9 and GARY GRONSETH, MD 10 1 Department of Physical Medicine (...) . The electrical activity of voluntary muscle in man under normal and pathological conditions. Brain 1944;67:178–257. 11. Buchtal F. Electromyography of intrinsic laryngeal muscles. Q J Exp Physiol Cogn Med Sci 1959;44:137–148. 12. Hiroto I, Hirano M, Tomita H. Electomyographic investigations of human vocal cord paralysis. Ann Otol 1968;77:296–304. 13. Blitzer A, Jahn AF, Keidar A. Semon’s law revisited: an electromyo- graphic analysis of laryngeal synkinesis. Ann Otol Rhinol Laryngol 1996;105:764–769. 14

2016 American Academy of Neurology

3. Endoscopic arytenoid abduction lateropexy for the treatment of neonatal bilateral vocal cord paralysis - Long-term results. (PubMed)

Endoscopic arytenoid abduction lateropexy for the treatment of neonatal bilateral vocal cord paralysis - Long-term results. Bilateral vocal cord paralysis often causes severe dyspnea requiring an early airway intervention in neonates. Endoscopic arytenoid abduction lateropexy (EAAL) with suture is a quick, reversible, minimally-invasive vocal cord lateralizing technique to enlarge the glottis. The arytenoid cartilage is directly lateralized to a normal abducted position. It can be performed (...) even in early childhood with the recently-introduced pediatric endoscopic thread guide instrument. The long-term results and the stability of the lateralization were evaluated.Three newborns had inspiratory stridor immediately after birth. Laryngo-tracheoscopy revealed bilateral vocal cord paralysis. Unilateral, left-sided endoscopic arytenoid abduction lateropexy was performed with supraglottic jet ventilation. The follow-up period was >3 years.After extubation on the 4-7th postoperative day

2019 International Journal of Pediatric Otorhinolaryngology

4. Vincristine-induced vocal cord paresis and paralysis in children. (PubMed)

Vincristine-induced vocal cord paresis and paralysis in children. To describe three new cases of vincristine-induced vocal cord paresis or paralysis (VIVCPP) in children and to review the diagnosis and management of this neuropathy.Retrospective case series. Diagnosis of VIVCPP was confirmed by laryngoscopy in all children.Less than 20 cases of VIVCPP in children have been previously documented in the literature. Of the three children in our case series, one had unilateral vincristine-induced (...) vocal cord paresis and two had bilateral VIVCPP. The first two patients each had two separate episodes of paresis, lasting 4 months and 1 month respectively. In the last patient, whose medical course was complicated by many additional factors, vocal cord paralysis persisted for over three years.Clinicians must evaluate children with suspected VIVCPP for concomitant symptoms and signs of vincristine neuropathies and examine the vocal cords via laryngoscopy. The effects of vincristine neurotoxicity

2019 International Journal of Pediatric Otorhinolaryngology

5. Radiesse voice injectable implant (Merz Aesthetics Inc.) for treatment of glottic insufficiency including vocal cord paralysis

Radiesse voice injectable implant (Merz Aesthetics Inc.) for treatment of glottic insufficiency including vocal cord paralysis Radiesse voice injectable implant (Merz Aesthetics Inc.) for treatment of glottic insufficiency including vocal cord paralysis Radiesse voice injectable implant (Merz Aesthetics Inc.) for treatment of glottic insufficiency including vocal cord paralysis Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation Radiesse voice injectable implant (Merz Aesthetics Inc.) for treatment of glottic insufficiency including vocal cord paralysis. Lansdale: HAYES, Inc.. Health Technology Brief Publication. 2013 Authors' conclusions The left and right vocal folds or cords are twin bands of muscle in the larynx that move apart from or towards each other to open or close the glottis (the space between them). The folds open the glottis during breathing and close

2014 Health Technology Assessment (HTA) Database.

6. Continuous vagal monitoring value in prevention of vocal cord paralysis following thyroid surgery. (PubMed)

Continuous vagal monitoring value in prevention of vocal cord paralysis following thyroid surgery. Continuous intraoperative neuromonitoring (CIONM) of the vagus nerve was proposed to obtained frequent repetitive electromyography (EMG) data to recognize early change in intraoperative function of the recurrent laryngeal nerve. We examine our initial experience using this technology.Retrospective review.Data for all patients who underwent neck surgery by a single surgeon at a North American (...) vocal cord function in all cases.APS technology is safe, feasible, and helpful in approximately 10% of cases in our series, which developed nascent neurapraxia adverse EMG changes associated with intraoperative RLN stretch that could be reversed intraoperatively.4. Laryngoscope, 128:2429-2432, 2018.© 2018 The American Laryngological, Rhinological and Otological Society, Inc.

