Comparison of Clinical Characteristics Between Patients With Different Causes of Vocal Cord Immobility
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Objective To analyze the clinical characteristics between neurogenic and non-neurogenic cause of vocal cord immobility (VCI).Methods The researchers retrospectively reviewed clinical data of patients who underwent laryngeal electromyography (LEMG). LEMG was performed in the bilateral cricothyroid and thyroarytenoid muscles. A total of 137 patients were enrolled from 2011 to 2016, and they were assigned to either the neurogenic or non-neurogenic VCI group, according to the LEMG results. The clinical characteristics were compared between the two groups and a subgroup analysis was done in the neurogenic group.Results Among the 137 subjects, 94 patients had nerve injury. There were no differences between the neurogenic and non-neurogenic group in terms of demographic data, underlying disease except cancer, and premorbid events. In general characteristics, cancer was significantly higher in the neurogenic group than non-neurogenic group (p=0.001). In the clinical findings, the impaired high pitched ‘e’ sound and aspiration symptoms were significantly higher in neurogenic group (p=0.039 for impaired high pitched ‘e’ sound; p=0.021 for aspiration symptoms), and sore throat was more common in the non-neurogenic group (p=0.014). In the subgroup analysis of neurogenic group, hoarseness was more common in recurrent laryngeal neuropathy group than superior laryngeal neuropathy group (p=0.018).Conclusion In patients with suspected vocal cord palsy, impaired high pitched ‘e’ sound and aspiration symptoms were more common in group with neurogenic cause of VCI. Hoarseness was more frequent in subjects with recurrent laryngeal neuropathy. Thorough clinical evaluation and LEMG are important to differentiate underlying cause of VCI.
Abstract
Objective To analyze the clinical characteristics between neurogenic and non-neurogenic cause of vocal cord immobility (VCI).Methods The researchers retrospectively reviewed clinical data of patients who underwent laryngeal electromyography (LEMG). LEMG was performed in the bilateral cricothyroid and thyroarytenoid muscles. A total of 137 patients were enrolled from 2011 to 2016, and they were assigned to either the neurogenic or non-neurogenic VCI group, according to the LEMG results. The clinical characteristics were compared between the two groups and a subgroup analysis was done in the neurogenic group.Results Among the 137 subjects, 94 patients had nerve injury. There were no differences between the neurogenic and non-neurogenic group in terms of demographic data, underlying disease except cancer, and premorbid events. In general characteristics, cancer was significantly higher in the neurogenic group than non-neurogenic group (p=0.001). In the clinical findings, the impaired high pitched ‘e’ sound and aspiration symptoms were significantly higher in neurogenic group (p=0.039 for impaired high pitched ‘e’ sound; p=0.021 for aspiration symptoms), and sore throat was more common in the non-neurogenic group (p=0.014). In the subgroup analysis of neurogenic group, hoarseness was more common in recurrent laryngeal neuropathy group than superior laryngeal neuropathy group (p=0.018).Conclusion In patients with suspected vocal cord palsy, impaired high pitched ‘e’ sound and aspiration symptoms were more common in group with neurogenic cause of VCI. Hoarseness was more frequent in subjects with recurrent laryngeal neuropathy. Thorough clinical evaluation and LEMG are important to differentiate underlying cause of VCI.
참고문헌 (37)
- Ahmad S, "A Study of incidence and etiopathology of vocal cord paralysis", Indian J Otolaryngol Head Neck Surg, 54, pp.294~296 (2002)
- Syamal MN, "Vocal fold paresis: a review of clinical presentation, differential diagnosis, and prognostic indicators", Curr Opin Otolaryngol Head Neck Surg, 24, pp.197~202 (2016)
- Xu W, "Value of laryngeal electromyography in diagnosis of vocal fold immobility", Ann Otol Rhinol Laryngol, 116, pp.576~581 (2007)
- Ingle JW, "Prospective evaluation of the clinical utility of laryngeal electromyography", Laryngoscope, 124, pp.2745~2749 (2014)
- Weddell G, "The electrical activity of voluntary muscle in man under normal and pathological conditions", Brain, 67, pp.178~257 (1944)
- Faaborg-Andersen K, "Action potentials from internal laryngeal muscles during phonation", Nature, 177, pp.340~341 (1956)
