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[Unilateral laryngeal paralysis]
1Unité de Phoniatrie et de Logopédie, Service d'ORL et de Chirurgie cervico-faciale, CHUV, Lausanne.
Revue Medicale De La Suisse Romande
|August 6, 2004
Summary
Laryngeal paralysis diagnosis involves assessing voice and swallowing. Treatment options include voice therapy and vocal fold medialization, with a one-year follow-up for idiopathic cases.
Area of Science:
- Otolaryngology
- Neurology
Background:
- Laryngeal paralysis diagnosis and management require a comprehensive approach.
- Key diagnostic elements include patient history and examination of phonation, swallowing, and the pharyngo-larynx.
Observation:
- Unilateral laryngeal paralysis primarily presents with dysphonia (hoarseness).
- Dysphagia (difficulty swallowing) exceeding 10 days may suggest a proximal vagus nerve lesion.
Findings:
- Voice and swallowing therapy are initial treatment options.
- If conservative measures are insufficient after one month, vocal fold medialization (temporary or definitive) can be considered.
- Paralysis is deemed definitive after 12 months.
Implications:
- A minimum one-year follow-up is crucial for idiopathic laryngeal paralysis.
- This structured approach aids in accurate diagnosis and effective management of laryngeal paralysis.
- Understanding the timeline for definitive paralysis and follow-up is essential for patient care.