Vocal Fold Motion Recovery in Patients With Iatrogenic Unilateral Immobility: Cervical Versus Thoracic Injury.
Ann Otol Rhinol Laryngol
; 128(1): 44-49, 2019 Jan.
Article
en En
| MEDLINE
| ID: mdl-30345793
ABSTRACT
OBJECTIVES:
Prognostic information about the return of vocal fold mobility in patients with iatrogenic unilateral vocal fold immobility (UVFI) can help with informed decisions about temporary and permanent treatment options. Although many variables can influence the likelihood of recovery, clinical experience suggests that cervical versus thoracic injury is a determining factor. The purpose of this study was to compare recovery rates from UVFI between cervical and thoracic injuries.METHODS:
A retrospective review of the medical record was performed on all adult patients diagnosed with complete iatrogenic UVFI from 2005 to 2015 (n = 923). Patients with incomplete data and etiologies of idiopathic, malignancy, or stenosis were excluded, leaving a study cohort of 502 patients who were categorized as having UVFI after cervical (n = 329) or thoracic (n = 173) injury. Data regarding site of iatrogenic injury (cervical vs thoracic), mobility status, and time interval to recovery or surgical intervention were recorded and compared using χ2 analyses.RESULTS:
Overall, 15% of patients recovered vocal fold mobility at a median of 4.1 months. Patients with cervical injury (65 of 329 [20%]) were significantly more likely to recover mobility than patients with thoracic injury (11 of 173 [6.4%]) (odds ratio, 3.63). The cervical cohort contained more women (68% vs 31%) and was younger (mean age, 60.4 ± 13.8 vs 64.1 ± 16.1 years; Cohen's D = 0.25).CONCLUSIONS:
Patients with cervical injuries resulting in UVFI are 4 times more likely to recover mobility than patients with thoracic injuries. This information can be valuable in counseling patients with UVFI and may affect clinical decision making.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Disección del Cuello
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Tiroidectomía
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Pliegues Vocales
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Parálisis de los Pliegues Vocales
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Procedimientos Quirúrgicos Torácicos
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Traumatismos del Nervio Laríngeo Recurrente
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
/
Prognostic_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Ann Otol Rhinol Laryngol
Año:
2019
Tipo del documento:
Article
País de afiliación:
Estados Unidos