- Faaborg-Andersen K, "Electromyography of intrinsic and extrinsic laryngeal muscles during silent speech: correlation with reading activity", Acta Otolaryngol, 49, pp.478~482 (1958)
- Buchthal F, "Electromyography of intrinsic laryngeal muscles", Q J Exp Physiol Cogn Med Sci, 44, pp.137~148 (1959)
- Kotby MN, "Percutaneous laryngeal electromyography. Standardization of the technique", Folia Phoniatr (Basel), 27, pp.116~127 (1975)
- Guha K, "Role of laryngeal electromyography in predicting recovery after vocal fold paralysis", Indian J Otolaryngol Head Neck Surg, 66, pp.394~397 (2014)
- Smith LJ, "Vocal fold motion outcome based on excellent prognosis with laryngeal electromyography", Laryngoscope, 126, pp.2310~2314 (2016)
- Pardo-Maza A, "Laryngeal electromyography for prognosis of vocal fold paralysis", J Voice, 31, pp.90~93 (2017)
- Blitzer A, "Spasmodic dysphonia and botulinum toxin : experience from the largest treatment series", Eur J Neurol, 17(Suppl 1), pp.28~30 (2010)
- Wang CC, "Laryngeal electromyography-guided hyaluronic acid vocal fold injection for unilateral vocal fold paralysis: a prospective long-term follow-up outcome report", JAMA Otolaryngol Head Neck Surg, 141, pp.264~271 (2015)
- Bachor E, "Herpes simplex virus type I reactivation as a cause of a unilateral temporary paralysis of the vagus nerve", Eur Arch Otorhinolaryngol, 253, pp.297~300 (1996)
- Parano E, "Acute palsy of the recurrent laryngeal nerve complicating Epstein-Barr virus infection", Neuropediatrics, 27, pp.164~166 (1996)
- Parnes SM, "Predictive value of laryngeal electromyography in patients with vocal cord paralysis of neurogenic origin", Laryngoscope, 95, pp.1323~1326 (1985)
- Rosenbek JC, "A penetration-aspiration scale", Dysphagia, 11, pp.93~98 (1996)
- Perotto AO, "Anatomical guide for the electromyographer:the limbs and trunk", pp.311~316 (2011), Charles C Thomas Publisher
- Kimaid PA, "Laryngeal electromyography techniques and clinical use", J Clin Neurophysiol, 32, pp.274~283 (2015)
- Garcia-Lopez I, "Laryngeal electromyography in diagnosis and treatment of voice disorders", Acta Otorrinolaringol Esp, 63, pp.458~464 (2012)
- Sulica L, "Electromyography and the immobile vocal fold", Otolaryngol Clin North Am, 37, pp.59~74 (2004)
- Booka E, "The impact of postoperative complications on survivals after esophagectomy for esophageal cancer", Medicine (Baltimore), 94, pp.e1369~ (2015)
- Sato Y, "Risk factors and clinical outcomes of recurrent laryngeal nerve paralysis after esophagectomy for thoracic esophageal carcinoma", World J Surg, 40, pp.129~136 (2016)
- Kurihara N, "Hoarseness caused by arytenoid dislocation after surgery for lung cancer", Gen Thorac Cardiovasc Surg, 62, pp.730~733 (2014)
- Calo PG, "Role of intraoperative neuromonitoring of recurrent laryngeal nerves in the outcomes of surgery for thyroid cancer", Int J Surg, 12(Suppl 1), pp.S213~217 (2014)
- Orestes MI, "Superior laryngeal nerve injury:effects, clinical findings, prognosis, and management options", Curr Opin Otolaryngol Head Neck Surg, 22, pp.439~443 (2014)
- De Virgilio A, "Influence of superior laryngeal nerve injury on glottal configuration", function of thyroidectomy-induced unilateral vocal fold paraly, 2014, pp.151, 996~1002
- Wang CC, "Laryngeal electromyography and prognosis of unilateral vocal fold paralysis: a long-term prospective study", Laryngoscope, 125, pp.898~903 (2015)
- Crumley RL, "Unilateral recurrent laryngeal nerve paralysis", J Voice, 8, pp.79~83 (1994)
- Paquette CM, "Unilateral vocal cord paralysis: a review of CT findings, mediastinal causes, and the course of the recurrent laryngeal nerves", Radiographics, 32, pp.721~740 (2012)
- Leder SB, "Vocal fold immobility and aspiration status: a direct replication study", Dysphagia, 27, pp.265~270 (2012)
- Bou-Malhab F, "Swallowing disorders in unilateral recurrent laryngeal nerve paralysis", Ann Otolaryngol Chir Cervicofac, 117, pp.26~33 (2000)
- Taniyama Y, "Complications following recurrent laryngeal nerve lymph node dissection in oesophageal cancer surgery", Interact Cardiovasc Thorac Surg, 20, pp.41~46 (2015)
- Jafari S, "Sensory regulation of swallowing and airway protection: a role for the internal superior laryngeal nerve in humans", J Physiol, 550(Pt 1), pp.287~304 (2003)
- Kimaid PA, "Laryngeal electromyography: contribution to vocal fold immobility diagnosis", Electromyogr Clin Neurophysiol, 44, pp.371~374 (2004)
- Rickert SM, "Laryngeal electromyography for prognosis of vocal fold palsy: a meta-analysis", Laryngoscope, 122, pp.158~161 (2012)