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Laryngeal Asymmetry on Indirect Laryngoscopy in a Symptomatic Patient Should Be Evaluated With Electromyography
Arch Otolaryngol Head Neck Surg. 2005;131:356-359.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Hypothesis: Laryngeal asymmetry seen on indirect laryngoscopy in a symptomatic patient with hoarseness should be evaluated with laryngeal electromyography (LEMG).
BACKGROUND
Laryngeal asymmetry is sometimes encountered in patients who present for evaluation of hoarseness. This asymmetry may have a number of different causes, but a principal concern of the clinician is vocal fold paralysis and paresis. While the use of computed tomography (CT) to visualize the course of the superior and recurrent laryngeal nerves is considered paramount to determine if a neoplasm with nerve involvement is present, the appropriate clinical approach to such a patient with symptomatic hoarseness and laryngeal asymmetry is controversial. Furthermore, there is no clear consensus on the choice and timing of intervention to improve the patients voice.
Figure appears in full text version.
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Kenneth W. Altman, MD, PhD
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Laryngeal electromyography is a diagnostic tool that shows increasing promise to help differentiate between different possible causes of laryngeal asymmetry and provide prognostic information. However, . . . [Full Text of this Article] THE ASYMMETRIC LARYNX
VOCAL FOLD PARALYSIS AND PARESIS
PRO
CON
BOTTOM LINE
AUTHOR INFORMATION
Kenneth W. Altman, MD, PhD
Author Affiliation: Department of OtolaryngologyHead and Neck Surgery, Feinberg School of Medicine at Northwestern University, Chicago, Ill
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