{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T02:37:05Z","timestamp":1778812625722,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T00:00:00Z","timestamp":1634083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Evidence demonstrates neurotropism is a common feature of coronaviruses. In our laryngology clinics we have noted an increase in cases of \u201cidiopathic\u201d vocal fold paralysis and paresis in patients with no history of intubation who are recovering from the novel SARS-Cov-2 coronavirus (COVID-19). This finding is concerning for a post-viral vagal neuropathy (PVVN) as a result of infection with COVID-19. Our objective is to raise the possibility that vocal fold paresis may be an additional neuropathic sequela of infection with COVID-19.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective review of patients who tested positive for COVID-19, had no history of intubation as a result of their infection, and subsequently presented with vocal fold paresis between May 2020 and January 2021. Charts were reviewed for demographic information, confirmation of COVID-19 infection, presenting symptoms, laryngoscopy and stroboscopy exam findings, and laryngeal electromyography (LEMG) results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixteen patients presented with new-onset dysphonia during and after recovering from a COVID-19 infection and were found to have unilateral or bilateral vocal fold paresis or paralysis. LEMG was performed in 25% of patients and confirmed the diagnosis of neuropathy in these cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We believe that COVID-19 can cause a PVVN resulting in abnormal vocal fold mobility. This diagnosis should be included in the constellation of morbidities that can result from COVID-19 as the otolaryngologist can identify this entity through careful history and examination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894211047829","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T20:26:54Z","timestamp":1634156814000},"page":"1032-1035","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Acute Vocal Fold Paresis and Paralysis After COVID-19 Infection: A Case Series"],"prefix":"10.1177","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2697-8480","authenticated-orcid":false,"given":"Sarah K.","family":"Rapoport","sequence":"first","affiliation":[{"name":"Division of Laryngology, Department of Otolaryngology\u2014Head and Neck Surgery, Mount Sinai Health System, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghiath","family":"Alnouri","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Drexel University College of Medicine and Lankenau Institute for Medical Research, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert T.","family":"Sataloff","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Drexel University College of Medicine and Lankenau Institute for Medical Research, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0144-5178","authenticated-orcid":false,"given":"Peak","family":"Woo","sequence":"additional","affiliation":[{"name":"Division of Laryngology, Department of Otolaryngology\u2014Head and Neck Surgery, Mount Sinai Health System, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,10,13]]},"reference":[{"key":"bibr1-00034894211047829","doi-asserted-by":"publisher","DOI":"10.1159\/000508991"},{"key":"bibr2-00034894211047829","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2009.11.003"},{"key":"bibr3-00034894211047829","first-page":"61","volume":"310","author":"Minarovits J.","year":"2006","journal-title":"Curr Top Microbiol Immunol"},{"key":"bibr4-00034894211047829","first-page":"602","volume-title":"Human Herpesviruses: Biology, Therapy, and Immunoprophylaxis","author":"Preston CM","year":"2018"},{"key":"bibr5-00034894211047829","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2018.10.012"},{"key":"bibr6-00034894211047829","doi-asserted-by":"publisher","DOI":"10.1053\/ajot.2001.24823"},{"key":"bibr7-00034894211047829","first-page":"410","volume-title":"Professional Voice: The Science and Art of Clinical Care","volume":"2017","author":"Rulnick RK","edition":"4"},{"key":"bibr8-00034894211047829","unstructured":"Sataloff RT, Heman-Ackah YD, Mandel S, Abaza MM. Laryngeal Electromyography. 3rd ed. Plural Publishing, Inc; 2017:1-181."},{"key":"bibr9-00034894211047829","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2008.12.012"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894211047829","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894211047829","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894211047829","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:34:55Z","timestamp":1777376095000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894211047829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,13]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1177\/00034894211047829"],"URL":"https:\/\/doi.org\/10.1177\/00034894211047829","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,13]]}}}