| Laryngoscopy in bilateral vocal fold immobility: can you make a diagnosis? | |
| | |
MedLine Citation:
|
PMID: 16805375 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: This study explores whether videoendoscopic findings and patient history help make the diagnosis in bilateral vocal fold immobility (BVFI). METHODS: Medical records from 1995 to 2003 were searched to identify patients with posterior glottic stenosis (PGS) and bilateral vocal fold paralysis (BVFP) who also had videoendoscopic examinations. Videoendoscopic examination findings that could help differentiate PGS from BVFP were identified a priori. A weighted scoring index, based on the adjusted odds ratios of significant examination findings on multiple logistic regression, was derived. Associations between the weighted scoring index, patient history, and diagnosis were then evaluated. RESULTS: Twenty-six patients with BVFP and 28 patients with PGS were identified. Posterior glottic scar (weight = 2), medial arytenoid erosion with a widened posterior glottis (weight = 1), and appropriate vocal fold motion (weight = 1) were significant variables (p < or = .05, multiple logistic regression) and constituted the weighted scoring index. A weighted scoring index of > or = 2 and a history of prolonged intubation predicted PGS in 95.2% of cases. A weighted scoring index of < or = 1 and a history of neck surgery predicted BVFP in 95.0% of cases. CONCLUSIONS: The weighted scoring index with the patient history provides an objective tool for diagnosing BVFI. |
| | |
Authors:
|
Seth M Cohen; C Gaelyn Garrett; James L Netterville; Mark S Courey |
Related Documents
:
|
19564265 - Functional status scale: new pediatric outcome measure. 19165695 - Validation of fim-mds crosswalk conversion algorithm. 17170635 - Is patient activation associated with outcomes of care for adults with chronic conditions? 20652445 - Evaluation of coma: a critical appraisal of popular scoring systems. 11559455 - Are the physiologically and psychosocially based symptoms in women suffering from gynec... 23150835 - Guided self-help for prevention of depression and anxiety in women with breast cancer. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: The Annals of otology, rhinology, and laryngology Volume: 115 ISSN: 0003-4894 ISO Abbreviation: Ann. Otol. Rhinol. Laryngol. Publication Date: 2006 Jun |
Date Detail:
|
Created Date: 2006-06-29 Completed Date: 2006-07-18 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0407300 Medline TA: Ann Otol Rhinol Laryngol Country: United States |
Other Details:
|
Languages: eng Pagination: 439-43 Citation Subset: AIM; IM |
Affiliation:
|
Vanderbilt Voice Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Diagnosis, Differential Female Follow-Up Studies Humans Laryngoscopy / methods* Laryngostenosis / diagnosis* Male Middle Aged Retrospective Studies Severity of Illness Index Video Recording Vocal Cord Paralysis / diagnosis*, physiopathology Vocal Cords / physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Early oral feeds in laryngectomized patients.
Next Document: Management of the thick-skinned nose: A more effective approach.