Etiology and presenting features of vocal cord paralysis: changing trends over the last two decades
Abstract Background The study was performed to evaluate the changing trends in etiology and presenting features of vocal cord paralysis (VCP) from March 1998 to March 2020. Methods Patient’s record collected from hospital database and divided into two groups, from March 1998 to March 2009 and from A...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | The Egyptian Journal of Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43163-022-00322-x |
| _version_ | 1811182252066865152 |
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| author | Subash Bhatta Sachin Gandhi Asheesh Dora Ghanpur Dushyanth Ganesuni |
| author_facet | Subash Bhatta Sachin Gandhi Asheesh Dora Ghanpur Dushyanth Ganesuni |
| author_sort | Subash Bhatta |
| collection | DOAJ |
| description | Abstract Background The study was performed to evaluate the changing trends in etiology and presenting features of vocal cord paralysis (VCP) from March 1998 to March 2020. Methods Patient’s record collected from hospital database and divided into two groups, from March 1998 to March 2009 and from April 2009 to March 2020, to evaluate the changing trends in etiology and presenting features. Results Total of 711 VCP patients, 80.3% with unilateral (UVCP) and 19.7% with bilateral vocal cord paralysis (BVCP) included. The commonest etiology was non-surgical (57.1%) for UVCP and surgical (55.7%) for BVCP. The commonest surgical etiology was thyroid and parathyroid surgery for both UVCP (16.6%) and BVCP (38.5%). The commonest non-surgical etiology was idiopathic for UVCP (23.1%) and malignancies for BVCP (13.6%). There was increase in surgical etiology for both UVCP (39.3 to 45.3%) and BVCP (51.2 to 57.7%), and decrease in non-surgical etiology for both UVCP (60.7 to 54.6%) and BVCP (48.8 to 42.3%). The change in voice was most common presenting features for both UVCP (69.2%) and BVCP (92.8%). The frequency of the presenting features was comparable, with decrease in the duration of symptom onset over the time period. Conclusion The most common etiology for UVCP was idiopathic, and for BVCP was thyroid and parathyroid surgery. For both, UVCP and BVCP there was increasing trend for surgical and decreasing trend for non-surgical etiology. The change in voice was the most common presenting complain, with decrease in duration of symptom onset over time period. |
| first_indexed | 2024-04-11T09:29:33Z |
| format | Article |
| id | doaj.art-edbe7119a34848f4911d0d0d25b49482 |
| institution | Directory Open Access Journal |
| issn | 1012-5574 2090-8539 |
| language | English |
| last_indexed | 2024-04-11T09:29:33Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj.art-edbe7119a34848f4911d0d0d25b494822022-12-22T04:31:57ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392022-10-013811810.1186/s43163-022-00322-xEtiology and presenting features of vocal cord paralysis: changing trends over the last two decadesSubash Bhatta0Sachin Gandhi1Asheesh Dora Ghanpur2Dushyanth Ganesuni3Indira Gandhi Memorial HospitalDeenanath Mangeshkar Hospital and Research CentreDeenanath Mangeshkar Hospital and Research CentreDeenanath Mangeshkar Hospital and Research CentreAbstract Background The study was performed to evaluate the changing trends in etiology and presenting features of vocal cord paralysis (VCP) from March 1998 to March 2020. Methods Patient’s record collected from hospital database and divided into two groups, from March 1998 to March 2009 and from April 2009 to March 2020, to evaluate the changing trends in etiology and presenting features. Results Total of 711 VCP patients, 80.3% with unilateral (UVCP) and 19.7% with bilateral vocal cord paralysis (BVCP) included. The commonest etiology was non-surgical (57.1%) for UVCP and surgical (55.7%) for BVCP. The commonest surgical etiology was thyroid and parathyroid surgery for both UVCP (16.6%) and BVCP (38.5%). The commonest non-surgical etiology was idiopathic for UVCP (23.1%) and malignancies for BVCP (13.6%). There was increase in surgical etiology for both UVCP (39.3 to 45.3%) and BVCP (51.2 to 57.7%), and decrease in non-surgical etiology for both UVCP (60.7 to 54.6%) and BVCP (48.8 to 42.3%). The change in voice was most common presenting features for both UVCP (69.2%) and BVCP (92.8%). The frequency of the presenting features was comparable, with decrease in the duration of symptom onset over the time period. Conclusion The most common etiology for UVCP was idiopathic, and for BVCP was thyroid and parathyroid surgery. For both, UVCP and BVCP there was increasing trend for surgical and decreasing trend for non-surgical etiology. The change in voice was the most common presenting complain, with decrease in duration of symptom onset over time period.https://doi.org/10.1186/s43163-022-00322-xUnilateral vocal cord paralysisBilateral vocal cord paralysisEtiologyPresenting features |
| spellingShingle | Subash Bhatta Sachin Gandhi Asheesh Dora Ghanpur Dushyanth Ganesuni Etiology and presenting features of vocal cord paralysis: changing trends over the last two decades The Egyptian Journal of Otolaryngology Unilateral vocal cord paralysis Bilateral vocal cord paralysis Etiology Presenting features |
| title | Etiology and presenting features of vocal cord paralysis: changing trends over the last two decades |
| title_full | Etiology and presenting features of vocal cord paralysis: changing trends over the last two decades |
| title_fullStr | Etiology and presenting features of vocal cord paralysis: changing trends over the last two decades |
| title_full_unstemmed | Etiology and presenting features of vocal cord paralysis: changing trends over the last two decades |
| title_short | Etiology and presenting features of vocal cord paralysis: changing trends over the last two decades |
| title_sort | etiology and presenting features of vocal cord paralysis changing trends over the last two decades |
| topic | Unilateral vocal cord paralysis Bilateral vocal cord paralysis Etiology Presenting features |
| url | https://doi.org/10.1186/s43163-022-00322-x |
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