Investigation of vocal cord palsy aetiology: timing and relevance of imaging.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2024-10-21 DOI:10.1017/S0022215124001683

Bahareh Bakhshaie Philipsen, Jacob Mølstrøm, Camilla Slot Mehlum, Gitte Bjørn Hvilsom

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Abstract

Objectives: We aimed to evaluate imaging modalities utilized in patients with vocal cord palsy (VCP) of unknown aetiology, emphasizing the significance of timing and diagnostic yield.

Methods: We conducted a retrospective review of medical records of patients diagnosed with VCP of unknown aetiology after their initial clinical examination between 2005 and 2016.

Results: In our cohort, 46 out of 173 (27 per cent) patients were diagnosed with malignancies. All malignancies were identified during the initial imaging examination, except for one patient. Diagnostic imaging facilitated the diagnosis in 36 per cent of the patients. Computed tomography (CT) of the neck and chest and full-body positron emission tomography-CT (PET-CT) presented the highest overall diagnostic yield of 36 per cent and 35 per cent, respectively.

Conclusion: We recommend that patients with initial CT of the neck and upper chest or PET-CT combined with magnetic resonance imaging without pathological findings, are followed without additional imaging examinations, unless new relevant symptoms arise.

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声带麻痹病因调查--影像学检查的时机和相关性。

目的：我们旨在评估病因不明的声带麻痹（VCP）患者的成像方式，强调时间和诊断率的重要性。方法：回顾性分析2005 - 2016年首次临床检查后诊断为病因不明的VCP患者的病历。结果：在我们的队列中，173例患者中有46例（27%）被诊断为恶性肿瘤。除1例患者外，所有恶性肿瘤均在初始影像学检查中被发现。诊断成像有助于36%的患者的诊断。颈部和胸部的计算机断层扫描（CT）和全身正电子发射断层扫描-CT （PET-CT）的总体诊断率最高，分别为36%和35%。结论：我们建议首次颈部和上胸部CT或PET-CT联合磁共振成像无病理发现的患者，除非出现新的相关症状，否则不进行额外的影像学检查。

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 Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.