ENT Medical News about vocal dysfunction

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. 2008 Exclusive Survey—Earnings: Good news for primary care income

3. Medicare pay-for-reporting effort draws fire from frustrated doctors

4. Debunking Myths in the US Healthcare System

5. Appropriate Antibiotic Use for Acute Otitis Media

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Recurrent laryngeal nerve paralysis in patients with papillary thyroid carcinomas: Evaluation and management of resulting vocal dysfunction
The American Journal of Surgery, 04/02/09

Roh JL et al. – Study indicates that patients with papillary thyroid carcinomas (PTC) may have vocal dysfunction from cancer or surgery-related recurrent laryngeal nerve paralysis (RLNP). Vocal evaluation and management may help improve their vocal function, thus enhancing their quality of life.

Methods

Study to evaluate vocal function and management outcomes of pts with PTCs and RLNP
Of 319 PTC pts:
- 256 underwent total thyroidectomy with or w/o neck dissection
- 42 underwent lobectomy
- and 21 underwent reoperation for recurrent cancers
All pts underwent laryngoscopy and vocal function measurements before and after surgery
Pts with RLNP and poor vocal function underwent voice surgery

Results

Temporary and permanent RLNP rates were 2.8% and 0.9% at nerve-at-risk–based analysis, respectively
Of 28 pts with tumor invasion of RLN, 14 had preoperative RLNP, with 9/14 showing voice changes
RLNP was detected in 9/291 (3.1%) pts w/o documented nerve injury; 8 recovered
9/15 pts with RLN section had poor vocal function, which improved in 8 pts after medialization of the unilateral vocal fold

<< Previous
Balloon sinuplasty for the surgical management of...

Next >>
Relationship between vascular endothelial growth factor and...