{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:21:14Z","timestamp":1777422074041,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2009,8,1]],"date-time":"2009-08-01T00:00:00Z","timestamp":1249084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We present a case series of 10 patients with unilateral true vocal fold paralysis who presented with airway obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of the authors' patients at 2 institutions with unilateral true vocal fold motion impairment was carried out over a 10-year period. Of these, 10 patients were identified who presented with stridor and dyspnea as a result of synkinesis. Six cases were a result of thyroidectomy, 1 case resulted from recurrent laryngeal nerve section for spasmodic dysphonia, 1 case occurred after anterior cervical diskectomy and fusion, and in 2 cases no cause was identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three patients underwent tracheotomy. Two patients underwent partial arytenoidectomy. Seven patients underwent botulinum toxin injection; 2 were treated with breathing therapy, and in 1 case breathing therapy was recommended. Seven patients underwent treatment with more than 1 method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Unilateral vocal fold paralysis may present with airway obstruction as a result of synkinesis. Treatment should be incremental and starts with breathing therapy and botulinum toxin injection. Partial arytenoidectomy or tracheotomy may be necessary for refractory cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/000348940911800810","type":"journal-article","created":{"date-parts":[[2017,5,30]],"date-time":"2017-05-30T05:06:31Z","timestamp":1496120791000},"page":"587-591","source":"Crossref","is-referenced-by-count":13,"title":["Unilateral True Vocal Fold Synkinesis Presenting with Airway Obstruction"],"prefix":"10.1177","volume":"118","author":[{"given":"Roya","family":"Azadarmaki","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Mirza","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed M. S.","family":"Soliman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,5,30]]},"reference":[{"key":"bibr1-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1177\/000348948909800201"},{"key":"bibr2-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900405"},{"key":"bibr3-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1177\/000348940411301006"},{"key":"bibr4-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200105000-00016"},{"key":"bibr5-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1177\/000348949610501002"},{"key":"bibr6-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02799.x"},{"key":"bibr7-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1177\/000348940411301106"},{"key":"bibr8-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411100419"},{"key":"bibr9-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200104001-00001"},{"key":"bibr10-000348940911800810","doi-asserted-by":"publisher","DOI":"10.1177\/000348946807700214"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348940911800810","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348940911800810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:18:59Z","timestamp":1777375139000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/000348940911800810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1177\/000348940911800810"],"URL":"https:\/\/doi.org\/10.1177\/000348940911800810","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,8]]}}}