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Orthopaedics

       
   

  • Morpeth JF, Williams MF (Med College of Georgia, Augusta; Johns Hopkins Bayview Med Ctr, Baltimore, Md)

    Vocal Fold Paralysis After Anterior Cervical Diskectomy and Fusion

    Laryngoscope 110: 43-46, 2000

            

    Vocal fold paralysis (VFP) because of the danger to recurrent laryngeal nerve is the most frequent complication, noted in 411 patients undergoing ACDF (Anterior Cervical Diskectomy and Fusion). It was seen in 21 patients i.e. 5%. All had undergone right-sided ACDF. The VFP was 18 in right side and 2 on left side and 1 bilaterally.

            

    This is the largest reported series of VFP following ACDF. 80% patients with VFP will resolve within one year. This suggests conservative therapy, including regular follow-up and speech therapy. Surgery can be performed as required for the individual patient.

           

    According to G. R. Holt, probably the incidence is much higher than reported. Type I thyroplasty has a place in this condition.

          

 



 

Speciality Spotlight

 

    
  

Orthopaedics
       
   

  • Morpeth JF, Williams MF (Med College of Georgia, Augusta; Johns Hopkins Bayview Med Ctr, Baltimore, Md)
    Vocal Fold Paralysis After Anterior Cervical Diskectomy and Fusion
    Laryngoscope 110: 43-46, 2000
            
    Vocal fold paralysis (VFP) because of the danger to recurrent laryngeal nerve is the most frequent complication, noted in 411 patients undergoing ACDF (Anterior Cervical Diskectomy and Fusion). It was seen in 21 patients i.e. 5%. All had undergone right-sided ACDF. The VFP was 18 in right side and 2 on left side and 1 bilaterally.
            
    This is the largest reported series of VFP following ACDF. 80% patients with VFP will resolve within one year. This suggests conservative therapy, including regular follow-up and speech therapy. Surgery can be performed as required for the individual patient.
           
    According to G. R. Holt, probably the incidence is much higher than reported. Type I thyroplasty has a place in this condition.
          

 

 

By |2022-07-20T16:43:28+00:00July 20, 2022|Uncategorized|Comments Off on Orthopaedics

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