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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Cates, Daniel J. Venkatesan, Naren N. Strong, Brandon Kuhn, Maggie A. Belafsky, Peter C. |
| Description | Country affiliation: United States Author Affiliation: Cates DJ ( Department of Otolaryngology Head and Neck Surgery, University of California, Davis, Sacramento, California, USA djcates@ucdavis.edu.); Venkatesan NN ( Department of Otolaryngology Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.); Strong B ( Department of Otolaryngology Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.); Kuhn MA ( Department of Otolaryngology Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.); Belafsky PC ( Department of Otolaryngology Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.) |
| Abstract | OBJECTIVE: The effect of vocal fold medialization (VFM) on vocal improvement in persons with unilateral vocal fold immobility (UVFI) is well established. The effect of VFM on the symptom of dysphagia is uncertain. The purpose of this study is to evaluate dysphagia symptoms in patients with UVFI pre- and post-VFM. STUDY DESIGN: Case series with chart review. SETTING: Academic tertiary care medical center. SUBJECTS AND METHODS: The charts of 44 persons with UVFI who underwent VFM between June 1, 2013, and December 31, 2014, were abstracted from a prospectively maintained database at the University of California, Davis, Voice and Swallowing Center. Patient demographics, indications, and type of surgical procedure were recorded. Self-reported swallowing impairment was assessed with the validated 10-item Eating Assessment Tool (EAT-10) before and after surgery. A paired samples t test was used to compare pre- and postmedialization EAT-10 scores. RESULTS: Forty-four patients met criteria and underwent either vocal fold injection (73%) or thyroplasty (27%). Etiologies of vocal fold paralysis were iatrogenic (55%), idiopathic (29%), benign or malignant neoplastic (9%), traumatic (5%), or related to the late effects of radiation (2%). EAT-10 (mean ± SD) scores improved from 12.2 ± 11.1 to 7.7 ± 7.2 after medialization (P < .01) with a follow-up of 119 ± 65 days. CONCLUSION: Patients with UVFI suffer from dysphagia and report significant improvement in swallowing symptoms following VFM. The symptomatic improvement appears to be durable over time. |
| File Format | HTM / HTML |
| ISSN | 01945998 |
| Issue Number | 3 |
| Journal | Otolaryngology -- Head and Neck Surgery |
| Volume Number | 155 |
| e-ISSN | 10976817 |
| Language | English |
| Publisher | SAGE Publications |
| Publisher Date | 2016-09-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Otolaryngology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Otorhinolaryngology Surgery |
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