Skip to main content

Vocal Cord Immobility: Nomenclature

  • Chapter
  • First Online:
  • 887 Accesses

Abstract

The terms used to describe vocal fold motion impairment are confusing and not standardized. This results in a failure to communicate accurately and to major limitations of interpreting research studies involving vocal fold impairment. Here, standard nomenclature for reporting vocal fold impairment is proposed.

Overarching terms of vocal fold immobility and hypomobility are rigorously defined. This includes assessment techniques and inclusion and exclusion criteria for determining vocal fold immobility and hypomobility. In addition, criteria for use of the following terms have been outlined in detail: vocal fold paralysis, vocal fold paresis, vocal fold immobility/hypomobility associated with mechanical impairment of the cricoarytenoid joint, and vocal fold immobility/hypomobility related to laryngeal malignant disease.

This chapter represents the first rigorously defined vocal fold motion impairment nomenclature system. This chapter provides detailed definitions to the terms vocal fold paralysis and vocal fold paresis.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   149.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   149.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Matrka L. Paradoxic vocal fold movement disorder. Otolaryngol Clin N Am. 2014;47(1):135–46.

    Article  Google Scholar 

  2. Morris MJ, Christopher KL. Diagnostic criteria for the classification of vocal cord dysfunction. Chest. 2010;138(5):1213–23.

    Article  PubMed  Google Scholar 

  3. Smith LJ, Rosen CA, Niyonkuru C, Munin MC. Quantitative electromyography improves prediction in vocal fold paralysis. Laryngoscope. 2012;122(4):854–9.

    Article  PubMed  Google Scholar 

  4. Ingle JW, Young VN, Smith LJ, Munin MC, Rosen CA. Prospective evaluation of the clinical utility of laryngeal electromyography. Laryngoscope. 2014;124(12):2745–9.

    Article  PubMed  Google Scholar 

  5. Wason R, Gupta P, Gogia AR. Bilateral adductor vocal cord paresis following endotracheal intubation for general anaesthesia. Anaesth Intensive Care. 2004;32(3):417–8.

    CAS  PubMed  Google Scholar 

  6. Chan TV, Grillone G. Vocal cord paralysis after laryngeal mask airway ventilation. Laryngoscope. 2005;115(8):1436–9.

    Article  PubMed  Google Scholar 

  7. Rosenberg MK, Rontal E, Rontal M, Lebenbom-Mansour M. Arytenoid cartilage dislocation caused by a laryngeal mask airway treated with chemical splinting. Anesth Analg. 1996;83(6):1335–6.

    Article  CAS  PubMed  Google Scholar 

  8. Echternach M, Maurer CA, Mencke T, Schilling M, Verse T, Richter B. Laryngeal complications after thyroidectomy: is it always the surgeon? Arch Surg. 2009;144(2):149–53.

    Article  PubMed  Google Scholar 

  9. Sulica L. Vocal fold paresis: an evolving clinical concept. Curr Otorhinolaryngol Rep. 2013;1(3):158–62.

    Article  Google Scholar 

  10. Sataloff RT, Bough ID Jr, Spiegel JR. Arytenoid dislocation: diagnosis and treatment. Laryngoscope. 1994;104(11 Pt 1):1353–61.

    CAS  PubMed  Google Scholar 

  11. Dillon JP, Gallagher R, Smyth D. Arytenoid subluxation. Ir J Med Sci. 2003;172(4):206.

    Article  CAS  PubMed  Google Scholar 

  12. Niwa Y, Nakae A, Ogawa M, et al. Arytenoid dislocation after cardiac surgery. Acta Anaesthesiol Scand. 2007;51(10):1397–400.

    Article  CAS  PubMed  Google Scholar 

  13. Senoglu N, Oksuz H, Ugur N, Dogan Z, Kahraman A. Arytenoid dislocation related to an uneventful endotracheal intubation: a case report. Cases J. 2008;1(1):251.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Usui T, Saito S, Goto F. Arytenoid dislocation while using a McCoy laryngoscope. Anesth Analg. 2001;92(5):1347–8.

