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The Clinical Course of Idiopathic Bilateral Vocal Fold Motion Impairment in Adults: Case Series and Review of the Literature.
Abu Ghanem, Sara; Junlapan, Attapon; Tsai, Shu Wei; Shih, Liang-Chun; Sung, Chih-Kwang; Damrose, Edward J.
Affiliation
  • Abu Ghanem S; Department of Otolaryngology-Head and Neck Surgery, Stanford University, School of Medicine, Stanford, California.
  • Junlapan A; Department of Otolaryngology-Head and Neck Surgery, Stanford University, School of Medicine, Stanford, California.
  • Tsai SW; Department of Otolaryngology-Head and Neck Surgery, Stanford University, School of Medicine, Stanford, California.
  • Shih LC; Department of Otolaryngology-Head and Neck Surgery, Stanford University, School of Medicine, Stanford, California.
  • Sung CK; Department of Otolaryngology-Head and Neck Surgery, Stanford University, School of Medicine, Stanford, California.
  • Damrose EJ; Department of Otolaryngology-Head and Neck Surgery, Stanford University, School of Medicine, Stanford, California. Electronic address: edamrose@stanford.edu.
J Voice ; 34(3): 465-470, 2020 May.
Article in En | MEDLINE | ID: mdl-30527967
AIM: Steps for assessment and successful management of bilateral vocal fold motion impairment (VFMI) are (1) recognition of its presence, (2) identifying the etiology and factors restricting vocal fold motion, (3) evaluation of airway patency, and (4) establishing a management plan. No large series documenting the course and outcome of adult idiopathic bilateral VFMI has been published within the past 15 years. METHODS: Retrospective chart review of adult patients with idiopathic bilateral VFMI at a tertiary academic center. A diagnosis was established if history, physical examination with laryngoscopy, and initial imaging excluded a cause. Records were reviewed for demographics, clinical characteristics, surgical intervention details, and length of follow-up. RESULTS: Nine adult patients with idiopathic bilateral VFMI were identified. There were five males and four females with a mean age of 59.6 years. The mean follow-up period was 54.4 months (range, 6-111 months). Upon presentation to our laryngology service, three patients were advised observation, three patients were advised to undergo urgent tracheostomy, and three patients were advised to undergo elective surgery for airway management. By the end of the follow-up period, only four patients (4/9, 44.4%) were tracheostomy dependent, one of them was lost to follow-up after tracheostomy tub downsizing for decannulation. CONCLUSIONS: To our best knowledge, this is the largest series so far of adult patients with idiopathic bilateral VFMI. Conservative treatment can be considered as an alternative to surgery in select cases.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Vocal Cords / Vocal Cord Paralysis Type of study: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Language: En Journal: J Voice Journal subject: OTORRINOLARINGOLOGIA Year: 2020 Document type: Article Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Vocal Cords / Vocal Cord Paralysis Type of study: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Language: En Journal: J Voice Journal subject: OTORRINOLARINGOLOGIA Year: 2020 Document type: Article Country of publication: United States