| Computed tomography has low yield in the evaluation of idiopathic unilateral true vocal fold paresis. | |
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MedLine Citation:
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PMID: 22965930 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE/HYPOTHESIS: To determine the clinical yield of neck and chest computed tomography in the initial assessment of patients with idiopathic unilateral true vocal fold paresis. STUDY DESIGN: Retrospective chart review. METHODS: A retrospective chart review of consecutive adult patients with idiopathic unilateral true vocal fold paresis diagnosed by stroboscopy in a tertiary-care voice center from 2003 to 2010. RESULTS: There were 176 patients with unilateral vocal fold paresis of which 81 subjects had idiopathic unilateral true vocal fold paresis. Of these, 60 patients (74.1%) had a computed tomography workup. Fifty-nine patients (98.3%) had a normal computed tomography while one patient had a single mediastinal lymph node that was PET-CT negative. This demonstrates an initial 1.7% yield and ultimate 0% yield of the computed tomography workup. CONCLUSION: Our results suggest that computed tomography workup has a low yield for occult neck and mediastinal pathology in patients with idiopathic unilateral true vocal fold paresis. Chest and neck computed tomography may not be clinically beneficial provided the patient has good otolaryngologic and medical follow-up. Laryngoscope, 2012. |
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Authors:
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Pedro I Badia; Alexander T Hillel; Manish D Shah; Michael M Johns; Adam M Klein |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-9-10 |
Journal Detail:
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Title: The Laryngoscope Volume: - ISSN: 1531-4995 ISO Abbreviation: Laryngoscope Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-9-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8607378 Medline TA: Laryngoscope Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc. |
Affiliation:
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Emory Voice Center, Department of Otolaryngology Head and Neck Surgery Emory University, Atlanta, Georgia, U.S.A. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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