The Use of Laryngeal Electromyography to Determine Surgical Success Following Anastomosis and Implantation Reinnervation Surgeries for Vocal Fold Paralysis: A Systematic Review

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2025-05-01 DOI:10.1016/j.jvoice.2022.11.030

Camryn Marshall , Divya Balchander , Ghiath Alnouri , Robert T. Sataloff

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引用次数: 0

Abstract

Background

The goal of this systematic review is to elucidate an evidence-based review of the benefit of laryngeal electromyography (LEMG) in determining surgical success following reanastamosis and implantation reinnervation surgery for treating vocal fold paralysis.

Methods

We searched the following databases: PubMed, Embase and MEDLINE from inception to September 2022. Articles that included postoperative LEMG as a tool to evaluate patients after surgery for vocal fold paralysis were included.

Results

A total of 203 studies were identified, 106 were read in full, and 11 that met the inclusion criteria were systematically reviewed.

Conclusion

The available evidence suggests that postoperative LEMG data is consistent with visual, perceptual, and acoustic analysis and therefore is a reliable tool in determining surgical success. LEMG provides both qualitative and quantitative evaluation, rather than the qualitative evaluation provided by standard methods, which yields additional parameters that more effectively and definitively characterize percent of muscle reinnervation at each stage and timeline the patient's recovery.

查看原文本刊更多论文

使用喉肌电图确定声带褶皱麻痹吻合术和植入再神经支配手术的成功率：系统回顾。

背景：本系统性综述旨在阐明喉肌电图（LEMG）在确定声带再吻合术和植入神经再支配手术治疗声带麻痹的手术成功率方面的益处的循证综述：我们检索了以下数据库：PubMed、Embase 和 MEDLINE。结果：共发现了 203 项研究，其中包括将术后 LEMG 作为评估声带麻痹术后患者的工具的研究：结果：共确定了 203 项研究，全文阅读了 106 项研究，并对符合纳入标准的 11 项研究进行了系统审查：现有证据表明，术后 LEMG 数据与视觉、知觉和声学分析一致，因此是确定手术成功与否的可靠工具。LEMG 可提供定性和定量评估，而不是标准方法所提供的定性评估，从而产生更多参数，更有效、更明确地描述各阶段肌肉神经再支配的百分比，并及时了解患者的恢复情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.