Critical evaluation of neurolaryngological disorders.
Otolaryngological examinations, videostroboscopic image analysis, and laryngeal electromyography were used as a test battery for a critical evaluation in 80 patients. Vocal fold movements were categorized into mobility, restricted mobility, immobility with different positions, and overactive movement. Laryngeal electromyographic examinations were conducted in all patients, and the results were classified into normal, neuropathic, and myopathic patterns. The electromyographic data were integrated with videostroboscopic findings, interpreted with knowledge of biomechanical and electrophysiological mechanisms of the larynx, and correlated clinically with underlying diseases. It is suggested that neurolaryngological procedures are most clinically useful when dictated by a decision-making algorithm.
Yin
S
S
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Medical Center, Shreveport 71130-3932, USA.
Qiu
W W
WW
Stucker
F J
FJ
Batchelor
B M
BM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D002648:Child; D002675:Child, Preschool; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D004576:Electromyography / Q000379:methods; D005260:Female; D006801:Humans; D007223:Infant; D007818:Laryngeal Diseases / Q000150:complications / Q000175:diagnosis*; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012120:Respiration Disorders / Q000175:diagnosis / Q000209:etiology; D014832:Voice Disorders / Q000175:diagnosis / Q000209:etiology