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  • Book
    Milan R. Amin, Michael M. Johns, editors.
    Summary: This guide brings thought leaders and master clinicians together to share their wisdom and expertise regarding clinical decisions surrounding unilateral and bilateral vocal fold paralysis. Designed as a what- to-do and why as opposed to a how-to guide, the authors detail the reasoning process from work up, through intervention, to post-treatment decision making. The text is organized around decision points in the management of vocal fold paralysis such as decisions in regard to timing, intervention, implants, reinnervation, drugs, voice therapy, and post-operative care. Individual chapters focus on specific steps in the process of evaluation and treatment, explore the decisions that can and should be made, and provide answers and direction for the reader. Authors explain the issues around the decision point and use their considerable experience to offer their opinion and as well as the thought process behind it. Decision Making in Vocal Fold Paralysis will be a useful guide for practitioners that deal with vocal fold paralysis, including otolaryngologists, general surgeons, neurologists, speech language pathologists, primary care physicians, and oncologists.

    Intro; Preface; Contents; Contributors; Part I: Unilateral Vocal Fold Paralysis;
    Chapter 1: Diagnostic Studies in Workup for Vocal Fold Paralysis: When and Why; Introduction; History and Physical Examination; History for a Patient with Unilateral Vocal Fold Paralysis; Medical Conditions that Can Cause UVFP; Idiopathic Unilateral Vocal Fold Paralysis; Physical Examination for Unilateral Vocal Fold Paralysis; Laryngeal Examination of the Unilateral Vocal Fold Paralysis; Imaging Studies for Unilateral Vocal Fold Paralysis; Specialized Evaluations for Assessment of Unilateral Vocal Fold Paralysis Palpation of CA Joint: In Office vs in ORLaryngeal Electromyography for Unilateral Vocal Fold Paralysis; Serologic Studies for the Evaluation of Unilateral Vocal Fold Paralysis; Editors' Comments; References;
    Chapter 2: Timing of Intervention for Unilateral Vocal Fold Paralysis; Introduction; Terminology; Recovery; Prognosis Versus Probability of Recovery; Functional Status for Voice, Airway Protection, and Respiratory Valving; Benefits of Early Intervention; The 12-Month Rule; The Natural History of Recoverable UVFP; The Takeaway; Does Early Injection Improve Eventual Functional Outcome? The EvidencePossible Mechanisms; The Takeaway; Decision-Making Regarding Timing of Intervention; Conclusion; Editors' Comments; References;
    Chapter 3: Early Management of Unilateral Vocal Fold Paralysis; Factors to Consider when Deciding for Early Treatment; Laryngeal Electromyography; Observation; Voice Therapy; Dysphagia Compensatory Techniques; Temporary Injection Laryngoplasty; Medical Management; Steroids; Nimodipine; Future Medical Treatments; Conclusion; Editors' Comments; References;
    Chapter 4: Management of Dysphagia in Unilateral Vocal Fold Paralysis; Introduction Swallowing Impairment in UVFPEvaluation of Dysphagia in UVFP; Clinical Assessment; Instrumental Assessment; Treatment of Dysphagia in UVFP; Nonsurgical Therapies; Surgical Therapies; Injection Augmentation; Laryngeal Framework Surgery; Laryngeal Reinnervation; Hypopharyngoplasty; Pharyngoesophageal Segment Surgery; Summary; Editors' Comments; References;
    Chapter 5: Management of Nerve Sacrifice with Thyroidectomy; Preoperative Evaluation; Intraoperative Decision-Making; Preoperative Vocal Fold Dysfunction; Normal Preoperative Function; Vocal Fold Rehabilitation Options; Intraoperative Options ReanastomosisReinnervation; Clinical Applicability of Options; Early Postoperative Options; Injection Augmentation; Electromyographic Prognostication; Conclusions; Editors' Comments; References;
    Chapter 6: Static Medialization: Fat Injection Versus Medialization Laryngoplasty; Vocal Fold Augmentation with Autogenous Fat; Medialization Laryngoplasty; The Decision-Making Process; Editors' Comments; References;
    Chapter 7: Choosing the Right Implant; Introduction; Implant Options; Freeform; Autologous Tissues; Silastic; Technique for Silastic; Gore-Tex; Technique for Gore-Tex; Prefabricated
    Digital Access Springer 2019