Document Detail


Mild vocal fold paresis: understanding clinical presentation and electromyographic findings.
MedLine Citation:
PMID:  16157469     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The implications of mild vocal fold hypomobility are incompletely understood. This study describes the clinical, electromyographic, and probable etiologic findings in patients who presented with complaints of dysphonia and whose physical examination revealed vocal fold paresis as a factor possibly contributing to their voice complaints. A retrospective chart review of all patients who presented to a tertiary laryngology referral center over a 13-month period, who had a clinical diagnosis of mild vocal fold hypomobility and who underwent laryngeal electromyography, were included in the study. A total of 22 patients completed the medical evaluation of their voice complaint. Of these patients, 19 (86.4%) were found to have evidence of neuropathy on laryngeal electromyography. The clinical picture indicated the following probable origins for the vocal fold paresis: goiter/thyroiditis (7/22 or 31.8%), idiopathic (4/22 or 18.2%), viral neuritis (4/22 or 18.2%), trauma (3/22 or 13.6%), and Lyme's disease (1/22 or 4.5%). This article describes the clinical entity of mild vocal fold hypomobility and associated flexible laryngoscopic, rigid strobovideolaryngoscopic, and laryngeal electromyographic findings.
Authors:
Yolanda D Heman-Ackah; Arlene Barr
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-09-12
Journal Detail:
Title:  Journal of voice : official journal of the Voice Foundation     Volume:  20     ISSN:  0892-1997     ISO Abbreviation:  J Voice     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-15     Completed Date:  2007-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8712262     Medline TA:  J Voice     Country:  United States    
Other Details:
Languages:  eng     Pagination:  269-81     Citation Subset:  IM    
Affiliation:
American Institute for Voice and Ear Research, Philadelphia, Pennsylvania 19103, USA. phillyvoicemd@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Electromyography
Female
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Movement / physiology*
Retrospective Studies
Vocal Cord Paralysis / complications,  physiopathology*
Vocal Cords / physiology*
Voice Disorders / etiology,  physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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