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The Role of Continuous Positive Airway Pressure in Acute Bilateral Vocal Cord Paresis or Paralysis Post-Thyroidectomy.
Ann Otol Rhinol Laryngol
November 2024
Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, New York, NY, USA.
Objectives: Acute post-thyroidectomy bilateral vocal cord paresis or paralysis (BVCP) is often managed with observation, botulinum toxin injection or tracheostomy. However, only a few cases discuss obstructive sleep apnea (OSA) in the context of BVCP with limited exploration of home sleep test (HST) and continuous positive airway pressure (CPAP) as post-operative assessment and management tools. This study suggests CPAP as a less invasive approach while awaiting vocal cord recovery.
View Article and Find Full Text PDFLocalized laryngeal amyloidosis: A systematic review.
Am J Otolaryngol
September 2022
UCSF Voice and Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, San Francisco, CA, USA. Electronic address:
Objective: The larynx is the most common site of localized head and neck amyloidosis. Our study aimed to review the clinical features, treatments, and outcomes associated with localized laryngeal amyloidosis (LA). We also compared these features between two different time periods to evaluate the evolution of LA management.
View Article and Find Full Text PDFLong-Term Laryngotracheal Complications After Inhalation Injury: A Scoping Review.
J Burn Care Res
March 2023
Department of Burns, Perth Children's Hospital, Nedlands, Western Australia, Australia.
Long-term laryngotracheal complications (LTLC) after inhalation injury (II) are an under-recognized condition in patients with burns. The purpose of this study was to systematically review all available evidence on LTLC after II and identify gaps in knowledge to guide the direction of future research. A scoping review was performed to synthesize all available evidence on LTLC after II, as guided by the question, "What are the LTLC after II, in patients with or without a history of translaryngeal intubation and/or tracheostomy?".
View Article and Find Full Text PDFOutcome measures for pediatric laryngotracheal reconstruction: International consensus statement.
Laryngoscope
January 2019
Division of Pediatric Otolaryngology and Aerodigestive and Esophageal Center, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.
Objectives: Develop multidisciplinary and international consensus on patient, disease, procedural, and perioperative factors, as well as key outcome measures and complications, to be reported for pediatric airway reconstruction studies.
Methods: Standard Delphi methods were applied. Participants proposed items in three categories: 1) patient/disease characteristics, 2) procedural/intraoperative/perioperative factors, and 3) outcome measures and complications.
Laryngeal ultrasound detects a high incidence of vocal cord paresis after aortic arch repair in neonates and young children.
J Thorac Cardiovasc Surg
June 2018
Department of Cardiac Surgery, The Royal Children's Hospital, Melbourne, Victoria, Australia; Heart Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia. Electronic address:
Objectives: To determine the incidence of vocal cord paresis (VCP) after neonatal aortic arch repair/Norwood-type procedure, and the effectiveness of noninvasive laryngeal ultrasound in detecting VCP compared with gold standard invasive nasoendoscopy.
Methods: Fifty-two patients who underwent an arch repair (39 of 52; 75%) or Norwood-type procedure (13 of 52; 25%) via sternotomy between April 1, 2015, and April 30, 2017 underwent laryngeal ultrasound (50 of 52; 96%) and/or flexible fiber optic nasoendoscopy (39 of 52; 75%) at 48 to 72 hours after endotracheal extubation. Primary arch diagnoses were coarctation in 56% (29 of 52), hypoplastic left heart syndrome in 17% (9 of 52), isolated hypoplastic arch in 17% (9 of 52), and interrupted aortic arch in 10% (5 of 52).
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