Vocal fold motion impairment in patients with multiple system atrophy: evaluation of its relationship with swallowing function

Objective The objective of this study was to systematically review the literature regarding vocal fold motion impairment (VFMI), respiratory outcomes, and swallowing outcomes in children following congenital heart surgery (CHS). Data Sources PubMed, Embase, Medline, and CINAHL databases. Review Methods Data sources were searched from inception to November 30, 2018. Studies that described recovery of VFMI and swallowing function following CHS were included, and a qualitative analysis was performed. Results A total of 1371 studies were identified, of which 8 met inclusion criteria for VFMI and 5 met inclusion criteria for swallowing outcomes. Studies including patients who underwent isolate patent ductus arteriosus ligation were excluded. VFMI was present in 8% to 59% of subjects, and rates of recovery ranged from 9% to 96% at 6 months to 6 years of follow-up. Inability to maintain an oral diet occurred in 14% to 100% of subjects with VFMI and 11% to 61% without VFMI following surgery. Tolerance of an oral diet without tube feeding was present in 66% to 75% of subjects with VFMI and 88% to 100% without VFMI at 24 days to 3.2 years of follow-up. Limited data suggest that time to extubation is longer in VFMI subjects, but overall hospital length of stay and mortality may not be affected by VFMI status. Conclusions Data evaluating dysphagia and VFMI after CHS are limited. Most studies suggest significant improvement in swallowing function, while rate of recovery of VFMI is variable. Future prospective studies with standardized screening and follow-up are needed to better elucidate outcomes to help develop algorithms for identification and management of VFMI after CHS.

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Prevalence and characterisation of vocal fold motion impairment (VFMI) in patients with Multiple system atrophy compared with Parkinson's disease

Revue Neurologique ◽

10.1016/j.neurol.2020.01.351 ◽

2020 ◽

Vol 176 (7-8) ◽

pp. 608-613 ◽

Cited By ~ 1

Author(s):

S. Grimaldi ◽

M. Renaud ◽

D. Robert ◽

A. Lagier ◽

H. Somma ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Multiple System Atrophy ◽

Vocal Fold ◽

Vocal Fold Motion

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Vocal fold motion impairment in multiple system atrophy

The Laryngoscope ◽

10.1002/lary.24402 ◽

2013 ◽

Vol 124 (3) ◽

pp. 730-735 ◽

Cited By ~ 17

Author(s):

Ian J. Lalich ◽

Dale C. Ekbom ◽

Sidney J. Starkman ◽

Diana M. Orbelo ◽

Timothy I. Morgenthaler

Keyword(s):

Multiple System Atrophy ◽

Vocal Fold ◽

Vocal Fold Motion

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Heightened risk of early vocal fold motion impairment onset and dysphagia in the parkinsonian variant of multiple system atrophy: a comparative study

Clinical Parkinsonism & Related Disorders ◽

10.1016/j.prdoa.2020.100037 ◽

2020 ◽

Vol 3 ◽

pp. 100037 ◽

Cited By ~ 1

Author(s):

Kaoru Tsuchiya ◽

Rumi Ueha ◽

Sayaka Suzuki ◽

Takao Goto ◽

Taku Sato ◽

...

Keyword(s):

Comparative Study ◽

Multiple System Atrophy ◽

Vocal Fold ◽

Vocal Fold Motion

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Post Thyroidectomy Echographic Method for Study of Vocal Fold Motion

Case Medical Research ◽

10.31525/ct1-nct03976011 ◽

2019 ◽

Author(s):

Keyword(s):

Vocal Fold ◽

Vocal Fold Motion

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The Effect of Exercise on Respiratory Resistance in Athletes With and Without Paradoxical Vocal Fold Motion Disorder

American Journal of Speech-Language Pathology ◽

10.1044/2015_ajslp-14-0110 ◽

2015 ◽

Vol 24 (3) ◽

pp. 470-479 ◽

Cited By ~ 4

Author(s):

Sally J. K. Gallena ◽

Nancy Pearl Solomon ◽

Arthur T. Johnson ◽

Jafar Vossoughi ◽

Wei Tian

Keyword(s):

Repeated Measures ◽

Vocal Fold ◽

Female Athletes ◽

Exercise Duration ◽

Treadmill Running ◽

Respiratory Resistance ◽

The Difference ◽

Airflow Perturbation Device ◽

Vocal Fold Motion ◽

Paradoxical Vocal Fold Motion

Purpose An investigational, portable instrument was used to assess inspiratory (R i ) and expiratory (R e ) resistances during resting tidal breathing (RTB), postexercise breathing (PEB), and recovery breathing (RB) in athletes with and without paradoxical vocal fold motion disorder (PVFMD). Method Prospective, controlled, repeated measures within-subject and between-groups design. Twenty-four teenage female athletes, 12 with and 12 without PVFMD, breathed into the Airflow Perturbation Device for baseline measures of respiratory resistance and for two successive 1-min trials after treadmill running for up to 12 min. Exercise duration and dyspnea ratings were collected and compared across groups. Results Athletes with PVFMD had lower than control R i and R e values during RTB that significantly increased at PEB and decreased during RB. Control athletes' R e decreased significantly from RTB to PEB but not from PEB to RB, whereas R i did not change from RTB to PEB but decreased from PEB to RB. Athletes without PVFMD ran longer, providing lower dyspnea ratings. Conclusion Immediately following exercise, athletes with PVFMD experienced increased respiratory resistance that affected their exercise performance. The difference in resting respiratory resistances between groups is intriguing and could point to anatomical differences or neural adaptation in teenagers with PVFMD. The Airflow Perturbation Device appears to be a clinically feasible tool that can provide insight into PVFMD and objective data for tracking treatment progress.

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Correlation between Stroboscopy and Electromyography in Laryngeal Paralysis

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949310201105 ◽

1993 ◽

Vol 102 (11) ◽

pp. 852-857 ◽

Cited By ~ 11

Author(s):

John Kokesh ◽

Lawrence R. Robinson ◽

Paul W. Flint ◽

Charles W. Cummings

Keyword(s):

Recurrent Laryngeal Nerve ◽

Therapeutic Intervention ◽

Vocal Fold ◽

Recurrent Laryngeal Nerve Injury ◽

Laryngeal Nerve ◽

Previous Surgery ◽

Laryngeal Paralysis ◽

The Status ◽

Laryngeal Nerve Injury ◽

Vocal Fold Motion

Twenty patients with vocal fold motion impairment were reviewed to correlate the findings of electromyography (EMG) and stroboscopy. The causes of motion impairment were idiopathic, previous surgery with recurrent laryngeal nerve injury, neck and skull base trauma, and neoplasm. The EMG studies were analyzed to assess the status of innervation of the immobile vocal fold. The presence or absence of the mucosal wave prior to therapeutic intervention was determined with stroboscopic examination. Eight of 10 patients with EMG evidence of reinnervation or partial denervation were found to have mucosal waves, and 3 of 10 patients with EMG evidence of denervation were found to have mucosal waves. Six patients developed mucosal waves after surgical medialization, despite evidence of denervation by EMG criteria. These findings support the premise that tension and subglottic pressure, rather than status of innervation, determine the presence of the mucosal wave.

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