Vocal Fold Paralysis

Although the disease is not very often, every otorhinolaryngologist will experience some patients suffering from vocal fold paralysis. This is the first and unique book solely devoted to this topic. Offers step-by-step descriptions and evaluations of the materials and/or methods of well-established techniques and new therapeutic options and approaches. Written by leading experts: Blitzer is speaker of the American Academy of Otorhinolaryngology and Head and Neck Surgery (AAO-HNS); Sulica, also a speaker of the AAO-HNS, works in his department. Vocal Fold Paralysis is a clinically useful reference for evaluation and treatment, as well as a summary of current knowledge and investigational approaches.

This well-illustrated book provides step-by-step guidance on the various techniques – microlaryngoscopic, fiberoptic endoscopic and transcutaneous – that can be employed for the purpose of injection laryngoplasty, a surgical procedure in which a foreign material is injected into the vocal fold. The anatomy and function of the region are first explained, with identification of the causes and means of evaluation of glottic and neoglottic insufficiency. Advice is then provided on the choice of material for injection laryngoplasty, including absorbable and long-lasting options, on the basis of careful analysis that takes into account both the recent literature and the authors’ own experiences. Detailed descriptions of the surgical indications and different procedures follow and for ease of reference, clear flow charts on diagnosis and indications are also included. The book concludes with chapters on the use of injection laryngoplasty specifically in the pediatric population and on postoperative care and speech therapy following the procedure. Injection Laryngoplasty will provide valuable assistance to all surgeons wishing to perform this kind of surgery.

This guide brings thought leaders and master clinicians together to share their wisdom and expertise regarding clinical decisions surrounding unilateral and bilateral vocal fold paralysis. Designed as a what- to-do and why as opposed to a how-to guide, the authors detail the reasoning process from work up, through intervention, to post-treatment decision making. The text is organized around decision points in the management of vocal fold paralysis such as decisions in regard to timing, intervention, implants, reinnervation, drugs, voice therapy, and post-operative care. Individual chapters focus on specific steps in the process of evaluation and treatment, explore the decisions that can and should be made, and provide answers and direction for the reader. Authors explain the issues around the decision point and use their considerable experience to offer their opinion and as well as the thought process behind it. Decision Making in Vocal Fold Paralysis will be a useful guide for practitioners that deal with vocal fold paralysis, including otolaryngologists, general surgeons, neurologists, speech language pathologists, primary care physicians, and oncologists.

This book provides step-by-step illustrated descriptions of diverse vocal fold injection techniques, including some not previously described. The aim is to provide laryngologists in general, and especially those who are less experienced, with the detailed understanding and guidance needed in order to achieve optimal outcomes. Highly experienced experts describe approaches via the transoral, transnasal, and transcutaneous routes and offer guidance on indications, injection materials, pre- and postoperative care, and the management of complications. Special considerations that must be borne in mind when employing different vocal fold injection techniques, in different settings, are also carefully explained. In offering comprehensive, up-to-date information on this minimally invasive and cost-effective procedure, Vocal Fold Injection will be an essential aid for practitioners.

Laryngeal Electromyography, Third Edition is an easy guide and quick reference for laryngologists, neurologists, physiatrists, and others who wish to learn the procedure of laryngeal electromyography in order to evaluate the integrity of the muscles and nerves of the larynx, and to determine the cause of movement disorders of the vocal folds and make a diagnosis. Thoroughly revised since the previous edition, Laryngeal Electromyography provides the latest advances on electromyographic procedure and diagnostics. This third edition includes concise, practical coverage on the details of the procedure and clinical applications.

Volume 85 in the series 'Advances in Oto-Rhino-Laryngology' contains a combination of our current understanding of neurolaryngological anatomy, physiology, pathology and management options. The content of 'Advances in Neurolaryngology' is divided into four sections, namely Anatomy and Physiology, Examination and Investigation, Conditions and Therapeutic Options, and Fresh Perspectives and the Future. All the chapters have been written by internationally recognized experts in their field who provide a valuable update on the latest research. Interesting aspects of many of areas in the basic science, diagnostics and treatment options in Neurolaryngology are provided. New approaches when evaluating (for example, Chapter 2 – Visual Neurolaryngology) or managing and understanding other subsets of patients (see Chapter 16 – The Hidden Anatomy of Opera Singers) make this publication both current and fascinating! This publication is aimed at all healthcare workers who are involved in the management of patients with neurolaryngological conditions namely ENT surgeons, neurologists, radiologists, electrophysiologists, speech and language therapists, respiratory physicians and their respective trainees.

This book encompasses many different diagnoses as well as several specialties of practicing surgeons in the United States. Over the last ten years many advances have been made in preoperative assessment including imaging and diagnostic techniques, operative approaches including “minimally invasive” and robotic surgery, and post operative care. Controversies in Thyroid Surgery explores some of the controversies that arise as the result of these new findings and applications. The book is divided into the two categories of benign diagnosis and cancer topics. Both of these areas lend themselves to separate analysis of specific problems in the areas mentioned above. The text reviews recent data about advances in diagnostic techniques as well as outcomes with specific regards to the newer operative techniques. The textbook will serve as a resource for medical and surgical colleagues involved in the treatment of a wide variety of thyroid diseases. Authors that are experts in their field and have published extensively provide balanced and non-biased views of topics that are admittedly controversial. Controversies in Thyroid Surgery will be of great value and utility to practicing endocrinologists, general surgeons and otolaryngologists.

Offers a new model of vocal tract articulation that explains laryngeal and oral voice quality, both auditorily and visually, through language examples and familiar voices.