Talk:Vocal cord paresis

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Slpintraining, Chloe.93, KevintheSLP, Daniellelp.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 12:31, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Lavinia Patrick, Hadeelshesha.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 12:31, 17 January 2022 (UTC)

Reliable Sources

Please see above links guidelines regarding reliable source use on Wikipedia. Reliable sources are generally review articles that have been published recently. Single study articles and anecdotal evidence are insufficient for the purposes of providing unbiased evidence on Wikipedia. — Preceding unsigned comment added by KevintheSLP (talk • contribs) 19:04, 28 November 2016 (UTC)

Introduction

The final two paragraphs are missing citations to support the information provided. The wording could probably be simplified to ensure better understanding for the target audience. More concise sentences and organized paragraphs could help avoid confusion. May need to clarify the difference, if any, between vocal fold paresis/paralysis and recurrent laryngeal nerve paralysis.Chloe.93 (talk) 02:22, 22 September 2016 (UTC)

Symptoms

The reference that was used to cite the symptoms of unilateral vocal fold paresis does not specify that such symptoms are specific to the unilateral form of vocal fold paresis, but to vocal fold paresis in general.Chloe.93 (talk) 02:22, 22 September 2016 (UTC)

Intervention

The intervention section appears to be lacking sufficient representation of what voice therapy an look like for patients beyond describing them as "Special Exercises." In addition, the entire article could benefit from general reduction of repetitious content. Broadly across the article, there are at least three instances when the various names for Vocal Cord Paresis are introduced, and definition of the term is inconsistent throughout the article. Sources could afford to be updated, as many are 10+ years old at this point. KevintheSLP (talk) 20:03, 18 September 2016 (UTC)

inventor of medialization surgery

The medialization procedure detailed was initiated in the 1970s by one Isski (I do not have the exact spelling). He used teflon wedges....but there was a problem with them migrating via the force of gravity. Presently, the silastin buttons are anchored to the tracheal wall by a surgical stitch or two.

Vocal Cord Dysfunction

Are they the same thing? in case could be created a redirect? Thanks--Dia^ 08:34, 5 October 2007 (UTC)

Impact

Agree with Tsuguya below. Including this in the opening line seems like fluff. Spiffulent (talk) 22:27, 23 June 2011 (UTC)

Vocal paresis “...can greatly impact daily life, employment, job choice, social interactions and leisure time pursuits.” But so can pretty much any medical condition. Why should this condition be singled out? Tsuguya (talk) 09:46, 21 June 2010 (UTC)

Maybe something should be said about the specific impacts on daily life, employment etc. One of the complications that is not mentioned is that even with unilateral vocal cord paresis positive end expiratory pressure is decreased. That leads to extreme shortness of breath and impairment during exercise. It could have psychological impacts for the previously active person. Juhan RSA (talk) 18:40, 30 March 2011 (UTC)

Causes

The table in this section is distracting to the reader, not very useful, and seems to disrupt the overall flow of the article. It would be better to provide a synopsis of the relevant information in a more digestible format (paragraph), with links to the sources for the reader to find more information. Also the written portion of this section seems very disorganized and does not highlight the main points in a clear, concise way. Slpintraining (talk) 23:58, 25 September 2016 (UTC)

In compliance with Wikipedia's policy on reliable sources for medical articles, all citations of original and outdated research have been removed from this section. A recent review by Syamal and Benninger (2016) has been used as the basis for the information in this section. Format has been adjusted to improve organization of information. Daniellelp (talk) 20:50, 2 October 2016 (UTC)

Diagnosis

This section has almost no information (or references) about what is meant by "Voice diagnostics". Also, the information in this section was drawn mostly from 2 articles: it would be good to have other references to present a more well-balanced perspective on the different diagnostic procedures. Slpintraining (talk) 00:13, 26 September 2016 (UTC)

References

Listed are some possible references to incorporate into the article.

Rubin, A. D., & Sataloff, R. T. (2007). Vocal fold paresis and paralysis. Otolaryngologic Clinics of North America, 40(5), 1109-1131.

Stager, S. V. (2014). Vocal fold paresis: etiology, clinical diagnosis and clinical management. Current opinion in otolaryngology & head and neck surgery, 22(6), 444-449.

Sulica, L., & Blitzer, A. (2007). Vocal fold paresis: evidence and controversies. Current opinion in otolaryngology & head and neck surgery, 15(3), 159-162. Chloe.93 (talk) 16:28, 3 October 2016 (UTC)

Sulica L, Rosen CA, Postma GN, et al. Current practice in injection augmentation of the vocal folds: Indications, treatment, principles, techniques, and complications. Laryngoscope 2010; 120:319–325.

Tsikoudas A, Paleri V, El-Badawey MR, Zammit-Maempel I. Recommendations on follow-up strategies for idiopathic vocal fold paralysis: evidencebased review. J Laryngol Otol 2012; 126:570–573.

