Vocal fold paresis
Vocal fold paresis
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DOI：
10.1016/s0194-5998(00)70097-0
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发表时间：
2000-04-01
影响因子：
3.4
通讯作者：
Blalock, PD
中科院分区：
文献类型：
--
作者：
Koufman, JA;Postma, GN;Blalock, PD
声带麻痹（VFP）是一种相对常见且经常被忽视的疾病，仅根据喉部检查难以诊断，对50例VFP成人患者的记录进行了回顾性分析。在每一个案例中，VFP的诊断证实喉肌电图。主要症状为发声困难（100%）、发声疲劳（76%）、复音（40%）和发音困难（12%），结果为单侧声带活动度低（50%）、单侧弓曲（36%）和双侧弓曲（22%）。54%的受试者进行了喉成形术和/或脂肪注射，85%的受试者获得了显著的发声改善。VFP似乎是诊断不足，因为许多VFP患者在介绍代偿性多动障碍，虽然VFP的诊断可能会怀疑基于患者的症状和结果，诊断的必要条件是喉肌电图。此外，手术治疗VFP似乎是安全有效的。
Vocal fold paresis (VFP) is a relatively common and often overlooked condition that can be difficult to diagnose based on the laryngeal examination alone, A retrospective review of the records of 50 consecutive adult patients with VFP was performed. In each case, the diagnosis of VFP was confirmed by laryngeal electromyography. The presenting symptoms were dysphonia (100%), vocal fatigue (76%), diplophonia (40%), and odynophonia (12%), and the findings were unilateral vocal fold hypomobility (50%), unilateral bowing (36%), and bilateral bowing (22%), Laryngoplasty and/or lipoinjection was performed in 54% of the subjects, and significant vocal improvement was achieved in 85%, VFP appears to be underdiagnosed because many VFP patients have compensatory hyperkinetic disorders at presentation, Although the diagnosis of VFP may be suspected based on the patient's symptoms and findings, the diagnostic sine qua non is laryngeal electromyography. In addition, surgical treatment for VFP appears to be safe and effective.