CONTEMPORARY EVALUATION OF UNILATERAL VOCAL CORD PARALYSIS

被引:84
|
作者
TERRIS, DJ
ARNSTEIN, DP
NGUYEN, HH
机构
[1] Division of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center
关键词
D O I
10.1177/019459989210700113
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Unilateral vocal cord paralysis is a common finding in the practice of otolaryngology. Multiple etiologies have been described and have not changed appreciably in the last century. We attempted to characterize the contemporary evaluation of unilateral vocal cord paralysis, with consideration given to cost-effectiveness. Thirty-one board-certified otolaryngologists were interviewed to determine their typical evaluation protocol. The average cost of an evaluation totaled $1706.18, with a range of $112.56 to $3439.52. Otolaryngologists with more years of experience tended to pursue briefer and less expensive evaluations. The charts of 187 patients with a diagnosis of vocal paralysis from 1983 to 1991 were reviewed, of which 113 were evaluable. Eighty-four of these 113 (74%) were unilateral. In 48 of 84 cases (57%), the cause was apparent at the time of diagnosis. In 36 of 84 cases (43%), an evaluation was necessary. A diagnosis was achieved in 27 of these 36 instances (75%), with the most useful test being a chest roentgenogram (n = 13, 48%). The most common cause of unilateral vocal cord paralysis in our series was neoplasm (n = 34, 40%), followed by surgical trauma (n = 29, 35%). In no instance was a malignancy discovered subsequent to the initial evaluation. The most cost-efficient, inclusive diagnostic evaluation of unilateral vocal cord paralysis involves a stepwise progression through the tests that are most likely to yield a diagnosis, with endoscopy reserved for those cases in which simpler, less invasive tests have not indicated a cause.
引用
收藏
页码:84 / 90
页数:7
相关论文
共 50 条
  • [1] UNILATERAL VOCAL CORD PARALYSIS
    CALHOUN, K
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (10): : 1393 - 1393
  • [2] UNILATERAL VOCAL CORD PARALYSIS
    CLERF, LH
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1953, 151 (11): : 900 - 903
  • [3] VOCAL CORD INJECTION IN CHILDREN WITH UNILATERAL VOCAL CORD PARALYSIS
    LEVINE, BA
    JACOBS, IN
    WETMORE, RF
    HANDLER, SD
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 1995, 121 (01) : 116 - 119
  • [4] UNILATERAL VOCAL-CORD PARALYSIS
    MASS, L
    [J]. ANESTHESIOLOGY, 1977, 46 (05) : 374 - 374
  • [5] LIPOINJECTION FOR UNILATERAL VOCAL CORD PARALYSIS
    MIKAELIAN, DO
    LOWRY, LD
    SATALOFF, RT
    [J]. LARYNGOSCOPE, 1991, 101 (05): : 465 - 468
  • [6] Vocal cord augmentation with autologous fat in unilateral vocal cord paralysis
    Hansen, K.
    Nolte, A.
    Klussmann, J. P.
    [J]. EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES, 2021, 138 : 103 - 104
  • [7] SELECTIVE REINNERVATION OF VOCAL CORD ADDUCTORS IN UNILATERAL VOCAL CORD PARALYSIS
    CRUMLEY, RL
    [J]. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1984, 93 (04): : 351 - 356
  • [8] ARYTENOID ADDUCTION FOR UNILATERAL VOCAL CORD PARALYSIS
    ISSHIKI, N
    TANABE, M
    [J]. FOLIA PHONIATRICA, 1983, 35 (3-4): : 139 - 139
  • [9] VINCRISTINE INDUCED UNILATERAL VOCAL CORD PARALYSIS
    Oman, Zachary
    Friend, Julie
    Gu, Lucas
    Bourdillon, Max
    [J]. JOURNAL OF INVESTIGATIVE MEDICINE, 2018, 66 (04) : 844 - 845
  • [10] ARYTENOID ADDUCTION FOR UNILATERAL VOCAL CORD PARALYSIS
    ISSHIKI, N
    TANABE, M
    SAWADA, M
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 1978, 104 (10) : 555 - 558