{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:37:19Z","timestamp":1761007039833,"version":"build-2065373602"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,3,13]],"date-time":"2018-03-13T00:00:00Z","timestamp":1520899200000},"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":[[2018,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare voice and swallowing outcomes after treatment in younger adult (&lt;65 years) and geriatric (\u226565 years) patients with unilateral vocal fold paralysis (UVFP).<\/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>Tertiary care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The cases of patients presenting to a tertiary voice clinic with UVFP between June 2005 and February 2015 were reviewed. Clinical characteristics and outcomes in a geriatric subset were compared with those in younger adult group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 206 patients met our inclusion criteria (n = 110, &lt;65 years; n = 96, \u226565 years). Etiology was most commonly iatrogenic (59.2%), and computed tomography led to diagnosis for 62.3% of patients for whom it was obtained. The Voice Handicap Index improved on average by 31.3 points after treatment (<jats:italic>P<\/jats:italic> &lt;. 001), with equal improvement between the patient subsets (<jats:italic>P<\/jats:italic> =. 71). Swallowing, as objectively assessed by the National Outcomes Measurement System for modified barium swallow, showed a statistically significant improvement in the patient population as a whole (\u20130.9, <jats:italic>P<\/jats:italic> =. 02) but was not significantly different within the subgroups (younger, <jats:italic>P<\/jats:italic> =. 07; geriatric, <jats:italic>P<\/jats:italic> =. 25).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Geriatric patients have similar voice and swallowing outcomes as younger adults and should be treated equally aggressive.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599818756310","type":"journal-article","created":{"date-parts":[[2018,3,13]],"date-time":"2018-03-13T12:51:32Z","timestamp":1520945492000},"page":"904-911","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Voice and Swallowing Outcomes of Unilateral Vocal Fold Paralysis: Comparing Younger Adult 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Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Sharum","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozlem E.","family":"Tulunay\u2010Ugur","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Arkansas for Medical Sciences Little Rock Arkansas 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