2018 Laryngoscope

7. Neurosarcoidosis Presenting Initially as Idiopathic Vocal Cord Paralysis. (PubMed)

Neurosarcoidosis Presenting Initially as Idiopathic Vocal Cord Paralysis. The presentation, course, and management of a rare laryngeal manifestation of neurosarcoidosis due to central nervous system (as opposed to peripheral nervous system) injury are described.The authors present 3 cases of vocal cord paralysis as the initial symptom of isolated neurosarcoidosis at a tertiary care laryngology clinic.Laryngoscopy diagnosed unilateral vocal cord paralysis. Laryngeal electromyography revealed (...) high vagal injury, prompting workup on brain magnetic resonance imaging. On magnetic resonance imaging, 2 cases showed basilar leptomeningeal inflammation and 1 case showed a brainstem mass. Patients were found at follow-up to have severe, progressive vagal injury, with patients developing severe quality of life impairments and medical complications.Neurosarcoidosis is not usually considered in the differential diagnosis of vocal cord paralysis. At initial presentation, all patients lacked other

2018 Rhinology and Laryngology

8. Left vocal cord paralysis after patent ductus arteriosus ligation: A systematic review.

Left vocal cord paralysis after patent ductus arteriosus ligation: A systematic review. Extremely premature (EP) infants are at increased risk of left vocal cord paralysis (LVCP) following surgery for patent ductus arteriosus (PDA).A Systematical Review was conducted to investigate the incidence and outcomes of LVCP after PDA ligation in EP born infants.Searches were performed in Cochrane, Medline, Embase, Cinahl and PsycInfo.Studies describing EP infants undergoing PDA surgery and reporting (...) % when only infants examined with laryngoscopy were included. The overall risk ratio for negative outcomes was higher in the LVCP group (2.20, 95% CI 1.69, 2.88, p = 0.01) compared to the non-LVCP-group.Reported incidence of LVCP varies widely. This may be explained by differences in study designs and lack of routine vocal cords postoperative assessment. LVCP is associated with negative outcomes in EP infants. The understanding of long-term outcomes is scarce. Routine laryngoscopy may be necessary

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2018 Paediatric Respiratory Reviews

9. Unilateral Vocal Cord Paralysis of a Great Jewish Opera Singer (PubMed)

Unilateral Vocal Cord Paralysis of a Great Jewish Opera Singer George London was one of the most compelling vocal artists of the early twentieth century. At the age of 47, the great bass-baritone retired from singing. It has been suggested that the premature ending of his operatic career was due to unilateral vocal cord palsy (UVCP). When London retired, the common belief was that this UVCP was caused by viral hepatitis, although there is no evidence to support such an etiology. London's (...) medical records eliminate the possible etiology of a neck neoplasm, and the long period of time between a heart attack he experienced and his diagnosis of UVCP makes a cardiovascular etiology an unlikely causative factor. London's relatively young age, the diagnosis of laryngitis prior to his UVCP, and the course of his disease indicate that the underlying cause of the termination of his singing career was post-viral neuropathy. This paper describes the clinical evidence related to London's vocal cord

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2018 Rambam Maimonides medical journal

10. Minimally invasive injection laryngoplasty in the management of unilateral vocal cord paralysis after video-assisted mediastinal lymph adenectomy (PubMed)

Minimally invasive injection laryngoplasty in the management of unilateral vocal cord paralysis after video-assisted mediastinal lymph adenectomy Video-assisted mediastinal lymphadenectomy (VAMLA) is a valuable tool for invasive staging of the mediastinum. Unilateral vocal cord paralysis (UVCP) may occur in patients following VAMLA and may result in secretion retention within the lungs, atelectasis and associated infectious situations such as pneumonia. Minimally invasive injection (...) ), respectively. Patients underwent surgical lung resection. There was no morbidity or mortality.Unilateral vocal cord paralysis may occur as a complication of VAMLA. ILP may be an active tool for treating UVCP before anatomical lung resection to avoid potential morbidities. Successful management of this complication with multidisciplinary team work may encourage the use of VAMLA more frequently.

