{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:09:18Z","timestamp":1761156558494,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Vocal fold paralysis\/paresis (VFP) is an uncommon but serious complication following esophagectomy. The objectives of this study were to: 1) identify the prevalence of VFP and associated complications after esophagectomy in the United States, and 2) determine the utilization and otolaryngology\u2010head and neck surgery\/speech\u2010language pathology (OHNS\/SLP) and predictors of such utilization in the management of these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective database analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The National Inpatient Sample (NIS) represents a 20% stratified sample of discharges from US hospitals. Using <jats:italic>International Classification of Diseases, Ninth Revision, Clinical Modification<\/jats:italic> codes, patients undergoing esophagectomy between 2008 and 2013 were identified in the NIS. Subcohorts of patients with VFP and OHNS\/SLP utilization were also identified. Weighted logistic regression models were used to compare binary outcomes such as complications; generalized linear models were used to compare total hospital charges and length of stay (LOS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We studied 10,896 discharges, representing a weighted estimate of 52,610 patients undergoing esophagectomy. The incidence of VFP after esophagectomy was 1.96%. Compared to those without VFP, patients with VFP had a higher incidence of postoperative pneumonia, more medical complications, and were more likely to undergo tracheostomy; hospital charges and LOS were also higher. Of the patients with VFP, 35.0% received OHNS\/SLP intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VFP after esophagectomy is associated with postoperative complications, prolonged LOS, and higher hospital costs. OHNS\/SLP intervention occurred in roughly one\u2010third of postesophagectomy VFP patients, suggesting there may be opportunities for enhanced evaluation and management of these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 128:2815\u20132822, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27252","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T12:03:31Z","timestamp":1537358611000},"page":"2815-2822","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence and resource utilization for vocal fold paralysis\/paresis after esophagectomy"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9950-0985","authenticated-orcid":false,"given":"Matthew G.","family":"Crowson","sequence":"first","affiliation":[{"name":"Department of Surgery Duke University Medical Center  Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Betty C.","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Surgery Duke University Medical Center  Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui\u2010Jie","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics Duke University  Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yao","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics Duke University  Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Harpole","sequence":"additional","affiliation":[{"name":"Department of Surgery Duke University Medical Center  Durham North Carolina 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