Prospective study to assess vocal cord palsy investigations

    loading  Checking for direct PDF access through Ovid

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.

Related Topics

    loading  Loading Related Articles