Effect of injection augmentation on need for framework surgery in unilateral vocal fold paralysis.

摘要: Objectives/Hypothesis To determine whether injection augmentation reduces the likelihood of ultimately needing definitive framework surgery in unilateral vocal fold paralysis (UVFP) patients. Study Design: Retrospective cohort study. Methods All patients diagnosed with UVFP (2008–2012) at academic center were identified. The time from symptom onset to presentation either community otolaryngologist and/or center, as well any directed treatment(s), recorded. Stepwise, multivariate logistic regression analysis was used independently affected odds definitive, among who seen within 9 months and had not undergone prior rehabilitative procedures. Results Cohort consisted 633 (55% female, 80% Caucasian, median age 60 years) UVFP. majority etiologies (48%) or idiopathic (37%). Duration shorter than (median 2 vs. 6 months). Overall, less half operation (46%). Multivariate found that earlier did affect undergoing (odds ratio 1.13; confidence interval, 0.92–1.40; P = 0.23). Conclusion Nearly do require procedure. When indicated, early is effective temporarily alleviating associated symptoms but does reduce a Understanding practice patterns fostering detection treatment may improve quality life this patient population. Evidence Level 4. Laryngoscope, 2015