The Experts below are selected from a list of 264 Experts worldwide ranked by ideXlab platform
T. V. Mccaffrey - One of the best experts on this subject based on the ideXlab platform.
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Transcutaneous Teflon injection for Vocal Cord Paralysis
Otolaryngology - Head and Neck Surgery, 1993Co-Authors: T. V. MccaffreyAbstract:In 1989, I reported a serles of 19 cases of unilateral Vocal Cord Paralysis treated by transcutaneous Teflon Injection. At that time It was shown that unilateral Vocal Cord Paralysis could be effectively treated In the offtce In the unanesthetized patient using a transcutaneous route of Injection. Since that time, an additional 43 patients have been treated using a similar technique. The Initial Impression of safety and efftcacy has been confirmed In this subsequent serles. several refinements In this technique have slmpllfted Its use and ImproVed Its reliability. No airway complications have been observed to date and no patients have required hospital admission. Transcutaneous Tefton Injection can be considered a useful method for treatment of Vocal Cord Paralysis In selected patients.
Eitan Kerem - One of the best experts on this subject based on the ideXlab platform.
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Vocal Cord Paralysis secondary to impacted esophageal foreign bodies in young children
Pediatrics, 2001Co-Authors: Dov Virgilis, Jeffrey M Weinberger, Drora Fisher, Shmuel Goldberg, Elie Picard, Eitan KeremAbstract:Impacted foreign bodies in the esophagus can result in respiratory symptoms including stridor and aphonia. Several mechanisms have been proposed to explain these symptoms, but the possibility of Vocal Cord Paralysis and its cause has not been adequately emphasized. Two cases of young children with esophageal foreign body are described; both presented with respiratory symptoms, 1 with aphonia and the other with stridor. In both cases, the symptoms were secondary to Vocal Cord Paralysis. A possible mechanism of recurrent nerve injury is proposed.
Stewart B Dunsker - One of the best experts on this subject based on the ideXlab platform.
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bilateral Vocal Cord Paralysis following anterior cervical discectomy and fusion case report
Journal of Neurosurgery, 1998Co-Authors: Thomas J Manski, Michael D Wood, Stewart B DunskerAbstract:✓ The authors report a rare case of bilateral Vocal Cord Paralysis following anterior cervical discectomy and fusion (ACD/F) in a patient who had a preexisting, clinically silent, and unrecognized unilateral Vocal Cord Paralysis from a remote cardiac surgical procedure. The patient, a 41-year-old woman who developed acute respiratory stridor and respiratory insufficiency at the time of extubation after undergoing a C6–7 ACD/F, required emergency reintubation and ventilation. Otolaryngological evaluation revealed bilateral Vocal Cord Paralysis with one Vocal Cord showing evidence of acute Paralysis and the other showing evidence of chronic Paralysis. She eventually required a permanent tracheotomy. The patient had undergone previous cardiac surgical procedures to correct Fallot's tetralogy as a neonate and as a child. At those times, there were no recognized symptoms of transient or permanent Vocal Cord dysfunction. This case emphasizes the importance of identifying patients with preexisting unilateral voc...
Neil K Chadha - One of the best experts on this subject based on the ideXlab platform.
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surgical interventions for pediatric unilateral Vocal Cord Paralysis a systematic review
Archives of Otolaryngology-head & Neck Surgery, 2015Co-Authors: Oleksandr Butskiy, Bhavik D Mistry, Neil K ChadhaAbstract:Importance The most widely used surgical interventions for pediatric unilateral Vocal Cord Paralysis include injection laryngoplasty, thyroplasty, and laryngeal reinnervation. Despite increasing interest in surgical interventions for unilateral Vocal Cord Paralysis in children, the surgical outcomes data in children are scarce. Objective To appraise and summarize the available evidence for pediatric unilateral Vocal Cord Paralysis surgical strategies. Evidence Review MEDLINE (1946-2014) and EMBASE (1980-2014) were searched for publications that described the results of laryngoplasty, thyroplasty, or laryngeal reinnervation for pediatric unilateral Vocal Cord Paralysis. Further studies were identified from bibliographies of relevant studies, gray literature, and annual scientific assemblies. Two reviewers independently appraised the selected studies for quality, level of evidence, and risk of bias as well as extracted data, including unilateral Vocal Cord Paralysis origin, voice outcomes, swallowing outcomes, and adverse events. Findings Of 366 identified studies, the inclusion criteria were met by 15 studies: 6 observational studies, 6 case series, and 3 case reports. All 36 children undergoing laryngeal reinnervation (8 studies) had improvement or resolution of dysphonia. Of 31 children receiving injection laryngoplasty (6 studies), most experienced improvement in voice quality, speech, swallowing, aspiration, and glottic closure. Of 12 children treated by thyroplasty (5 studies), 2 experienced resolution of dysphonia, 4 had some improvement, and 4 had no improvement (2 patients had undocumented outcomes). Thyroplasty resolved or improved aspiration in 7 of 8 patients. Conclusions and Relevance Published studies suggest that reinnervation may be the most effective surgical intervention for children with dysphonia; however, long-term follow-up data are lacking. With the exception of polytetrafluoroethylene injections, injection laryngoplasty was reported to be a relatively safe, nonpermanent, and effective option for most children with dysphonia. Thyroplasty appears to have fallen out favor in recent years because of difficulty in performing this procedure in children under local anesthesia, but it continues to be a viable option for children with aspiration.
Steven M Zeitels - One of the best experts on this subject based on the ideXlab platform.
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early versus late injection medialization for unilateral Vocal Cord Paralysis
Laryngoscope, 2010Co-Authors: Aaron D Friedman, James A Burns, James T Heaton, Steven M ZeitelsAbstract:Objectives: To evaluate whether the timing of early (≤6 months from time of nerve injury) vs. late (>6 months) injection medialization laryngoplasty impacts the need for subsequent open-neck reconstruction to restore Vocal function in patients with unilateral Vocal Cord Paralysis. Study Design: Retrospective chart review. Methods: A total of 112 outpatient or hospitalized adults with dysphonia resulting from postsurgical or idiopathic unilateral Vocal Cord Paralysis were identified who were injected as initial treatment within 1 year of onset of their Paralysis. All subjects underwent awake, transoral, paraglottic injection with absorbable hyaluronic-acid gel. Patients with documented recovery of Vocal Cord mobility (22), active disease directly affecting the recurrent laryngeal nerve (8), 6 months postParalysis) avoided phonosurgical reconstruction (P=.03, χ 2 test). Conclusions: Patients receiving early injection medialization for Vocal Cord Paralysis were less likely to require transcervical reconstruction. We believe that early medialization creates a more favorable Vocal Cord position for phonation that can be maintained by synkinetic reinnervation, in contrast to the final position of a lateralized Vocal Cord being determined solely by reinnervation.
