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[Etiology and diagnostic methods in vocal cord paralysis].

Gita Jørgensen1, Eva Wiinstedt Clausen, Margit Y Mantoni

  • 1Ore-naese-halsafdelingen og rontgenafdelingen, Amtssygehuset i Gentofte.

Ugeskrift for Laeger
|March 6, 2003
PubMed
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Neoplasm is a common cause of vocal cord paralysis (VCP). A thorough evaluation, including CT-scanning, is recommended for diagnosing VCP and determining its etiology.

Area of Science:

  • Otolaryngology
  • Diagnostic Imaging
  • Neoplastic Diseases

Context:

  • Vocal cord paralysis (VCP) has diverse etiologies.
  • Current diagnostic approaches for VCP lack standardized consensus.
  • Evaluating unilateral vocal cord paralysis (UVCP) requires a systematic approach.

Purpose:

  • To establish the common etiologies of VCP.
  • To assess the efficacy of various diagnostic methods for VCP.
  • To propose an algorithm for the evaluation of UVCP.

Summary:

  • Neoplasm accounts for 34% of UVCP and 24% of bilateral VCP (BVCP) cases.
  • Surgical trauma is implicated in 12% of UVCP and 24% of BVCP.
  • CT-scanning emerged as the most effective diagnostic tool, while thyroid scanning was least effective.

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Impact:

  • Highlights the significant role of neoplasms in VCP etiology.
  • Recommends a diagnostic algorithm for UVCP, including imaging and endoscopy.
  • Suggests a follow-up protocol for idiopathic VCP, emphasizing serial imaging.