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Unilateral recurrent laryngeal nerve paralysis:The importance of “preoperative” voice therapy
Authors:Reinhardt J. Heuer  Robert Thayer Sataloff  Kate Emerich  Rhonda Rulnick  Margaret Baroody  Joseph R. Spiegel  Gursel Durson  John Butler
Affiliation:1American Institute for Voice and Ear Research, Philadelphia, Pennsylvania, U.S.A.;*Thomas Jefferson University, Philadelphia, Pennsylvania, U.S.A.;University of Utah Medical Center, Salt Lake City, Utah, U.S.A.;University of Ankara, Ankara, Turkey
Abstract:This preliminary retrospective study of 19 female patients and 22male patients with unilateral recurrent nerve lesions demonstrated the promise of objective measurements in predicting the need for surgery, the efficacy of voice therapy in ameliorating vocal symptoms, and the effects of therapy in conjunction with surgery. Sixty-eight percent (68%) of the female patients and 64% of the male patients did not elect to have surgery. Outcome satisfaction of nonsurgical and surgical patients appeared to be similar. The data from this study support the importance of preoperative therapy for patients with unilateral vocal fold paralysis.
Keywords:Unilateral vocal paralysis   Voice therapy   Recurrent laryngeal nerve   Objective measures   Laryngeal Electromyography   Strobovideolaryngoscopy
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