Does Dysphagia Improve Following Laryngeal Reinnervation for Treatment of Hoarseness in Unilateral Vocal Fold Paralysis?
| Autor: | Zahide Çiler Büyükatalay, Simon Brisebois, Seher Sirin, Albert L. Merati |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Vocal Cords Anastomosis 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine Swallowing Recurrent laryngeal nerve Humans Medicine In patient 030223 otorhinolaryngology Hoarseness Electromyography Recurrent Laryngeal Nerve business.industry Vocal fold paralysis Middle Aged LPN and LVN Dysphagia Laryngeal reinnervation Surgery medicine.anatomical_structure Otorhinolaryngology Female medicine.symptom Deglutition Disorders 0305 other medical science business Vocal Cord Paralysis Reinnervation |
| Zdroj: | Journal of Voice. 35:307-311 |
| ISSN: | 0892-1997 |
| Popis: | Summary Purpose There are many reports of the efficacy of laryngeal reinnervation on voice, but there is a paucity of literature regarding its impact on swallowing function. The goal of this study was to explore the impact of laryngeal reinnervation on swallowing outcomes among unilateral vocal fold paralysis (UVFP) patients. Methods We reviewed 22 UVFP cases treated with laryngeal reinnervation at our institution. Ten patients had complete datasets, including Eating Assessment Tool (EAT-10) scores and appropriate follow-up. Wilcoxon signed-rank test was used to compare pre- and postoperative scores. Results Over the study period, 10 cases (mean age 45.7 ± 13.3 years; 6/10 men) with UVFP underwent ansa cervicalis to recurrent laryngeal nerve anastomosis (6/10) or nerve-muscle pedicle procedure (4/10). The median time between injury and surgical reinnervation was 12.4 months (range 2.7–88.5 months). Based on EAT-10 scores 6/10 patients were found to have dysphagia. Of these, four improved their score after surgery, one remained stable, and one deteriorated. The median EAT-10 score of these patients improved from 13 to 7 after surgery, but this difference was not statistically significant (P = 0.138). Conclusion Laryngeal reinnervation procedure has the potential for restoring a near normal voice in UVFP. Laryngeal reinnervation of the vocal fold may be associated with a tendency toward improvement in the EAT-10 score in patients after surgery for hoarseness in the setting of UVFP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect