Arytenoid Appearance and Vertical Level Difference Between the Paralyzed and Innervated Vocal Cords
Objectives/Hypothesis In unilateral vocal fold paralysis, it has been generally accepted that the paralyzed vocal fold presents at a higher level than a normally innervated vocal fold. In this study, we correlate the appearances of the paralyzed arytenoid and the differences in level between the par...
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| Veröffentlicht in: | The Laryngoscope 2001-02, Vol.111 (2), p.227-232 |
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| creator | Hong, Ki Hwan Jung, Kyung Soo |
| description | Objectives/Hypothesis In unilateral vocal fold paralysis, it has been generally accepted that the paralyzed vocal fold presents at a higher level than a normally innervated vocal fold. In this study, we correlate the appearances of the paralyzed arytenoid and the differences in level between the paralyzed and innervated vocal folds.
Study Design Retrospective review using video‐recorded images of larynx.
Methods A total of 38 patients were selected for this study who reported symptoms of voice change attributable to a paralyzed vocal fold unilaterally. Video recordings were obtained using the laryngeal telescope. The heights were assessed according to the paralyzed positions, status (inspiration or phonation), and appearances of the paralyzed arytenoid. The appearances of paralyzed arytenoid were further clarified as the portions of the medial surface of the arytenoid that were visualized.
Results In medial paralysis, the paralyzed vocal fold appeared mainly as being at an equal vertical level or as having no distinct difference from normal vocal fold during phonation. However, a few cases of medial paralysis showed a lower than normal or higher than normal vocal fold during phonation, depending on the appearance of the paralyzed arytenoid. In lateral paralysis, most of the paralyzed vocal folds were not higher than the innervated vocal folds during phonation.
Conclusions The heights of paralyzed vocal folds were variable depending on the paralyzed positions, the status of the larynx, and appearances of the paralyzed arytenoid. The fact that the paralyzed vocal fold is at a higher level than the normal vocal fold should be reconsidered. |
| doi_str_mv | 10.1097/00005537-200102000-00007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70589727</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70589727</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5047-9be270e564728695b0983aed9a893e86465e38626e4a24e996ee1f0cd221f49a3</originalsourceid><addsrcrecordid>eNqNkEtPGzEUha2qFQTKX6hGQupu6PXbXqbhKdKHEFC6spyZO2LayUywJ0D66_GQNN3WC1s-_s651iEko3BEwepPkJaUXOcMgELaIB8k_YaMqOQ0F9bKt2QEwHhuJLvbJXsx_kqs5hJ2yC6ljIJRckSKcVj12HZ1mY0XC_TBtwVmvi2zWwx9Xfgmm-IjNtlxXVUYcHj9jP0TYpv195h9T45m9QfLV89F22J49H263naDd9KFMr4n7yrfRDzYnPvk5vTkenKeT7-dXUzG07yQIHRuZ8g0oFRCM6OsnIE13GNpvbEcjRJKIjeKKRSeCbRWIdIKipIxWgnr-T75uM5dhO5hibF38zoW2DS-xW4ZnQZprGY6gWYNFqGLMWDlFqGe-7ByFNxQsPtbsNsW_CoN1g-bGcvZHMt_xk2jCTjcAD6mBqqh0DpuOQsKtErU8Zp6qhtc_fd4Nx1f_ZRSUDqow2_ydUwde3zexvjw2ynNtXQ_vp65LwIuDb_j7pq_AE13oyw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70589727</pqid></control><display><type>article</type><title>Arytenoid Appearance and Vertical Level Difference Between the Paralyzed and Innervated Vocal Cords</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><source>Wiley Online Library All Journals</source><creator>Hong, Ki Hwan ; Jung, Kyung Soo</creator><creatorcontrib>Hong, Ki Hwan ; Jung, Kyung Soo</creatorcontrib><description>Objectives/Hypothesis In unilateral vocal fold paralysis, it has been generally accepted that the paralyzed vocal fold presents at a higher level than a normally innervated vocal fold. In this study, we correlate the appearances of the paralyzed arytenoid and the differences in level between the paralyzed and innervated vocal folds.
Study Design Retrospective review using video‐recorded images of larynx.
Methods A total of 38 patients were selected for this study who reported symptoms of voice change attributable to a paralyzed vocal fold unilaterally. Video recordings were obtained using the laryngeal telescope. The heights were assessed according to the paralyzed positions, status (inspiration or phonation), and appearances of the paralyzed arytenoid. The appearances of paralyzed arytenoid were further clarified as the portions of the medial surface of the arytenoid that were visualized.
