Phoniatric Care for Patients with Temporary or Permanent Vocal Cord Paralysis Following Operations on the Thyroid Gland


Authors: P. Staněk
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku FN u sv. Anny, Brno, přednosta prof. MUDr. R. Kostřica, CSc.
Published in: Otorinolaryng. a Foniat. /Prague/, 64, 2015, No. 3, pp. 168-172.
Category: Case Reports

Overview

The care for patients after operations on the thyroid gland with subsequent paralysis of the vocal cords belongs to the competency of physicians of multiple disciplines. The primary surgical part of the therapy is frequently succeeded by not only further surgical care but also principally by a long-term phoniatric care. In cases of postoperative temporary or permanent vocal cord paralysis, the given institution should have at its disposal a specific plan of the therapeutic procedure. Even correct operation procedures with possible revision of the recurrent nerve will not always guarantee mobility of the vocal organs. It is then a question of time how we can manage the ensuing situation to the patient’s benefit. We view the given area of problems through the eyes of interested specialists. We are focused on the postoperative phoniatric care with the aim to work out a therapeutic plan for vocal re-education in conditions of temporary paralyses of the vocal apparatus.

Keywords:
thyroid gland, recurrent nerve, vocal cords, phoniatrist, vocal re-education


Sources

1. Astl, J.: Chirurgická léčba nemocí štítné žlázy, Praha, 2007, s. 29-173.

2. Bergamini, G., Alicandri-Ciufelli, M., Molteni, G., Villari, D., Luppi, M. P., Genovese, E., Presutti, L.: Therapy of unilateral vocal fold paralysis with polydimethylsioxane injection larygosplasty: Our experience. Journal of Voice, 24, 2009, 1. s. 119-125.

3. Bielamowicz, S., Stager, S. V. : Diagnosis of unilateral recurrent laryngeal nerve paracusis: Laryngeal electromyography, subjective rating scales, acoustic nad aerodynamic measures. Laryngoskope, 116, 2009, 3, s. 359-364.

4. Courey, M. S.: Diagnosis and surgical management of unilateral and bilateral vocal fold paralysis, curr opin, otolaryngolog. Head ad Neck Surgery, 1995, 3, s. 120-124.

5. Damrose, E. J., Berka, G. S.: Advances in the management of glottic insufficiency, curr opin. otolaryngolog. Head and Neck Surgery, 11, 2003, 6, s. 480-484.

6. Dedo, H. H.: Injection and removal of Teflon for unilateral vocal cord paralysis. Ann. Otorhinol. Laryngolog., 101, 1992, s. 81-86.

7. Dršata, J., Kučera, M., Schreiber, M., Nováková, I.: Elektromyografie při poruše hybnosti hlasivek. Otorinolaryng. a foniat./Prague/, 50, 2001, s. 102-122.

8. Dvořák, J.: Chirurgická anatomie a technika operací štítné žlázy. Dům medicíny, Praha, 1995, s. 238.

9. Elies, W., Thermann, M., Hermes, H.: Moglichkeiten und Grenzen der rekonstructiven Chirurgie des N.recurrens. Laryngorhinootologie, 71, 1992, s. 35-38.

10. Haninec, P., Dubový, P.: Origin of cells in contact with the growth cones of embryonal peripheral nerves and hiostochemical detection of nonspecific cholinesterase activity in quail-chick and chick - quail chimeras. J. Neurosci. Res., 31, 1992, s. 301-308.

11. Haninec, P., Houšťava, L., Zvěřina, E., Lašťovka, M.: Chirurgická léčba poranění n.laryngeus recurrens. Rozhledy v chirurgii, 1996, s. 100-104.

12. Harries, M. L.: Unilateral vocal fold paralysis: a review of the current methods of surgical rehabilitaton. The Journal of Laryngoscopy and Otology, 110. 1996, s. 111-116.

13. Havlík, R., Frostová, J.: Audio-fon centr Brno, s.r.o. Komplexní reedukace hlasu v AFC. Otorinolaryngologie a foniatrie, 56, 2007, 1, s. 35-38.

14. Koufman, J. A., Postma, G. N., Cummins, M. M.: Vocal fold paresis. Otolarygolog. Head and Neck Surgery, 122, 2000, 4, s. 537-541.

15. Lašťovka, M.: Léčba paréz n.recurentis pomocí přímé stimulace vnitřních hrtanových svalů. Otolaryngologie a foniatrie, Prague, 48, 1999, 4, s. 226-228.

16. Markalous, B., Svárovský, J., Lašťovka, M., Ohradník, M., Jedlička I., Přeučil P.: Výsledky dekompresí a sutur zvratného nervu. Otorinolaryngologie a foniatrie, 49, 2000, 2, s. 73-80.

17. Meek, P., Carding, P. N., Howard, D. H., Lennard, T. W. J.: Voice change following thyroid ad parathyroid surgery. Journal of Voice, 22, 2007, 6, s. 765-772.

18. Ossoff, R. H.: Endoscopic laser arytenoidectomy for the treatment of bilateral vocal cord parakusis. Laryngoscope, 94, 1984, 10, s. 1293-1297.

19. Rubin, A. D., Praneetvatakul, V., Heman-Ackah, Y., Moyer, Ch. A., Mandel, S., Sataloff, R. T.: Repetitive phonatory tasks for identifying vocal fold paresis, Journal of Voice, 19, 2005, 4, s. 679-686.

20. Schindler, A., Bottero, A., Capaccio, P., Ginocchio, D., Adorni, F., Ottaviani, F.: Vocal improvement after voice therapy in unilateral vocal fold parakusis. Journal of Voice, 22, 2006, 1, s. 113-118.

21. Simpson, B. C., Cheung, J. E., Jackson, J. C.: Vocal fold paresis: Clinical and electrophysiologic features in a tertiary laryngology praktice. Journal of Voice, 23, 2008, 3, s. 396-398.

22. Sinacori, J. T.: Unilateral and bilateral vocal fold paralysis: techniques and controversies in management, Curr Opin, Otolaryngolog. Head and Neck Surgery, 10, 2002, 6, s. 472-477.

23. Stager, V. S., Bielamowicz, A. S.: Evidence of return of function in patients with vocal fold paresis. Journal of Voice, 24, 2009, 5, s. 614-622.

24. Timon, I. C., Hirani, P. S., Epstein, R., Rafferty, A. M.: Investigation of the impact of thyroid surgery on vocal tract steadiness. Journal of Voice, 24, 2009, 5, s. 610-613.

25. Zeitels, S. M., Franco, R. A.: Laryngoplastic phonosurgical reconstruction of unilateral vocal fold parakusis. Curr Opin, Otolaryngolog. Head and Neck Surgery, 8, 2000, 6, s. 503-508.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account