Nawka, Tadeus, Sittel, Christian, Arens, Christoph ORCID: 0000-0001-8072-1438, Lang-Roth, Ruth, Wittekindt, Claus, Hagen, Rudolf, Mueller, Andreas H. ORCID: 0000-0002-9820-5527, Nasr, Ahmed I., Guntinas-Lichius, Orlando ORCID: 0000-0001-9671-0784, Friedrich, Gerhard and Gugatschka, Markus ORCID: 0000-0001-8091-8812 (2015). Voice and Respiratory Outcomes After Permanent Transoral Surgery of Bilateral Vocal Fold Paralysis. Laryngoscope, 125 (12). S. 2749 - 2756. HOBOKEN: WILEY-BLACKWELL. ISSN 1531-4995

Full text not available from this repository.

Abstract

Objectives/Hypothesis: Bilateral vocal fold paralysis (BVFP) is a rare but life-threatening condition mostly caused by iatrogenic damage to the peripheral recurrent laryngeal nerve. Endoscopic enlargement techniques have been the standard treatment for decades. However, prospective studies using internationally accepted phoniatric and respiratory evaluation guidelines are rare. Study Design: Prospective observational multicenter study. Methods: Twelve clinical centers screened 61 patients, of whom 36 were eligible according to the study protocol. Subjects were assessed with specific phoniatric and respiratory tests preoperatively and at 1 and 6 months postoperatively. Results: Important respiratory parameters improved significantly 6 months postoperatively (peak expiratory and expiratory flow), confirming that a glottal enlargement effectively reduced the obstruction. Objective parameters dealing with voice quality worsened significantly (maximum phonation time, voice range profile, hoarseness), whereas subjective voice assessment (VHI-12) did not change significantly. Conclusion: Endoscopic glottal enlargement is an effective method for relieving symptoms of dyspnea due to BVFP. Postoperatively, voice quality objectively worsened; however, this was not perceived by the patients themselves. Laryngostroboscopic findings did not correlate strongly with voice and respiratory outcomes.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Nawka, TadeusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sittel, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arens, ChristophUNSPECIFIEDorcid.org/0000-0001-8072-1438UNSPECIFIED
Lang-Roth, RuthUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wittekindt, ClausUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hagen, RudolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mueller, Andreas H.UNSPECIFIEDorcid.org/0000-0002-9820-5527UNSPECIFIED
Nasr, Ahmed I.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guntinas-Lichius, OrlandoUNSPECIFIEDorcid.org/0000-0001-9671-0784UNSPECIFIED
Friedrich, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gugatschka, MarkusUNSPECIFIEDorcid.org/0000-0001-8091-8812UNSPECIFIED
URN: urn:nbn:de:hbz:38-385099
DOI: 10.1002/lary.25415
Journal or Publication Title: Laryngoscope
Volume: 125
Number: 12
Page Range: S. 2749 - 2756
Date: 2015
Publisher: WILEY-BLACKWELL
Place of Publication: HOBOKEN
ISSN: 1531-4995
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LARYNGOLOGICAL SOCIETY ELS; CORD PARALYSIS; TOTAL ARYTENOIDECTOMY; TRANSVERSE CORDOTOMY; LASER; MULTICENTER; MANAGEMENT; CORDECTOMY; PROTOCOL; TRIALMultiple languages
Medicine, Research & Experimental; OtorhinolaryngologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/38509

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item