Recommendations of the Neurolaryngology Study Group on laryngeal electromyography

Otolaryngology - Head and Neck Surgery - Tập 140 - Trang 782-793.e6 - 2009
Andrew Blitzer1, Roger L. Crumley2, Seth H. Dailey3, Charles N. Ford3, Mary Kay Floeter4, Allen D. Hillel5, Henry T. Hoffmann6, Christy L. Ludlow4, Albert Merati5, Michael C. Munin7,8, Lawrence R. Robinson9, Clark Rosen10, Keith G. Saxon11, Lucian Sulica12, Susan L. Thibeault3, Ingo Titze13, Peak Woo14, Gayle E. Woodson14,15
1Head and Neck Surgical Group, New York, NY
2Department of Otolaryngology–Head and Neck Surgery, University of California-Irvine, Irvine, CA
3Division of Otolaryngology–Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI
4National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD
5Department of Otolaryngology–Head and Neck Surgery, University of Washington School of Medicine, Seattle, WA
6Department of Otolaryngology–Head and Neck Surgery, University of Iowa, Iowa City, IA
7Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, PA
8University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, PA
9Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA
10Department of Otolaryngology, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, PA
11Department of Surgery, Division of Otolaryngology, Harvard Medical School, Boston MA
12Department of Otorhinolaryngology, Weill Medical College of Cornell University, New York, NY
13University of Iowa, Iowa City, IA
14Department of Otolaryngology, Mt Sinai School of Medicine, New York, NY
15Department of Otolaryngology–Head and Neck Surgery, Southern Illinois University, Springfield, IL

Tóm tắt

The Neurolaryngology Study Group convened a multidisciplinary panel of experts in neuromuscular physiology, electromyography, physical medicine and rehabilitation, neurology, and laryngology to meet with interested members from the American Academy of Otolaryngology Head and Neck Surgery, the Neurolaryngology Subcommittee and the Neurolaryngology Study Group to address the use of laryngeal electromyography (LEMG) for electrodiagnosis of laryngeal disorders. The panel addressed the use of LEMG for: 1) diagnosis of vocal fold paresis, 2) best practice application of equipment and techniques for LEMG, 3) estimation of time of injury and prediction of recovery of neural injuries, 4) diagnosis of neuromuscular diseases of the laryngeal muscles, and, 5) differentiation between central nervous system and behaviorally based laryngeal disorders. The panel also addressed establishing standardized techniques and methods for future assessment of LEMG sensitivity, specificity and reliability for identification, assessment and prognosis of neurolaryngeal disorders. Previously an evidence‐based review of the clinical utility of LEMG published in 2004 only found evidence supported that LEMG was possibly useful for guiding injections of botulinum toxin into the laryngeal muscles. An updated traditional/narrative literature review and expert opinions were used to direct discussion and format conclusions. In current clinical practice, LEMG is a qualitative and not a quantitative examination. Specific recommendations were made to standardize electrode types, muscles to be sampled, sampling techniques, and reporting requirements. Prospective studies are needed to determine the clinical utility of LEMG. Use of the standardized methods and reporting will support future studies correlating electro‐diagnostic findings with voice and upper airway function.

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Otolaryngology - Head and Neck Surgery

Tập 140

782-793.e6

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