Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-23T20:27:42.819Z Has data issue: false hasContentIssue false
  • English
  • Français

The role of stroboscopy in the management of a patient with a unilateral vocal fold paralysis

Published online by Cambridge University Press:  29 June 2007

Meredydd Lloyd Harries  and
Murray Morrison
Meredydd Lloyd Harries*
Affiliation:
The Voice Clinic, The Royal National Throat Nose and Ear Hospital, London.
Murray Morrison
Affiliation:
Division of Otolaryngology. University of British Columbia, Canada.
*
Address for correspondence: Meredydd Lloyd Harries, The Voice Clinic, The Royal National Throat Nose and Ear Hospital, Grays Inn Road, London WC1X 8DA.
Get access Rights & Permissions [Opens in a new window]

Abstract

Stroboscopy is well established as an essential diagnostic tool in the assessment of the vocal folds during phonation. This paper analyses the stroboscopic findings in 100 patients with a unilateral vocal fold paralysis. Reliable stroboscopic signals were only obtained in patients with the paralysed fold close to the midline. These patients seldom require surgery however, usually responding to speech therapy with laryngeal compensation giving a good voice. Most patients that require surgery have a large glottal deficiency, but in this series these patients did not give an adequate signal for analysis. Although useful in the assessment of the muscle tone of the paralysed fold, the influence of stroboscopy on the surgical treatment in this series was limited.

Keywords

Vocal fold, paralysisStroboscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 2 , February 1996 , pp. 141 - 143
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aronson, A. (1985) In Clinical Voice Disorders. (Aronson, A., ed.), 2nd Edition, Thieme Inc., New York, pp 42–55.Google Scholar
Benninger, M., Crumley, R., Ford, C., Gould, W., Hanson, D., Ossoff, R., Sataloff, R. (1994) evaluation and treatment of the unilateral paralysed vocal fold. Head and Neck Surgery 111: 497–508.CrossRefGoogle ScholarPubMed
Bless, D. (1991) Assessment of laryngeal function. In Phonosurgery: Assessment and Surgical Management of Voice Disorders. (Ford, C., Bless, D., eds.), Raven Press Ltd., New York, pp 95–121.Google Scholar
Crumley, R. (1991) Update: ansa cervicalis to recurrent laryngeal nerve anastomosis for unilateral paralysis. Laryngoscope 101: 384–387.CrossRefGoogle Scholar
Flint, P., Cummings, C. (1993) Phonosurgical procedures. In Otolaryngology, Head and Neck Surgery. (Cummings, C., ed), 2nd Edition, Vol. 3, C. V. Mosby Co., St Louis, pp 2072–2109.Google Scholar
Ford, C., Bless, D., Loftus, J. (1992) Role of collagen in the treatment of glottic insufficiency: A study of 119 patients. Annals of Otology, Rhinology and Laryngology 101: 237–247.CrossRefGoogle ScholarPubMed
Goding, G. Jr. (1991) Nerve-muscle pedicle reinnervation of the vocal cord. Otolaryngology Clinics of North America 24: 115–128.CrossRefGoogle ScholarPubMed
Harries, M., Morrison, M. (1995) Short term results of laryngeal framework surgery. Journal of Otolaryngology 24: 281–287.Google ScholarPubMed
Hirano, M., Kakita, Y. (1985) Cover body theory of vocal fold vibration. In Speech Science (Daniloff, R. G., ed.) College Hill Press, San Diego, California, pp 1–46.Google Scholar
Isshiki, N. (1989) Phonosurgery; Theory and Practice. Springer-Verlag, Tokyo, pp 23–33.CrossRefGoogle Scholar
Kaufman, J. (1993) Management of vocal fold paralysis. The Visible Voice. The Center for voice disorders of Wake University, Winston Salem, USA, Vol. 2, No. 3, pp 50–71.Google Scholar
Moore, D., Berke, G., Hanson, D., Ward, P. (1987) Videostroboscopy of the canine larynx: the effects of asymmetric laryngeal tension. Laryngoscope 97: 543–553.CrossRefGoogle ScholarPubMed
Sataloff, R., Spiegel, J., Hawkshaw, M. (1991) Strobovideolaryngoscopy: Results and clinical value. Annals of Otology, Rhinology and Laryngology 100: 725–727.Google ScholarPubMed
Sercarz, J., Berke, G., Gerratt, B., Ming, Y., Natividad, M. (1992) Videostroboscopy of human vocal fold paralysis. Annals of Otology, Rhinology and Laryngology 101: 567–577.CrossRefGoogle ScholarPubMed
Slavit, D., McCaffery, T. (1991) Regulation of phonatory efficiency by vocal fold tension and glottic width in the excised canine larynx. Annals of Otology, Rhinology and Laryngology 100: 668–677.CrossRefGoogle ScholarPubMed
Wexler, D., Gray, S., Jiang, J., Titze, I. (1989) Phonosurgical studies: Fat-graft reconstruction of injured canine vocal cords. Annals of Otology, Rhinology and Laryngology 98: 668–672.CrossRefGoogle ScholarPubMed