
Use of Electromyography
ROBERT B. LEWY, MD
Chicago
Arch Otolaryngol. 1980;106(3):187.
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To the Editor.—I write to differ on clinical grounds with the article entitled "Design and Testing of a New Electrode for Laryngeal Electromyography" by Rea et al in the December 1978 issue of the ARCHIVES (10:685-686, 1978). The authors start with an improved device; the double prong at the bottom of the electrode should indeed make it more secure for measuring the electrical currents in electromyographic studies of the larynx. With continuing experience it is to be hoped that valuable applicable information will be derived. However, the jump from this device to clinical interpretation and operative indications on the basis of the available evidence seems scarcely justified. It would, in fact, be a disservice to the patient.
In no way does the one clinical case that is presented in the article form a sufficient basis to justify their clinical conclusions that all unilateral cases of vocal cord paralysis should
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