علاج شلل الحبال الصوتية مجهول السبب مع الشفط عندما لا يُتوقع التعافي التلقائي

References

DOI: 10.1177/0194599817751030

For patients with a compensated voice and no aspiration, less invasive treatment, such as a wait-and-see approach, IL with temporary material, and voice therapy are applicable, depending on the patient's need or profession, but for patients with a high vocal demand, uncompensated voice, or aspiration/dysphagia, SMPs are preferred.

However, for patients with a profound gap and/or aspiration, surgical medialization procedures (SMPs) are preferred (see KQ 16).

IL is preferred for patients with a short life expectancy or significant comorbidities, and for those who do not want to sustain a visible neck scar (weak recommendation, low-quality evidence).

Both MT and AA offer a permanent solution for treating UVFP by reducing the glottal gap.

Medialization surgical procedures can reduce the rates of penetration and aspiration in patients with acute or chronic UVFP (strong recommendation, moderate-quality evidence).