Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study

Hassan Alassiry; Nasser Hassan

doi:doi:10.11648/j.ijo.20180401.15

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Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study

Hassan Alassiry, Nasser Hassan

Published in International Journal of Otorhinolaryngology (Volume 4, Issue 1)

Received: 3 May 2018 Accepted: 22 May 2018 Published: 3 July 2018

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Abstract

Vocal fold paralysis is a sign of underlying diseases. However, etiologies of this problem are varied and changing from center to center and need more clarification. The aim of the study is to determine the etiological factors and management options of vocal fold paralysis among patients attended to the voice clinic center at King Abdul-Aziz Medical City. The medical records of 106 patients diagnosed with vocal fold paralysis were studied retrospectively. The following variables were recorded; age, gender, occupation, smoking, surgical history, radiation history, cause and type of vocal fold paralysis, associated risks, and management. Out of the 106 cases, 58 were males and 48 females with a ratio of 1.2:1. The age of the patients ranged from 6-92 years. Surgical trauma (iatrogenic) was the leading cause of vocal fold paralysis (45.3%) followed by idiopathic (17.9%), external neck trauma (13.2), Non-laryngeal malignancy (6.6%), post upper respiratory tract infection and viral infection (5.7%), TB and TB lymphadenitis (3.8%), intubation (2.8%), neurogenic (1.8%) and thyroid mass (1.8%). Total thyroidectomy was the most common surgical etiology of vocal fold paralysis (38.8%). The most common etiology of vocal fold paralysis is surgery and most cases were total thyroidectomy. Otolaryngologists should be familiar with the etiology, incidence, evaluation, and management options of vocal fold paralysis to optimize patient care and avoid further complication. We recommend that all patients undergoing total thyroidectomy and surgeries related to the course of recurrent laryngeal nerves should have detailed voice assessment pre-and postoperatively.

Published in	International Journal of Otorhinolaryngology (Volume 4, Issue 1)
DOI	10.11648/j.ijo.20180401.15
Page(s)	16-20
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Vocal Fold Paralysis, Vocal Fold Paresis, Thyroidectomy

References

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APA Style

Hassan Alassiry, Nasser Hassan. (2018). Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study. International Journal of Otorhinolaryngology, 4(1), 16-20. https://doi.org/10.11648/j.ijo.20180401.15

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ACS Style

Hassan Alassiry; Nasser Hassan. Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study. Int. J. Otorhinolaryngol. 2018, 4(1), 16-20. doi: 10.11648/j.ijo.20180401.15

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AMA Style

Hassan Alassiry, Nasser Hassan. Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study. Int J Otorhinolaryngol. 2018;4(1):16-20. doi: 10.11648/j.ijo.20180401.15

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@article{10.11648/j.ijo.20180401.15,
  author = {Hassan Alassiry and Nasser Hassan},
  title = {Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study},
  journal = {International Journal of Otorhinolaryngology},
  volume = {4},
  number = {1},
  pages = {16-20},
  doi = {10.11648/j.ijo.20180401.15},
  url = {https://doi.org/10.11648/j.ijo.20180401.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20180401.15},
  abstract = {Vocal fold paralysis is a sign of underlying diseases. However, etiologies of this problem are varied and changing from center to center and need more clarification. The aim of the study is to determine the etiological factors and management options of vocal fold paralysis among patients attended to the voice clinic center at King Abdul-Aziz Medical City. The medical records of 106 patients diagnosed with vocal fold paralysis were studied retrospectively. The following variables were recorded; age, gender, occupation, smoking, surgical history, radiation history, cause and type of vocal fold paralysis, associated risks, and management. Out of the 106 cases, 58 were males and 48 females with a ratio of 1.2:1. The age of the patients ranged from 6-92 years. Surgical trauma (iatrogenic) was the leading cause of vocal fold paralysis (45.3%) followed by idiopathic (17.9%), external neck trauma (13.2), Non-laryngeal malignancy (6.6%), post upper respiratory tract infection and viral infection (5.7%), TB and TB lymphadenitis (3.8%), intubation (2.8%), neurogenic (1.8%) and thyroid mass (1.8%). Total thyroidectomy was the most common surgical etiology of vocal fold paralysis (38.8%). The most common etiology of vocal fold paralysis is surgery and most cases were total thyroidectomy. Otolaryngologists should be familiar with the etiology, incidence, evaluation, and management options of vocal fold paralysis to optimize patient care and avoid further complication. We recommend that all patients undergoing total thyroidectomy and surgeries related to the course of recurrent laryngeal nerves should have detailed voice assessment pre-and postoperatively.},
 year = {2018}
}

