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Laryngeal Electromyography: Clinical Application
Journal article

Laryngeal Electromyography: Clinical Application

Robert T. Sataloff, Phurich Praneetvatakul, Reinhardt J. Heuer, Mary J. Hawkshaw, Yolanda D. Heman-Ackah, Sarah Marx Schneider and Steven Mandel
Journal of voice, v 24(2), pp 228-234
2010
PMID: 19111439

Abstract

Electromyography Laryngeal electromyography Vocal fold fixation Vocal fold paralysis Vocal fold paresis
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.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Audiology & Speech-language Pathology
Otorhinolaryngology
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