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2018 Videosurgery and other Miniinvasive Techniques

11. Isolated neonatal bilateral vocal cord paralysis revealing a unilateral medullary defect: a case report. (PubMed)

Isolated neonatal bilateral vocal cord paralysis revealing a unilateral medullary defect: a case report. Congenital bilateral vocal cord paralysis is a rare occurrence. Approximately half the cases are associated with a major comorbidity, usually neurological, neuromuscular or malformative.In a male newborn, respiratory distress syndrome and stridor were observed immediately following birth. The cause was bilateral vocal cord paralysis in the adducted position. Neuroradiological investigation (...) . The infant died at the age of 4 weeks after treatment was limited to comfort care.A medullary lesion is an exceptional cause of congenital bilateral vocal cord paralysis. The strictly unilateral neurological and vascular defect and the absence of associated intracranial or extracranial malformation make this clinical case unique and suggest a disruptive mechanism. This case also highlights the help provided by advanced neuroimaging techniques, i.e. fibre tracking using diffusion tensor imaging

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2018 BMC Pediatrics

12. Incidence, Risk Factors, and Comorbidities of Vocal Cord Paralysis After Surgical Closure of a Patent Ductus Arteriosus: A Meta-analysis. (PubMed)

Incidence, Risk Factors, and Comorbidities of Vocal Cord Paralysis After Surgical Closure of a Patent Ductus Arteriosus: A Meta-analysis. Surgical closure of a patent ductus arteriosus (PDA) is considered standard treatment for symptomatic neonates refractory to medical therapy. Sometimes, iatrogenic injury to the left recurrent laryngeal nerve during the procedure can result in vocal cord paralysis (VCP). This study aimed to estimate the incidence of VCP in patients after surgical PDA closure (...) associated with the occurrence of bronchopulmonary dysplasia, gastrostomy tube insertion, and increased duration of mechanical ventilation. Vocal cord paralysis remains a frequent complication of surgical closure of a PDA, especially in premature neonates, and is associated with significant post-procedural complications.

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2018 Pediatric Cardiology

13. Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula. (PubMed)

Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula. Determine whether vocal cord paresis or paralysis (VCP/P) following surgical repair of congenital esophageal atresia/tracheoesophageal fistula (EA/TEF) is generally a primary anomaly, or is secondary to EA/TEF repair.We carried out a retrospective study based on a recently published protocol, which included the systematic performance of a laryngo-tracheo-bronchoscopy

2018 International Journal of Pediatric Otorhinolaryngology

14. Outcomes of CO2 laser-assisted posterior cordectomy in bilateral vocal cord paralysis in 132 cases (PubMed)

Outcomes of CO2 laser-assisted posterior cordectomy in bilateral vocal cord paralysis in 132 cases The purpose of the study was to assess the role of laser-assisted posterior cordectomy in the management of patients with bilateral vocal cord paralysis. We aimed an analysis of 132 consecutive patients treated by CO2 laser posterior cordectomy, aged 38-91, 31% tracheotomized on admission. Cordectomy was performed under microlaryngoscopy using CO2 laser (Lumenis AcuPulse 40 CO2 laser, wavelength (...) ), comorbidities (diabetes, gastroesophageal reflux disease (GERD)), multiple thyroid surgeries, and tracheotomy below the cricoid cartilage were found to decrease the likelihood of successful decannulation. Posterior cordectomy is a simple method allowing for airway improvement and decannulation in patients with bilateral vocal cord paralysis. It is less effective in tracheotomized subjects with diabetes or GERD, older than 66 years old, after two or more thyroidectomies.

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2018 Lasers in medical science

15. Performance of Ultrasound in the Early Diagnosis of Vocal Cords Paralysis

Performance of Ultrasound in the Early Diagnosis of Vocal Cords Paralysis Performance of Ultrasound in the Early Diagnosis of Vocal Cords Paralysis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Performance of Ultrasound in the Early Diagnosis of Vocal Cords Paralysis (PECV) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03727217 Recruitment Status : Recruiting First Posted : November 1, 2018 Last Update Posted

2018 Clinical Trials

16. Treatment of Vocal Cord Paralysis by Autologous Fat Injection: Our Experience with 41 Patients. (PubMed)

Treatment of Vocal Cord Paralysis by Autologous Fat Injection: Our Experience with 41 Patients. 30260565 2018 12 06 1749-4486 44 1 2019 Jan Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery Clin Otolaryngol Treatment of vocal cord paralysis by autologous fat injection: Our experience with 41 patients. 76-80 10.1111/coa.13230 Tran Hong V HV http://orcid.org/0000-0002-6069-2737 Department of Ear Nose

