{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:06:50Z","timestamp":1769904410357,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,9,11]],"date-time":"2014-09-11T00:00:00Z","timestamp":1410393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100010101","name":"Taichung Veterans General Hospital","doi-asserted-by":"publisher","award":["TCVGH\u2010997001B"],"award-info":[{"award-number":["TCVGH\u2010997001B"]}],"id":[{"id":"10.13039\/501100010101","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010101","name":"Taichung Veterans General Hospital","doi-asserted-by":"publisher","award":["TCVGH\u20101007005C"],"award-info":[{"award-number":["TCVGH\u20101007005C"]}],"id":[{"id":"10.13039\/501100010101","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Recurrent laryngeal nerve (RLN) injury may induce unilateral vocal fold paralysis (UVFP). During thyroidectomy, the most common cause of UVFP, the superior laryngeal nerve (SLN), is also at risk of injury. In the literature, the influence of SLN injury on glottal configuration and function in patients with UVFP remains controversial. The present study investigates SLN injury influence on glottal configuration and function in patients with UVFP after thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective controlled study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The SLN and RLN function of 34 patients with UVFP after thyroidectomy was determined by laryngeal electromyography. The subjects were dichotomized into the isolated RLN injury group (n = 26) or the concurrent SLN\/RLN injury group (n = 8). We evaluated glottal angle and paralyzed vocal fold shape during inspiration, normalized glottal gap area, and glottal shape during phonation. The glottal function measurements included voice acoustic and aerodynamic analyses and the Voice Handicap Index. The aforementioned parameters of the RLN and concurrent SLN\/RLN injury groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no statistical differences in glottal configuration such as glottal angle, paralyzed vocal fold shape, normalized glottal gap area, and glottal shape between the RLN and concurrent SLN\/RLN injury groups. There were also no significant differences in other glottal function analyses including fundamental frequency, mean airflow rate, phonation quotient, maximal phonation time, and Voice Handicap Index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In the present study, we did not find any evidence that SLN injury could significantly influence the glottal configuration and function in patients with UVFP.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599814549740","type":"journal-article","created":{"date-parts":[[2014,9,11]],"date-time":"2014-09-11T23:21:37Z","timestamp":1410477697000},"page":"996-1002","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Influence of Superior Laryngeal Nerve Injury on Glottal Configuration\/Function of Thyroidectomy\u2010Induced Unilateral Vocal Fold Paralysis"],"prefix":"10.1002","volume":"151","author":[{"given":"Armando","family":"De Virgilio","sequence":"first","affiliation":[{"name":"Department of Sensory Organs, ENT Section Sapienza University of Rome Rome Italy"},{"name":"Department of Otolaryngology Taichung Veterans General Hospital Taichung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Hong","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Neurology Taichung Veterans General Hospital Taichung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong\u2010San","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Taichung Veterans General Hospital Taichung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching\u2010Ping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Taichung Veterans General Hospital Taichung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shang\u2010Heng","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Taichung Veterans General Hospital Taichung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih\u2010An","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Taichung Veterans General Hospital Taichung City Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen\u2010Chi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Taichung Veterans General Hospital Taichung City Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"},{"name":"School of Speech Language Pathology &amp; 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