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DOI: 10.1055/s-0040-1710783
Preliminary Results of the Unilateral Vocal Fold Paralysis Registry
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
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MedEL Medical Electronics
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Artikel online veröffentlicht:
10. Juni 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
© Georg Thieme Verlag KG
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