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. 2008 Jun;138(6):788-90.
doi: 10.1016/j.otohns.2008.03.004.

Prospective study to assess vocal cord palsy investigations

Mohamed Reda El Badawey  1 , Samad Punekar, Ivan Zammit-Maempel
Affiliations

Prospective study to assess vocal cord palsy investigations

Mohamed Reda El Badawey et al. Otolaryngol Head Neck Surg. 2008 Jun.

Abstract

Objectives: To assess the investigation and clinical outcome of patients presenting with unexplained vocal cord palsy (VCP).

Study design and methods: A prospective cohort study designed to evaluate 86 patients with unexplained VCP presenting to our tertiary referral center.

Results: Twenty-four (36%) patients had positive findings on CT scanning. Twenty-one (24%) cases showed mediastinal adenopathy +/- pulmonary mass. The other three cases were a thoracic aneurysm, prostatic metastasis below the skull base, and a postcricoid tumor. Follow-up period was 18 to 66 months. Fifteen (24%) of the 62 patients with negative radiology recovered full vocal cord movement.

Conclusion: CT neck +/- chest plays an important role in the evaluation of VCP patients. The majority of pertinent radiologic findings involve malignant neoplasm.

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