Laryngeal electromyography: clinical application.
Laryngeal electromyography (LEMG) is a valuable adjunct in clinical management of patients with voice disorders. LEMG is valuable in differentiating vocal fold paresis/paralysis from cricoarytenoid joint fixation. Our data indicate that visual assessment alone is inadequate to diagnose neuromuscular dysfunction in the larynx and that diagnoses based on vocal dynamics assessment and strobovideolaryngoscopy are wrong in nearly one-third of cases, based on LEMG results. LEMG has also proven valuable in diagnosing neuromuscular dysfunction in some dysphonic patients with no obvious vocal fold movement abnormalities observed during strobovideolaryngoscopy. Review of 751 patients suggests that there is a correlation between the severity of paresis and treatment required to achieve satisfactory outcomes; that is, LEMG allows us to predict whether patients will probably require therapy alone or therapy combined with surgery. Additional evidence-based research should be encouraged to evaluate efficacy further.
Sataloff
Robert T
RT
Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania 19103, USA. RTSATALOFF@PHILLYENT.COM
Praneetvatakul
Phurich
P
Heuer
Reinhardt J
RJ
Hawkshaw
Mary J
MJ
Heman-Ackah
Yolanda D
YD
Schneider
Sarah Marx
SM
Mandel
Steven
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003937:Diagnosis, Differential; D004576:Electromyography / Q000379:methods*; D005260:Female; D006801:Humans; D007828:Laryngoscopy / Q000379:methods; D007830:Larynx / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D009038:Motion; D012720:Severity of Illness Index; D049489:Stroboscopy / Q000379:methods; D016896:Treatment Outcome; D014741:Video Recording / Q000379:methods; D014826:Vocal Cord Paralysis / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D014827:Vocal Cords / Q000503:physiopathology; D014832:Voice Disorders / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D055815:Young Adult