Results In medial paralysis, the paralyzed vocal fold appeared mainly as being at an equal vertical level or as having no distinct difference from normal vocal fold during phonation. However, a few cases of medial paralysis showed a lower than normal or higher than normal vocal fold during phonation, depending on the appearance of the paralyzed arytenoid. In lateral paralysis, most of the paralyzed vocal folds were not higher than the innervated vocal folds during phonation.
Conclusions The heights of paralyzed vocal folds were variable depending on the paralyzed positions, the status of the larynx, and appearances of the paralyzed arytenoid. The fact that the paralyzed vocal fold is at a higher level than the normal vocal fold should be reconsidered.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-200102000-00007</identifier><identifier>PMID: 11210865</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Arytenoid appearance ; Arytenoid Cartilage - pathology ; Biological and medical sciences ; Female ; Functional Laterality - physiology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laryngoscopes ; Male ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...) ; Otorhinolaryngology. Stomatology ; Phonation - physiology ; Reference Values ; Retrospective Studies ; Tropical medicine ; unilateral vocal fold paralysis ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; vertical level difference ; Vocal Cord Paralysis - etiology ; Vocal Cord Paralysis - pathology ; Vocal Cords - innervation ; Vocal Cords - pathology</subject><ispartof>The Laryngoscope, 2001-02, Vol.111 (2), p.227-232</ispartof><rights>Copyright © 2001 The Triological Society</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5047-9be270e564728695b0983aed9a893e86465e38626e4a24e996ee1f0cd221f49a3</citedby><cites>FETCH-LOGICAL-c5047-9be270e564728695b0983aed9a893e86465e38626e4a24e996ee1f0cd221f49a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2F00005537-200102000-00007$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2F00005537-200102000-00007$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=906076$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11210865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Ki Hwan</creatorcontrib><creatorcontrib>Jung, Kyung Soo</creatorcontrib><title>Arytenoid Appearance and Vertical Level Difference Between the Paralyzed and Innervated Vocal Cords</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis In unilateral vocal fold paralysis, it has been generally accepted that the paralyzed vocal fold presents at a higher level than a normally innervated vocal fold. In this study, we correlate the appearances of the paralyzed arytenoid and the differences in level between the paralyzed and innervated vocal folds.
Study Design Retrospective review using video‐recorded images of larynx.
Methods A total of 38 patients were selected for this study who reported symptoms of voice change attributable to a paralyzed vocal fold unilaterally. Video recordings were obtained using the laryngeal telescope. The heights were assessed according to the paralyzed positions, status (inspiration or phonation), and appearances of the paralyzed arytenoid. The appearances of paralyzed arytenoid were further clarified as the portions of the medial surface of the arytenoid that were visualized.
Results In medial paralysis, the paralyzed vocal fold appeared mainly as being at an equal vertical level or as having no distinct difference from normal vocal fold during phonation. However, a few cases of medial paralysis showed a lower than normal or higher than normal vocal fold during phonation, depending on the appearance of the paralyzed arytenoid. In lateral paralysis, most of the paralyzed vocal folds were not higher than the innervated vocal folds during phonation.
