{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:30:18Z","timestamp":1777620618105,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T00:00:00Z","timestamp":1550016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004606","name":"Chang Gung Medical Foundation","doi-asserted-by":"publisher","award":["CMRPG5H0051\u20104"],"award-info":[{"award-number":["CMRPG5H0051\u20104"]}],"id":[{"id":"10.13039\/501100004606","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004606","name":"Chang Gung Medical Foundation","doi-asserted-by":"publisher","award":["CMRPG5F0091\u20103"],"award-info":[{"award-number":["CMRPG5F0091\u20103"]}],"id":[{"id":"10.13039\/501100004606","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 105\u20102314\u2010B\u2010182A\u2010070\u2010MY2"],"award-info":[{"award-number":["MOST 105\u20102314\u2010B\u2010182A\u2010070\u2010MY2"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Wide variation in postinjury functional recovery is a hallmark of unilateral vocal fold paralysis (UVFP), ranging from zero to full recovery. The present study examined the impact of cricothyroid (CT) muscle involvement on recovery using quantitative laryngeal electromyography (LEMG) of the thyroarytenoid\u2013lateral cricoarytenoid (TA\u2010LCA) muscle complex at multiple times postinjury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective cohort study in a medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010one patients with UVFP (37 males and 44 females) received an initial assessment of quantitative LEMG, stroboscope, acoustic voice analysis and 36\u2010Item Short Form Survey quality\u2010of\u2010life questionnaire at 3 to 6\u2009months after UVFP onset and a follow\u2010up assessment at 12\u2009months after UVFP onset.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The initial and follow\u2010up assessments were performed at 4.3\u2009\u00b1\u20091.9 and 12.5\u2009\u00b1\u20091.3\u2009months after UVFP onset, respectively. The peak turn frequency of the TA\u2010LCA muscle complex on the lesion side was improved at the follow\u2010up (470\u2009\u00b1\u2009294\u2009Hz) compared with the initial assessment (300\u2009\u00b1\u2009204\u2009Hz) (<jats:italic>P<\/jats:italic> &lt;\u2009.001). Patients were also divided into two groups with (n\u2009=\u200927) and without (n\u2009=\u200954) CT involvement, respectively. TA\u2010LCA muscle complex turn frequency improved in patients without CT involvement (from 277\u2009\u00b1\u2009198 to 511\u2009\u00b1\u2009301\u2009Hz; <jats:italic>P<\/jats:italic> &lt;\u2009.001), but not in those with CT involvement (from 345\u2009\u00b1\u2009211 to 386\u2009\u00b1\u2009265\u2009Hz; <jats:italic>P<\/jats:italic> =\u2009.46). Seventy\u2010one of all patients received early intervention with intracordal hyaluronate injection, showing similar therapeutic effects in those with and without CT involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Acute UVFP with combined TA\u2010LCA muscle complex and CT muscle involvement has a poor prognosis, with poorer recovery of TA\u2010LCA muscle complex recruitment. Early interventions should be considered in patients with UVFP with CT involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2 <jats:italic>Laryngoscope<\/jats:italic>, 130:139\u2013145, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27868","type":"journal-article","created":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T05:28:15Z","timestamp":1550122095000},"page":"139-145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The impact of cricothyroid involvement on adductor recovery in unilateral vocal fold paralysis"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7805-3458","authenticated-orcid":false,"given":"Tuan\u2010Jen","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Chang Gung Memorial Hospital at Linkou  Taoyuan Taiwan"},{"name":"School of Medicine Chang Gung University  Taoyuan 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