title: [Unilateral laryngeal nerve paralysis in the adult: Epidemiology, symptoms, physiopathology and treatment].
abstract: In France, the main causes for unilateral laryngeal nerve paralysis in the adult patient are surgery and malignant tumors. Most of unilateral laryngeal nerve paralysis following thyroid surgery will recover within the first six postoperative months. At the time of unilateral laryngeal nerve paralysis, swallowing impairment and dyspnea occur in around 30% and 5% of cases, respectively. In the face of a unilateral laryngeal nerve paralysis occurring without a history of trauma of surgery, the main paraclinical examination to perform is a computed laryngeal nerve examination analyzing the whole length of the nerve involved. Speech therapy efficiency is related to the degree of severity of the symptoms related to unilateral laryngeal nerve paralysis. In the vast majority of cases, laryngeal medialization approaches improve dysphonia and swallowing impairment related to unilateral laryngeal paralysis, but not dyspnea.
authors: Université Paris Descartes Sorbonne Paris Cité, Assistance publique des Hôpitaux de Paris, hôpital européen Georges-Pompidou, service d'otorhinolaryngologie et de chirurgie cervico-faciale, 75015 Paris, France. Electronic address: ollivier.laccourreye@egp.aphp.fr.
authors: Ollivier
authors: O
authors: Laccourreye
authors: Université Paris Descartes Sorbonne Paris Cité, Assistance publique des Hôpitaux de Paris, hôpital européen Georges-Pompidou, service d'otorhinolaryngologie et de chirurgie cervico-faciale, 75015 Paris, France.
authors: David
authors: D
authors: Malinvaud
authors: Université Paris Descartes Sorbonne Paris Cité, Assistance publique des Hôpitaux de Paris, hôpital européen Georges-Pompidou, service d'otorhinolaryngologie et de chirurgie cervico-faciale, 75015 Paris, France.
authors: Madeleine
authors: M
authors: Ménard
authors: Université Paris Descartes Sorbonne Paris Cité, Assistance publique des Hôpitaux de Paris, hôpital européen Georges-Pompidou, service d'otorhinolaryngologie et de chirurgie cervico-faciale, 75015 Paris, France.
authors: Pierre
authors: P
authors: Bonfils
mesh_terms: D000368:Aged; D001672:Biocompatible Materials; D003430:Cross-Sectional Studies; D055154:Dysphonia / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D005602:France; D006801:Humans; D010699:Phonation / Q000502:physiology; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D011379:Prognosis; D019736:Prostheses and Implants; D012009:Recurrent Laryngeal Nerve / Q000503:physiopathology; D061226:Recurrent Laryngeal Nerve Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D012307:Risk Factors; D013070:Speech Therapy; D014826:Vocal Cord Paralysis / Q000175:diagnosis* / Q000453:epidemiology* / Q000503:physiopathology / Q000628:therapy; D014827:Vocal Cords / Q000503:physiopathology / Q000601:surgery
chemical_list: D001672:Biocompatible Materials