{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:45:49Z","timestamp":1791243949680,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T00:00:00Z","timestamp":1230854400000},"content-version":"vor","delay-in-days":215,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2008,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objective:<\/jats:bold> To analyze the predictive value of electromyography (EMG) after peripheral vocal cord paralysis and to estimate regeneration time.<\/jats:p><jats:p><jats:bold>Study Design:<\/jats:bold> Retrospective study based on electromyographic data and medical chart review of university based ENT hospitals.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> EMG results of 448 patients were classified into neuropraxia, axonotmesis\/neurotmesis, or not classifiable and followed until final outcome. Final outcome was classified electromyographically into restitutio ad integrum, defective healing, or not classifiable.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The etiology of the paralysis was thyroid gland surgery in 42.9% and other iatrogenic lesions in 11.8%. Idiopathic paralysis was found in 20.3%. Mean follow\u2010up time was 4.8 months. Initial EMG findings were neuropraxia in 31.0%, axonotmesis\/neurotmesis in 40.8%, and not classifiable in 28.1%. Restitutio ad integrum was detected by EMG in 17.6% and defective healing in 43.3%. In 39.1%, the outcome could not be classified. The positive predictive value of EMG was 97% and the negative predictive value 60%. The outcome depended significantly on the initial EMG result (<jats:italic>P<\/jats:italic> &lt; .0001) but not on the etiology (<jats:italic>P<\/jats:italic> = .737) of the paresis. Regeneration time after neuropraxia was 4.0 months and after axonotmesis\/neurotmesis 5.6 months.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Laryngeal EMG has a high predictive value for acute peripheral vocal cord paralysis. The outcome can be predicted more reliably by means of EMG than by analysis of the etiology of the lesion.<\/jats:p>","DOI":"10.1097\/mlg.0b013e3181671b2d","type":"journal-article","created":{"date-parts":[[2008,5,28]],"date-time":"2008-05-28T13:51:02Z","timestamp":1211982662000},"page":"987-990","source":"Crossref","is-referenced-by-count":50,"title":["Evaluation of Peripheral Vocal Cord Paralysis by Electromyography"],"prefix":"10.1002","volume":"118","author":[{"given":"Maria","family":"Grosheva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claus","family":"Wittekindt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claus","family":"Pototschnig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner","family":"Lindenthaler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orlando","family":"Guntinas\u2010Lichius","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,1,2]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199809000-00016"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(99)80013-7"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000099226"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(83)80001-7"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001040050520"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199701000-00024"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000199743.99527.9F"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200101000-00019"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459980112400601"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.2.155"},{"key":"e_1_2_6_12_2","first-page":"358","article-title":"Electromyography of the larynx and related technics.","volume":"40","author":"Thumfart WF","year":"1986","journal-title":"Acta Otorhinolaryngol Belg"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(03)00146-1"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/66.4.237"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/0036554021000028114"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940711600110"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2006.11679911"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1097%2FMLG.0b013e3181671b2d","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1097\/MLG.0b013e3181671b2d","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T13:39:42Z","timestamp":1700055582000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1097\/MLG.0b013e3181671b2d"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,6]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2008,6]]}},"alternative-id":["10.1097\/MLG.0b013e3181671b2d"],"URL":"https:\/\/doi.org\/10.1097\/mlg.0b013e3181671b2d","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,6]]}}}