Laryngeal Electromyography in the Therapeutic Process of Patients with Vocal Fold Immobility or Dysmobility

被引:4
作者
Krasnodebska, Paulina [1 ]
Szkielkowska, Agata [1 ]
Czarkwiani-Wozniakowska, Ludmila [2 ]
Miaskiewicz, Beata [1 ]
Sinkiewicz, Anna [3 ]
Skarzynski, Henryk [4 ]
机构
[1] Inst Physiol & Pathol Hearing, Audiol & Phoniatr Clin, Mochnackiego 10, PL-02042 Warsaw, Poland
[2] Childrens Mem Hlth Inst, Dept Neurosurg, Av Dzieci Polskich 20, PL-04730 Warsaw, Poland
[3] Nicolaus Copernicus Univ, Coll Med, Dept Otolaryngol & Phoniatry & Audiol, PL-87100 Torun, Poland
[4] Inst Physiol & Pathol Hearing, Otorhinolaryngol Clin, Mochnackiego 10, PL-02042 Warsaw, Poland
来源
LIFE-BASEL | 2022年 / 12卷 / 03期
关键词
laryngeal electromyography; vocal fold; laryngeal paralysis; vocal fold dysmobility; PROGNOSIS; MANAGEMENT; PARALYSIS; RECOVERY;
D O I
10.3390/life12030390
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
(1) Background: Laryngeal electromyography (LEMG) plays a key role in classifying the severity of nerve damage and determining the prognosis of the nerve recovery. LEMG is primarily a qualitative study, without a standardized approach to interpretation. The development of qualitative and quantitative analysis would situate LEMG in the gold standard of modern neurolaryngologic diagnostics. The aim of this study was to quantitatively evaluate laryngeal electromyography recorded in patients with vocal fold immobility or dysmobility. (2) Methods: The electromyographic material comprised 84 thyroarytenoid muscles recordings of 42 patients. (3) Results: In our study, we observed significant differences between EMG characteristics of healthy and paralyzed VF. Our study showed that recording laryngeal muscle activity during successive phases of breathing provides additional valuable information. We noticed that the frequency and amplitude of motor unit potentials correlates with the return of vocal fold functionality. (4) Conclusions: Laryngeal EMG guides the clinician on the best course of treatment for the patient. It is therefore important to develop an effective methodology and consensus on the quantitative interpretation of the record. Amplitude and frequency parameters are valuable in predicting neural recovery and in the return of vocal fold mobility.
引用
收藏
页数:11
相关论文
共 30 条
  • [1] Vocal fold injection material does not preclude interpretation of laryngeal electromyography
    Belsky, Michael A.
    Lin, R. Jun
    Rosen, Clark A.
    Munin, Michael C.
    Smith, Libby J.
    [J]. MUSCLE & NERVE, 2021, 64 (01) : 104 - 108
  • [2] Recommendations of the Neurolaryngology Study Group on laryngeal electromyography
    Blitzer, Andrew
    Crumley, Roger L.
    Dailey, Seth H.
    Ford, Charles N.
    Floeter, Mary Kay
    Hillel, Allen D.
    Hoffmann, Henry T.
    Ludlow, Christy L.
    Merati, Albert
    Munin, Michael C.
    Robinson, Lawrence R.
    Rosen, Clark
    Saxon, Keith G.
    Sulica, Lucian
    Thibeault, Susan L.
    Titze, Ingo
    Woo, Peak
    Woodson, Gayle E.
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2009, 140 (06) : 782 - 793
  • [3] Laryngeal EMG: Preferential damage of the posterior cricoarytenoid muscle branches especially in iatrogenic recurrent laryngeal nerve lesions
    Foerster, Gerhard
    Mueller, Andreas H.
    [J]. LARYNGOSCOPE, 2018, 128 (05) : 1152 - 1156
  • [4] Ha Ryun, 2019, [Journal of Korean Society of Laryngology, Phoniatrics and Logopedics, 대한후두음성언어의학회지], V30, P28, DOI 10.22469/jkslp.2019.30.1.28
  • [5] Laryngeal electromyography
    Heman-Ackah, Yolanda D.
    Mandel, Steven
    Manon-Espaillat, Ramon
    Abaza, Mona M.
    Sataloff, Robert T.
    [J]. OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, 2007, 40 (05) : 1003 - +
  • [6] Hillel A, 2006, VOCAL FOLD PARALYSIS, P63, DOI 10.1007/3-540-32504-2_5
  • [7] Laryngeal electromyography in the management of vocal cord mobility problems in children
    Jacobs, IN
    Finkel, RS
    [J]. LARYNGOSCOPE, 2002, 112 (07) : 1243 - 1248
  • [8] Objectivation of laryngeal electromyography (LEMG) data: turn number vs. qualitative analysis
    Kneisz, Lukas
    Volk, Gerd Fabian
    Mayr, Winfried
    Leonhard, Matthias
    Pototschnig, Claus
    Schneider-Stickler, Berit
    [J]. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2020, 277 (05) : 1409 - 1415
  • [9] Vocal fold paresis
    Koufman, JA
    Postma, GN
    Cummins, MM
    Blalock, PD
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2000, 122 (04) : 537 - 541
  • [10] Krasnodebska P., 2020, J HEAR SCI, V10, P51