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European Archives of Oto-Rhino-Laryngology

Erschienen in:

26.07.2019 | Review Article

Stroboscopic assessment of unilateral vocal fold paralysis: a systematic review

verfasst von: Zainab Bakhsh, Lise Crevier-Buchman

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 9/2019

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Abstract

Purpose

To review the relevant basic stroboscopic evaluations in unilateral vocal fold paralysis (UVFP). Our aim was twofold: (1) to determine the frequency of use of stroboscopic parameters in outcome evaluation after surgical treatment of UVFP using a Pareto diagram; and (2) to select the most relevant parameters in terms of a significant difference between pre- and post-surgical intervention for UVFP.

Methods

A systematic review in PUBMED includes studies on stroboscopic evaluation in combination with UVFP and surgical treatment. The review was limited to English studies published between 1990 and March 2018. The most frequently used stroboscopic parameters were identified using a Pareto diagram. Then, ‘the percentage of significance’ for the most frequently stroboscopic parameters was identified by comparing the number of studies that showed a statistically significant change in pre- and post-treatment results with the total number of studies using the same parameters.

Results

Seven stroboscopic parameters were nominated using the Pareto diagram. In decreasing order of citation frequency, periodicity, edge bowing, mucosal wave, glottic gap, position of vocal fold, amplitude, and symmetry have respective percentages of significance of 87.5%, 83.3%, 77.7%, 64.5%, 60%, 57.1%, and 50%. Five pertinent scales were selected for the most frequent and significant stroboscopic parameters.

Conclusions

The results indicate that periodicity, edge bowing, mucosal wave, glottic gap, and position of vocal fold represent the five most frequently used and relevant stroboscopic parameters in UVFP evaluation. The current review outlines a proposal scale of these stroboscopic parameters.

PROSPERO registration number

CRD42019126786

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Titel: Stroboscopic assessment of unilateral vocal fold paralysis: a systematic review
verfasst von: Zainab Bakhsh
Lise Crevier-Buchman
Publikationsdatum: 26.07.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 9/2019
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05562-x

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Springer Medizin

Stroboscopic assessment of unilateral vocal fold paralysis: a systematic review

Abstract

Purpose

Methods

Results

Conclusions

PROSPERO registration number

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

PROSPERO registration number

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