Heman-Ackah YD, Barr A. Mild vocal fold paresis: understanding clinical presentation and electromyographic findings. J Voice 2006; 20:269–281.

KevintheSLP (talk) 01:43, 3 October 2016 (UTC)

Here are some additional sources to incorporate (particularly regarding diagnosis):

Merati, A. L., Halum, S. L., & Smith, T. L. (September 01, 2006). Diagnostic Testing for Vocal Fold Paralysis: Survey of Practice and Evidence-Based Medicine Review. The Laryngoscope, 116, 9, 1539-1552.

Misono, S., & Merati, A. L. (January 01, 2012). Evidence-based practice: evaluation and management of unilateral vocal fold paralysis. Otolaryngologic Clinics of North America,45, 5, 1083-108.

Rickert, S. M., Childs, L. F., Carey, B. T., Murry, T., & Sulica, L. (January 01, 2012). Laryngeal electromyography for prognosis of vocal fold palsy: A Meta-Analysis. The Laryngoscope, 122, 1, 158-161.

Syamal, M. N., & Benninger, M. S. (January 01, 2016). Vocal fold paresis: a review of clinical presentation, differential diagnosis, and prognostic indicators. Current Opinion in Otolaryngology & Head and Neck Surgery, 24, 3, 197-202. Slpintraining (talk) 07:02, 3 October 2016 (UTC)

Epidemiology

All citations from primary sources have been removed along with claims without citations in this section. More generalized information from secondary sources has been included in accordance with Wikipedia's guidelines on reliable sources for medical articles. Daniellelp (talk) 17:20, 16 October 2016 (UTC)

Move discussion in progress

There is a move discussion in progress on Talk:Vocal folds which affects this page. Please participate on that page and not in this talk page section. Thank you. —RMCD bot 12:44, 27 June 2018 (UTC)

Move discussion in progress

There is a move discussion in progress on Talk:Vocal cords which affects this page. Please participate on that page and not in this talk page section. Thank you. —RMCD bot 12:59, 7 July 2018 (UTC)

Potential Article Improvements

Hello! As a Speech-Language Pathology (S-LP) student tasked with improving this article, here are some of the changes I might like to implement:

• Expanding the "Treatment" section to include methods other than voice therapy and surgery
• Adding a description of stroke as one of the causes of vocal fold paralysis
• Adding a "prognosis" section to the article

If anyone has any questions or concerns about my proposed changes, feel free to reply to this post! – Lavinia Patrick (talk) 19:54, 3 October 2018 (UTC)

Following extensive research into my proposed article changes, I was not able to find appropriate sources (i.e. systematic literature reviews or meta-analyses) to substantiate the latter two. As such, I will be expanding the "Treatment" section to include a description of tumors as one of the causes of vocal fold (VF) paralysis. I will also attempt to complete my first proposed change. – Lavinia Patrick (talk) 22:54, 3 November 2018 (UTC)

In the end, I was able to expand the "Treatment" section, but I simply extended the "Surgery" section and added a "Post-surgical outcomes" subsection. Treatments other than voice therapy and surgery that I found seemed too experimental to mention in this article as of yet. – Lavinia Patrick (talk) 00:44, 4 November 2018 (UTC)

Article Expansion

As a Speech-Pathology student having a task of adding to or editing an existing Wikipedia article, I would like to add information to the Vocal cord paresis article under "Causes". More specifically I am interested in expanding the "Systemic neurologic diseases" section by:

• Including definitions of the neurologic diseases.
• Including basic information about the physiology or the manifistation of the diseases.

Hadeelshesha (talk) 03:15, 4 October 2018 (UTC)

I added my edits to the section of neurological diseases. I had a technical problem and was wondering if someone can help me in fixing it. In Reference number 5 It keeps saying that there is an error. This error was there before I started editing the article. I tried to fix it with no luck. Thank you. Hadeelshesha (talk) 16:52, 3 November 2018 (UTC)

Article Expansion

SLP student looking to help improve this article in the following area:

Congenital Causes of VFP

Expand on the following conditions: "hydrocephalus, Arnold-Chiari malformation, tracheoesophageal fistula, vascular anomalies (e.g., vascular ring), dysmorphic syndromes (e.g. Mobius, Goldenhaar), syndromes affecting brainstem function, and neuromuscular disorders such as Charcot-Marie-Tooth." Add info on prevalence, frequency, and severities.

See articles: Bilateral Congenital Vocal Cord Paralysis: A 16-year Institutional Review[2] Congenital Vocal Cord Paralysis (p. 13)[3]

Bengaunce (talk) 16:12, 9 October 2018 (UTC)

Student SLP adding information on surgical treatments

I am researching treatment procedures for VF paralysis and arytenoid adduction keeps coming up. I thought that it was worth to mention that it can be an option that can be performed alone or in addition to medicalization implant. Slpsandra (talk) 21:45, 10 October 2018 (UTC)

I will also clarify types of substances that will be injectedSlpsandra (talk) 17:50, 25 October 2018 (UTC)