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TY - JOUR
T1 - Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study
AU - Hassan Alassiry
AU - Nasser Hassan
Y1 - 2018/07/03
PY - 2018
N1 - https://doi.org/10.11648/j.ijo.20180401.15
DO - 10.11648/j.ijo.20180401.15
T2 - International Journal of Otorhinolaryngology
JF - International Journal of Otorhinolaryngology
JO - International Journal of Otorhinolaryngology
SP - 16
EP - 20
PB - Science Publishing Group
SN - 2472-2413
UR - https://doi.org/10.11648/j.ijo.20180401.15
AB - Vocal fold paralysis is a sign of underlying diseases. However, etiologies of this problem are varied and changing from center to center and need more clarification. The aim of the study is to determine the etiological factors and management options of vocal fold paralysis among patients attended to the voice clinic center at King Abdul-Aziz Medical City. The medical records of 106 patients diagnosed with vocal fold paralysis were studied retrospectively. The following variables were recorded; age, gender, occupation, smoking, surgical history, radiation history, cause and type of vocal fold paralysis, associated risks, and management. Out of the 106 cases, 58 were males and 48 females with a ratio of 1.2:1. The age of the patients ranged from 6-92 years. Surgical trauma (iatrogenic) was the leading cause of vocal fold paralysis (45.3%) followed by idiopathic (17.9%), external neck trauma (13.2), Non-laryngeal malignancy (6.6%), post upper respiratory tract infection and viral infection (5.7%), TB and TB lymphadenitis (3.8%), intubation (2.8%), neurogenic (1.8%) and thyroid mass (1.8%). Total thyroidectomy was the most common surgical etiology of vocal fold paralysis (38.8%). The most common etiology of vocal fold paralysis is surgery and most cases were total thyroidectomy. Otolaryngologists should be familiar with the etiology, incidence, evaluation, and management options of vocal fold paralysis to optimize patient care and avoid further complication. We recommend that all patients undergoing total thyroidectomy and surgeries related to the course of recurrent laryngeal nerves should have detailed voice assessment pre-and postoperatively.
VL - 4
IS - 1
ER -

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Author Information

Hassan Alassiry

Department of Otorhinolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, Riyadh, Saudi Arabia
Nasser Hassan

Department of Otorhinolaryngology, Head and Neck Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia

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APA Style

Hassan Alassiry, Nasser Hassan. (2018). Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study. International Journal of Otorhinolaryngology, 4(1), 16-20. https://doi.org/10.11648/j.ijo.20180401.15

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ACS Style

Hassan Alassiry; Nasser Hassan. Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study. Int. J. Otorhinolaryngol. 2018, 4(1), 16-20. doi: 10.11648/j.ijo.20180401.15

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AMA Style

Hassan Alassiry, Nasser Hassan. Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study. Int J Otorhinolaryngol. 2018;4(1):16-20. doi: 10.11648/j.ijo.20180401.15

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@article{10.11648/j.ijo.20180401.15,
  author = {Hassan Alassiry and Nasser Hassan},
  title = {Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study},
  journal = {International Journal of Otorhinolaryngology},
  volume = {4},
  number = {1},
  pages = {16-20},
  doi = {10.11648/j.ijo.20180401.15},
  url = {https://doi.org/10.11648/j.ijo.20180401.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20180401.15},
  abstract = {Vocal fold paralysis is a sign of underlying diseases. However, etiologies of this problem are varied and changing from center to center and need more clarification. The aim of the study is to determine the etiological factors and management options of vocal fold paralysis among patients attended to the voice clinic center at King Abdul-Aziz Medical City. The medical records of 106 patients diagnosed with vocal fold paralysis were studied retrospectively. The following variables were recorded; age, gender, occupation, smoking, surgical history, radiation history, cause and type of vocal fold paralysis, associated risks, and management. Out of the 106 cases, 58 were males and 48 females with a ratio of 1.2:1. The age of the patients ranged from 6-92 years. Surgical trauma (iatrogenic) was the leading cause of vocal fold paralysis (45.3%) followed by idiopathic (17.9%), external neck trauma (13.2), Non-laryngeal malignancy (6.6%), post upper respiratory tract infection and viral infection (5.7%), TB and TB lymphadenitis (3.8%), intubation (2.8%), neurogenic (1.8%) and thyroid mass (1.8%). Total thyroidectomy was the most common surgical etiology of vocal fold paralysis (38.8%). The most common etiology of vocal fold paralysis is surgery and most cases were total thyroidectomy. Otolaryngologists should be familiar with the etiology, incidence, evaluation, and management options of vocal fold paralysis to optimize patient care and avoid further complication. We recommend that all patients undergoing total thyroidectomy and surgeries related to the course of recurrent laryngeal nerves should have detailed voice assessment pre-and postoperatively.},
 year = {2018}
}

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