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Recommendations on follow-up strategies for idiopathic vocal fold paralysis: evidence-based review.
MedLine Citation:
PMID:  22643202     Owner:  NLM     Status:  In-Data-Review    
Introduction:Vocal fold paralysis can be an early warning sign of serious extra-laryngeal pathology. Even if imaging investigations show no pathology, there is always concern about the emergence of new pathology in the future. There is currently no consensus on the best follow-up protocol for vocal fold paralysis patients with no abnormalities on investigation.Methods:Systematic review, using an Ovid and Medline database search of papers written in the English language and published in the last 20 years.Results:Eight relevant studies were identified. Not all of them were directly comparable. A narrative review of the studies is presented and conclusions are drawn.Conclusion:Current diagnostic modalities are sufficiently reliable and sensitive to diagnose any significant existing extra-laryngeal pathology. Thus, once initial investigation (including computed tomography) has concluded, no further follow up is necessary.
A Tsikoudas; V Paleri; M Reda El-Badawey; I Zammit-Maempel
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  126     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  570-3     Citation Subset:  AIM; IM    
Department of Otorhinolaryngology, Freeman Hospital, Newcastle, UK.
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