xRead - Swallowing Disorders in the Adult Patient (October 2024)

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intervention Notes MINORS

(continued)

Mat Baki (2018) 45 2HVN 46 LR NS NS 1 EAT-10 normalized 12 mo POST 12mo 2 cases; 1 had dysphagia prior to intervention; follow-up . 6mo Reder (2021) 38,d 68 RLN, 11 HVN, 11 other

3mo Retrospective study of an acute intervention; recovery of vocal fold motion after injection NS

NS Retrospective study; all subjects had vagal nerve injury after intracranial surgery

therapy performed; individual data not extractable

had intrathoracic malignancy

1mo Retrospective study on arytenoid adduction

NS Retrospective study; compared outcomes from cancer-related vocal fold pathology to benign causes of UVFI and found no difference.

NS Retrospective study of a titanium implant for LF surgery

Hirano (1993) 54 31 RLN NS 30 IL, 1 LF NS NS 17 13/17 (76.5) aspiration resolved NS Retrospective study; focus on RLN injury during esophagectomy major, none

to account for potential effects of IL at the time of LR

5 d Retrospective study of an acute intervention; recovery of vocal fold motion after injection NS

autologous fat injection laryngoplasty

1-12mo Retrospective study of

Follow-up after

1 wk, 1 mo Prospective study; no dysphagia

At least 3 mo Retrospective study; all subjects

outcomes, No. (%)

Dysphagia

6 5/6 (83) improvement in dysphagia/ return to full oral diet

9 9/9 (100) returned to oral diet with improvement in dysphagia symptoms

Kammer (2019) 46 11 RLN, 4 central, 2 IDIO 63 IL NS NS 17 No significant change in FEES/PAS; no significant change in pharyngeal manometry parameters Kraus (1996) 23,d 63 RLN 64 48 LF, 15 IL Variable Minor, 7 transient airway edema, 1 tooth injury, 1 hematoma; major, 1 airway obstruction, 1

26 24/26 (92) with aspiration improved POST; 14/15 (93) with dysphagia improved POST; 13/14 (93) with aspiration pneumonia improved POST

19 16/19 (84) improved aspiration POST; 16/17 (94) improved dysphagia POST

73 63/73 (86) improvement in aspiration POST; 8/10 (80) of failures due to underlying disease process (multiple cranial neuropathy,

esophageal cancer) vs UVFI; 2/10 (20) failures due to improper implant placement

58 IL Acute None 71 FOIS score improved from 2.78 PRE to 5.26 POST; improvement in 55 (77) major, none 22 18/22 (82) resolved, 4/22 (18) improved; 3/5 (60) with Schneider (2003) 25,c,d 23 RLN, 2 HVN, 2 central, 1 IDIO 57 LF Delayed Minor, 7 hematoma;

penetration/aspiration on VFSS improved (2 failures were central)

49 At 1 mo POST, 46/49 (94) improved dysphagia, 10/11 (91) resumed oral diet and feeding tube removed, 3 (6) had degradation of swallowing (based on FEES)

Dysphagia, No. b

Reported

complication

Grant (2008) 36,d 15 RLN 55.3 IL Acute Minor, 1 vocal fold edema; major, none

implant extrusion

Kraus (1999) 31,c,d 28 (site NS) 60 LF NS Minor, 2 hematoma, 1 wound infection,

2 transient airway edema; major, none

subcutaneous

emphysema, 1

hematoma, 3

thyroid cartilage

fracture; major, 2

implant extrusion

at donor site, 1 injection

extrusion, 3

intracordal cysts; major, 1 airway obstruction

Laccourreye (2003) 39,c,d 55 RLN, 21 central/ HVN, 4UNK NS IL Variable Minor, 3 hematoma Lam (2007) 32,c,d 87 (site NS) 62.6 LF NS Minor: 2

Heller (1988) 34,c,d 9 central 46 IL Delayed Minor, 3 unspecified;

Timing of

intervention

Mean

age, y Intervention

No. a and

injury

site of

Table 1. (continued)

Author (Year)

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