Vocal fold paresis

James A. Koufman, Gregory N Postma, Michelle M. Cummins, P. David Blalock

Research output: Contribution to journalArticle

84 Scopus citations

Abstract

Vocal fold paresis (VFP) is a relatively common and often overlooked condition that can be difficult to diagnose based on the laryngeal examination alone. A retrospective review of the records of 50 consecutive adult patients with VFP was performed. In each case, the diagnosis of VFP was confirmed by laryngeal electromyography. The presenting symptoms were dysphonia (100%), vocal fatigue (76%), diplophonia (40%), and odynophonia (12%), and the findings were unilateral vocal fold hypomobility (50%), unilateral bowing (36%), and bilateral bowing (22%). Laryngoplasty and/or lipoinjection was performed in 54% of the subjects, and significant vocal improvement was achieved in 85%. VFP appears to be underdiagnosed because many VFP patients have compensatory hyperkinetic disorders at presentation. Although the diagnosis of VFP may be suspected based on the patient's symptoms and findings, the diagnostic sine qua non is laryngeal electromyography. In addition, surgical treatment for VFP appears to be safe and effective.

Original languageEnglish (US)
Pages (from-to)537-541
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume122
Issue number4
StatePublished - Jan 1 2000
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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  • Cite this

    Koufman, J. A., Postma, G. N., Cummins, M. M., & Blalock, P. D. (2000). Vocal fold paresis. Otolaryngology - Head and Neck Surgery, 122(4), 537-541.