CC BY-NC-ND 4.0 · Laryngorhinootologie 2020; 99(S 02): S19
DOI: 10.1055/s-0040-1710783
Abstracts
Aerodigestive tract

Preliminary Results of the Unilateral Vocal Fold Paralysis Registry

M Grosheva
1   HNO Uniklinik Koeln Köln
,
B Schneider-Stickler
2   Klinische Abteilung Phoniatrie-Logopädie, Univ.-Klinik für Hals-Nasen-Ohrenkrankheiten des Allgemeinen Krankenhauses der Stadt Wien Wien Austria
,
G Förster
3   Hals-Nasen-Ohrenklinik, SRH Wald-Klinikum Gera Gera
,
T Schidlowska
4   State Institution “O. S. Kolomiychenko; Institute of Otolaryngology of National Academy of Medical Sciences of Ukraine“, Kiev Kiev Ukraine
,
T Nawka
5   Klinik für Audiologie und Phoniatrie, Charité Universitätsmedizin Berlin Berlin
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Introduction Unilateral vocal fold paralysis (UVFP) is a rare disease without a standardized diagnostic and follow-up procedure. The aim of our international registry is to record and compare the different diagnostic and follow-up procedure across different institutions in Germany, Austria, and Ukraine.

Methods Data are collected both retro- and prospectively. The registry was approved in 2018. At abstract submission, 45 retro- and 15 prospective cases have been collected. Voice range profile, videolaryngo(strobo)scopy, Roughness, Breathiness, Hoarseness (RBH), and Voice Handicap Index (VHI-9) were the main outcome measures for this registry.

Results The main treatment was conservative voice therapy. The initial results on 45 retrospective subjects showed that less than 40 % of the patients are followed-up within 6m after acceptance to the registry. This percentage drops to 20 % thereafter. While VRP and VHI-9 evaluation shows a mild to moderate voice impairment at baseline, the test was rarely repeated during follow-up. Jitter and Maximum Phonation Time were significantly aberrant at baseline and did not show a great improvement in the follow-up.

Conclusions The aim of this registry is to include a large population to compare the outcome of the standard treatment with others, such as electrostimulation and/or surgery. There is a lack of continuous post-treatment monitoring of the UVFP patients based on objective parameters such as VRP as well as on subjective tests such as VHI-9 or RBH. The majority of the patients is conservatively treated with voice therapy.

Poster-PDF A-1433.PDF



Publication History

Article published online:
10 June 2020

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