HSC Section 6 Nov2016 Green Book

Paddle et al

Conclusion This study demonstrates that contrast-enhanced CT of the base of the skull to the upper mediastinum has a low yield of 2.9% in the initial evaluation of idiopathic vocal fold par- esis. CT has a high rate (27.6%) of incidental asymptomatic cervicothoracic findings. These findings suggest that routine use of CT in the evaluation of idiopathic vocal fold paresis should be given careful consideration and that a tailored approach to investigation with good otolaryngologic follow- up is warranted. Author Contributions Paul M. Paddle , study design, data acquisition, analysis and inter- pretation, drafting and revision, final approval and accountability for all aspects of the work; Masaany B. Mansor , study design, data acquisition, manuscript drafting, final approval and account- ability for all aspects of the work; Phillip C. Song , study design, manuscript revision, final approval and accountability for all aspects of the work; Ramon A. Franco Jr , study design, data interpretation, manuscript revision, final approval and accountabil- ity for all aspects of the work.

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Disclosures Competing interests: None. Sponsorships: None. Funding source: None.

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