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2018 Clinical Otolaryngology

17. Drug-induced vocal cord damage

disorders. Some toxins expose the vocal cords to damage, including tobacco, alcohol, sulphuric acid, dust, or welding smoke. Drugs induce vocal cord damage by various mechanisms: mucosal deposits, mucosal dryness and reduced vocal cord lubrication, changes in salivary composition, oedema, erythema, necrosis, or mucosal haematomas, paralysis of the vocal cords. Drug-induced vocal cord damage can appear within a few hours or a few months. Halting the drug treatment generally results in healing, within (...) Drug-induced vocal cord damage Prescrire IN ENGLISH - Spotlight ''Drug-induced vocal cord damage '', 1 January 2018 {1} {1} {1} | | > > > Drug-induced vocal cord damage Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight Drug-induced vocal cord damage Some drugs induce vocal cord damage. The vocal cords are soft mucosal folds with fibrous muscles

2018 Prescrire

18. Transient vocal cord paralysis following central venous hemodialysis catheter insertion. (PubMed)

Transient vocal cord paralysis following central venous hemodialysis catheter insertion. In this article, we present a case of recurrent laryngeal nerve palsy not caused by nerve injury but due to local anesthetic infiltration that was applied prior to central venous catheterization. A 47-year-old female patient was admitted to emergency room with fatigue and nausea and was diagnosed with acute renal failure. Right jugular venous catheterization was performed for emergency hemodialysis (...) with Seldinger technique using middle approach. Within minutes and immediately after the procedure the patient complained of hoarseness and shortness of breath, and she had stridor in her physical exam. Awake flexible fibreoptic laryngoscopy revealed unilateral right-sided vocal cord paralysis with no edema. The patient was asked to remain nil per os and observed in ER with nasal oxygen. At the 3rd hour of follow-up without any other intervention, her symptoms resolved. Due to its proximity to the internal

2017 American Journal of Emergency Medicine

19. Posterior cordotomy in bilateral vocal cord paralysis using monopolar microelectrodes and radiofrequency in 18 patients. (PubMed)

Posterior cordotomy in bilateral vocal cord paralysis using monopolar microelectrodes and radiofrequency in 18 patients. 28714203 2018 10 15 2018 10 15 1749-4486 43 1 2018 02 Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery Clin Otolaryngol Posterior cordotomy in bilateral vocal cord paralysis using monopolar microelectrodes and radiofrequency in 18 patient. 340-343 10.1111/coa.12940 Basterra J J (...) , Valencia, Spain. Tocornal F F ENT Unit, Surgical Department, Clinica Los Condes, Santiago Militar Hospital, Santiago, Chile. eng Journal Article Multicenter Study 2017 08 02 England Clin Otolaryngol 101247023 1749-4478 IM Ablation Techniques instrumentation Cordotomy instrumentation methods Humans Microelectrodes Retrospective Studies Treatment Outcome Vocal Cord Paralysis etiology pathology surgery 2017 07 12 2017 7 18 6 0 2018 10 16 6 0 2017 7 18 6 0 ppublish 28714203 10.1111/coa.12940

2017 Clinical Otolaryngology

20. Arytenoid cartilage dislocation mimicking bilateral vocal cord paralysis: A case report. (PubMed)

Arytenoid cartilage dislocation mimicking bilateral vocal cord paralysis: A case report. Arytenoid dislocation is very rare and may be misdiagnosed as vocal cord paralysis or a self-limiting sore throat.A 70-year-old male (70 kg, 156 cm) was scheduled for transurethral resection of bladder tumors. A McGrath videolaryngoscope, with a basic cuffed Mallinckrodt oral tracheal tube of 7.5 mm internal diameter, was used to successfully intubate his trachea. The duration of surgery was 25 minutes (...) . In the recovery room, he complained of sore throat and dyspnea with inspiratory stridor, which were not resolved after intravenous injection of 10 mg of dexamethasone.The otolaryngological examination revealed midline fixation of the bilateral vocal folds, suggestive of bilateral arytenoid dislocation or bilateral vocal cord palsy. The latter was ruled out because there was no evidence of recurrent laryngeal nerve injury.Under general anesthesia, a closed reduction was performed using laryngoscopic forceps

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2017 Medicine

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