Conclusions The heights of paralyzed vocal folds were variable depending on the paralyzed positions, the status of the larynx, and appearances of the paralyzed arytenoid. The fact that the paralyzed vocal fold is at a higher level than the normal vocal fold should be reconsidered.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arytenoid appearance</subject><subject>Arytenoid Cartilage - pathology</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Functional Laterality - physiology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laryngoscopes</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Phonation - physiology</subject><subject>Reference Values</subject><subject>Retrospective Studies</subject><subject>Tropical medicine</subject><subject>unilateral vocal fold paralysis</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>vertical level difference</subject><subject>Vocal Cord Paralysis - etiology</subject><subject>Vocal Cord Paralysis - pathology</subject><subject>Vocal Cords - innervation</subject><subject>Vocal Cords - pathology</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtPGzEUha2qFQTKX6hGQupu6PXbXqbhKdKHEFC6spyZO2LayUywJ0D66_GQNN3WC1s-_s651iEko3BEwepPkJaUXOcMgELaIB8k_YaMqOQ0F9bKt2QEwHhuJLvbJXsx_kqs5hJ2yC6ljIJRckSKcVj12HZ1mY0XC_TBtwVmvi2zWwx9Xfgmm-IjNtlxXVUYcHj9jP0TYpv195h9T45m9QfLV89F22J49H263naDd9KFMr4n7yrfRDzYnPvk5vTkenKeT7-dXUzG07yQIHRuZ8g0oFRCM6OsnIE13GNpvbEcjRJKIjeKKRSeCbRWIdIKipIxWgnr-T75uM5dhO5hibF38zoW2DS-xW4ZnQZprGY6gWYNFqGLMWDlFqGe-7ByFNxQsPtbsNsW_CoN1g-bGcvZHMt_xk2jCTjcAD6mBqqh0DpuOQsKtErU8Zp6qhtc_fd4Nx1f_ZRSUDqow2_ydUwde3zexvjw2ynNtXQ_vp65LwIuDb_j7pq_AE13oyw</recordid><startdate>200102</startdate><enddate>200102</enddate><creator>Hong, Ki Hwan</creator><creator>Jung, Kyung Soo</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200102</creationdate><title>Arytenoid Appearance and Vertical Level Difference Between the Paralyzed and Innervated Vocal Cords</title><author>Hong, Ki Hwan ; Jung, Kyung Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5047-9be270e564728695b0983aed9a893e86465e38626e4a24e996ee1f0cd221f49a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arytenoid appearance</topic><topic>Arytenoid Cartilage - pathology</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Functional Laterality - physiology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laryngoscopes</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Phonation - physiology</topic><topic>Reference Values</topic><topic>Retrospective Studies</topic><topic>Tropical medicine</topic><topic>unilateral vocal fold paralysis</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>vertical level difference</topic><topic>Vocal Cord Paralysis - etiology</topic><topic>Vocal Cord Paralysis - pathology</topic><topic>Vocal Cords - innervation</topic><topic>Vocal Cords - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hong, Ki Hwan</creatorcontrib><creatorcontrib>Jung, Kyung Soo</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Ki Hwan</au><au>Jung, Kyung Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arytenoid Appearance and Vertical Level Difference Between the Paralyzed and Innervated Vocal Cords</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2001-02</date><risdate>2001</risdate><volume>111</volume><issue>2</issue><spage>227</spage><epage>232</epage><pages>227-232</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives/Hypothesis In unilateral vocal fold paralysis, it has been generally accepted that the paralyzed vocal fold presents at a higher level than a normally innervated vocal fold. In this study, we correlate the appearances of the paralyzed arytenoid and the differences in level between the paralyzed and innervated vocal folds.
Study Design Retrospective review using video‐recorded images of larynx.
Methods A total of 38 patients were selected for this study who reported symptoms of voice change attributable to a paralyzed vocal fold unilaterally. Video recordings were obtained using the laryngeal telescope. The heights were assessed according to the paralyzed positions, status (inspiration or phonation), and appearances of the paralyzed arytenoid. The appearances of paralyzed arytenoid were further clarified as the portions of the medial surface of the arytenoid that were visualized.
Results In medial paralysis, the paralyzed vocal fold appeared mainly as being at an equal vertical level or as having no distinct difference from normal vocal fold during phonation. However, a few cases of medial paralysis showed a lower than normal or higher than normal vocal fold during phonation, depending on the appearance of the paralyzed arytenoid. In lateral paralysis, most of the paralyzed vocal folds were not higher than the innervated vocal folds during phonation.
Conclusions The heights of paralyzed vocal folds were variable depending on the paralyzed positions, the status of the larynx, and appearances of the paralyzed arytenoid. The fact that the paralyzed vocal fold is at a higher level than the normal vocal fold should be reconsidered.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>11210865</pmid><doi>10.1097/00005537-200102000-00007</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete; Wiley Online Library All Journals |
| subjects | Adolescent Adult Aged Arytenoid appearance Arytenoid Cartilage - pathology Biological and medical sciences Female Functional Laterality - physiology Humans Investigative techniques, diagnostic techniques (general aspects) Laryngoscopes Male Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...) Otorhinolaryngology. Stomatology Phonation - physiology Reference Values Retrospective Studies Tropical medicine unilateral vocal fold paralysis Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology vertical level difference Vocal Cord Paralysis - etiology Vocal Cord Paralysis - pathology Vocal Cords - innervation Vocal Cords - pathology |
| title | Arytenoid Appearance and Vertical Level Difference Between the Paralyzed and Innervated Vocal Cords |
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