PMID: 8457119Mar 1, 1993Paper

Vocal cord paralysis caused by esophageal cancer surgery

The Annals of Otology, Rhinology, and Laryngology
M HiranoH Fujita

Abstract

Esophageal cancer surgery was the cause of paralysis in 111 (16.7%) of 664 patients with vocal cord paralysis seen from 1981 to 1990 at Kurume University Hospital. Eighty-six patients had unilateral paralysis, whereas 25 had bilateral lesions. Of the 111, 95 (86%) had hoarseness and 59 (53%) had aspiration. The crude survival rate was 63% for 1-year, 32% for 3-year, and 22% for 5-year follow-up. The average life expectancy was short. The general condition was poor in many patients. Thirty-four of the 136 paralytic vocal cords (25%) recovered mobility. An intracordal silicone injection was done in 30 patients, and a medialization procedure was performed in 1. The vocal function was improved in the majority of cases. In 4 patients, severe aspiration persisted following intracordal injection. Of the 4, 1 had cricopharyngeal myotomy and laryngeal suspension and 2 underwent total laryngectomy. The fourth patient died of aspiration pneumonia. The results of the review of the 111 patients have led us to the following treatment policy for patients with vocal cord paralysis caused by esophageal cancer surgery. When the patient has aspiration, vocal cord medialization should be performed as early as possible. If severe aspiration persist...Continue Reading

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Citations

Jul 11, 2014·Journal of Voice : Official Journal of the Voice Foundation·Yoon Se LeeSoon-Yuhl Nam
Sep 17, 1998·The Laryngoscope·M S BenningerJ S Altman
Oct 21, 2004·Best Practice & Research. Clinical Gastroenterology·T E Lerut, J J B van Lanschot
May 28, 2005·The Annals of Thoracic Surgery·Shoji NatsugoeTakashi Aikou
Dec 15, 2015·Journal of Voice : Official Journal of the Voice Foundation·Olivia Busto-CrespoSecundino Fernández-González
May 16, 2006·Thoracic Surgery Clinics·B Zane Atkins, Thomas A D'Amico
Feb 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·D H KrausM S Bains
Aug 20, 2002·The Annals of Otology, Rhinology, and Laryngology·Manoj T AbrahamDennis H Kraus
May 18, 2005·The Annals of Otology, Rhinology, and Laryngology·Clarence T SasakiYoung-Ho Kim
Jan 1, 1994·The Annals of Otology, Rhinology, and Laryngology·C L LudlowM Hallett
Mar 5, 2004·The Annals of Otology, Rhinology, and Laryngology·Kiminori SatoTadashi Nakashima
Aug 12, 1999·The Australian and New Zealand Journal of Surgery·T HavasJ Priestley
Feb 24, 2001·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·H ShiozakiM Monden
Dec 21, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Laura W J BaijensPere Clavé

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