    Article  CAS  PubMed  Google Scholar 

  15. Paulsen FP, Rudert HH, Tillmann BN. New insights into the pathomechanism of postintubation arytenoid subluxation. Anesthesiology. 1999;91(3):659–66.

    Article  CAS  PubMed  Google Scholar 

  16. Miller FR, Wanamaker JR, Hicks DM, Tucker HM. Cricoarytenoid arthritis and ankylosing spondylitis. Arch Otolaryngol Head Neck Surg. 1994;120(2):214–6.

    Article  CAS  PubMed  Google Scholar 

  17. Peters JE, Burke CJ, Morris VH. Three cases of rheumatoid arthritis with laryngeal stridor. Clin Rheumatol. 2011;30(5):723–7.

    Article  PubMed  Google Scholar 

  18. Bogdasarian RS, Olson NR. Posterior glottic laryngeal stenosis. Otolaryngol Head Neck Surg. 1980;88(6):765–72.

    Article  CAS  PubMed  Google Scholar 

  19. Lichtenberger G. Endoscopic microsurgical management of scars in the posterior commissure and interarytenoid region resulting in vocal cord pseudoparalysis. Eur Arch Otorhinolaryngol. 1999;256(8):412–4.

    Article  CAS  PubMed  Google Scholar 

  20. Rosen CA, Amin MR, Sulica L, et al. Advances in office- based diagnosis and treatment in laryngology. Laryngoscope. 2009;119(Suppl 2):S185–212.

    Article  PubMed  Google Scholar 

  21. Anderson TD. In-office determination of cricoarytenoid joint mobility. Laryngoscope. 2006;116(4):670–1.

    Article  PubMed  Google Scholar 

  22. Krishna P, Rosen C. Office-based arytenoid palpation. Ear Nose Throat J. 2006;85(8):520–2.

    PubMed  Google Scholar 

  23. Koufman JA, Postma GN, Whang CS, et al. Diagnostic laryngeal electromyography: the wake Forest experience 1995–1999. Otolaryngol Head Neck Surg. 2001;124(6):603–6.

    CAS  PubMed  Google Scholar 

  24. Katilmis H, Ozturkcan S, Ozdemir I, et al. A clinico-pathological study of laryngeal and hypopharyngeal carcinoma: correlation of cord-arytenoid mobility with histopathologic involvement. Otolaryngol Head Neck Surg. 2007;136(2):291–5.

    Article  PubMed  Google Scholar 

  25. Edge S, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A. AJCC cancer staging manual. 7th ed. New York: Springer; 2010.

    Google Scholar 

  26. Sobin LH, Gospodarowicz MK, Wittekind C. TNM classification of malignant tumours. 7th ed. New York, NY: Wiley; 2009.

    Google Scholar 

Download references

Acknowledgments

This work was a joint effort of the US-based authors (Clark A. Rosen, Ted Mau, VyVy N. Young, Katherine C. Yung) and the Committee on Nomenclature of the European Laryngological Society (Marc Remacle, Markus Hess, Hans E. Eckel, Anastasios Hantzakos, Frederik G. Dikkers). It has been published as Rosen CA, Mau T, Remacle M, Hess M, Eckel HE, Young V, Hantzakos A, Yung KC, Dikkers FG. Nomenclature proposal to describe vocal fold motion impairment. Eur Arch Otorhinolaryngol 2016; 273(8):1995–9.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frederik G. Dikkers .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Dikkers, F.G. (2018). Vocal Cord Immobility: Nomenclature. In: Sittel, C., Guntinas-Lichius, O. (eds) Neurolaryngology. Springer, Cham. https://doi.org/10.1007/978-3-319-61724-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-61724-4_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61722-0

  • Online ISBN: 978-3-319-61724-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics