Laryngeal Electromyography for Prognosis of Vocal Fold Paralysis

详细信息    查看全文

• 作者：Adriana Pardo-Maza^* ; ^{pardoadriana833@gmail.com} ; Isabel Garcí ; a-Lopez^* ; Susana Santiago-Pé ; rez^&dagger ; ; Javier Gavilá ; n^*
• 关键词：laryngeal electromyography ; vocal fold paralysis ; vocal cord paralysis ; laryngeal synkinesis ; electromyography
• 刊名：Journal of Voice
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：31
• 期：1
• 页码：90-93
• 全文大小：78 K
• 卷排序：31

文摘

This study aimed to determine the value of laryngeal electromyography in the prognosis of vocal fold paralysis.Study DesignThis is a retrospective descriptive study.Materials and MethodsThis study included 80 patients diagnosed with unilateral or bilateral vocal fold paralysis on flexible laryngoscopy between 2002 and 2014 in a tertiary medical center. Laryngeal electromyography using a standardized protocol was performed; the outcome measures were classified and analyzed into two groups according to the degree of injury. Group 1 included patients with mild to moderate injury, and group 2 included patients with severe to complete injury. Prognosis was correlated with vocal fold motion recovery status with a minimum of 6 months of follow-up since the symptoms onset using positive and negative predictive values.ResultsSixty patients showed acute or chronic recurrent laryngeal neuropathy in laryngeal electromyography. Twelve of 41 patients included in group 1 recovered motion, and 30 of 35 patients included in group 2 did not recover, resulting in 88.2% of positive predictive value and 35.7% of negative predictive value.ConclusionsOur data confirm that laryngeal electromyography is a useful clinical tool in predicting poor recovery in patients with vocal fold paralysis. It allows identification of candidates for early intervention.