{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:26:52Z","timestamp":1782311212968,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,7,22]],"date-time":"2016-07-22T00:00:00Z","timestamp":1469145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The effect of vocal fold medialization (VFM) on vocal improvement in persons with unilateral vocal fold immobility (UVFI) is well established. The effect of VFM on the symptom of dysphagia is uncertain. The purpose of this study is to evaluate dysphagia symptoms in patients with UVFI pre\u2010 and post\u2010VFM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic tertiary care medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The charts of 44 persons with UVFI who underwent VFM between June 1, 2013, and December 31, 2014, were abstracted from a prospectively maintained database at the University of California, Davis, Voice and Swallowing Center. Patient demographics, indications, and type of surgical procedure were recorded. Self\u2010reported swallowing impairment was assessed with the validated 10\u2010item Eating Assessment Tool (EAT\u201010) before and after surgery. A paired samples <jats:italic>t<\/jats:italic> test was used to compare pre\u2010 and postmedialization EAT\u201010 scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010four patients met criteria and underwent either vocal fold injection (73%) or thyroplasty (27%). Etiologies of vocal fold paralysis were iatrogenic (55%), idiopathic (29%), benign or malignant neoplastic (9%), traumatic (5%), or related to the late effects of radiation (2%). EAT\u201010 (mean \u00b1 SD) scores improved from 12.2 \u00b1 11.1 to 7.7 \u00b1 7.2 after medialization (<jats:italic>P<\/jats:italic> &lt;. 01) with a follow\u2010up of 119 \u00b1 65\u00a0days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with UVFI suffer from dysphagia and report significant improvement in swallowing symptoms following VFM. The symptomatic improvement appears to be durable over time.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599816645765","type":"journal-article","created":{"date-parts":[[2016,5,10]],"date-time":"2016-05-10T23:24:49Z","timestamp":1462922689000},"page":"454-457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["Effect of Vocal Fold Medialization on Dysphagia in Patients with Unilateral Vocal Fold Immobility"],"prefix":"10.1002","volume":"155","author":[{"given":"Daniel J.","family":"Cates","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of California Davis Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naren N.","family":"Venkatesan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of California Davis Sacramento California 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