Evidence-Based Practice

Stephanie Misono, Albert L. Merati

Research output: Chapter in Book/Report/Conference proceedingChapter


Unilateral vocal fold paralysis (uvfp) has a variety of etiologies. Postsurgical, neoplasm-related, and idiopathic uvfp remain common. Cross-sectional imaging is appropriate in the workup of idiopathic uvfp, but routine use of serology is not well supported. Laryngeal electromyography may help determine prognosis. Voice therapy may be helpful. Injection and medialization thyroplasty improve vocal quality. Laryngeal reinnervation has comparable vocal impact to medialization; surgical decision making should take patient age into account. Some patients may benefit from multiple procedures. The current literature on uvfp is Oxford Evidence Grade B–C. Ongoing systematic reviews of the literature and more randomized controlled trials are needed.

Original languageEnglish (US)
Title of host publicationEvidence-Based Clinical Practice in Otolaryngology
Number of pages22
ISBN (Electronic)9780323544603
ISBN (Print)9780323544610
StatePublished - Jan 1 2018

Bibliographical note

Publisher Copyright:
© 2018 Elsevier Inc. All rights reserved.


  • Dysphonia
  • Imaging
  • Patient-reported outcomes
  • Speech therapy
  • Surgical treatment
  • Vocal fold paralysis


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