Vocal Fold Paralysis and Dysphagia

This article presents a state-of-the-art overview of pathophysiology, presentation, and treatment of dysphagia in vocal fold paralysis.Recent FindingsPatients with UVFP report significantly increased dysphagia symptom scores and demonstrate pharyngeal muscle weakness. The risk of dysphagia in UVFP is increased by the inability of the bolus to develop adequate speed or consistency and compromised UES opening. Injection laryngoplasty within 4.5 days of onset of UVFP is associated with decreased incidence of aspiration pneumonia and shortened length of stay. Cough strength increases after injection laryngoplasty in those patients with UVFP.SummaryPatients with UVFP are more likely to develop aspiration pneumonia. Patient outcomes are best with early intervention restoring glottic competence.

Source: Current Otorhinolaryngology Reports - March 19, 2021 Category: ENT & OMF Source Type: research