{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:40:47Z","timestamp":1770352847425,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1992,7,1]],"date-time":"1992-07-01T00:00:00Z","timestamp":709948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1992,7]]},"abstract":"<jats:p>Unilateral vocal cord paralysis is a common finding in the practice of otolaryngology. Multiple etiologies have been described and have not changed appreciably in the last century. We attempted to characterize the contemporary evaluation of unilateral vocal cord paralysis, with consideration given to cost\u2010effectiveness. Thirty\u2010one board\u2010certified otolaryngologists were interviewed to determine their typical evaluation protocol. The average cost of an evaluation totaled $1706.18, with a range of $112.56 to $3439.52. Otolaryngologists with more years of experience tended to pursue briefer and less expensive evaluations. The charts of 187 patients with a diagnosis of vocal paralysis from 1983 to 1991 were reviewed, of which 113 were evaluable. Eighty\u2010four of these 113 (74%) were unilateral. In 48 of 84 cases (57%), the cause was apparent at the time of diagnosis. In 36 of 84 cases (43%), an evaluation was necessary. A diagnosis was achieved in 27 of these 36 instances (75%), with the most useful test being a chest roentgenogram (<jats:italic>n<\/jats:italic> = 13, 48%). The most common cause of unilateral vocal cord paralysis in our series was neoplasm (<jats:italic>n<\/jats:italic> = 34, 40%), followed by surgical trauma (<jats:italic>n<\/jats:italic> = 29, 35%). In no instance was a malignancy discovered subsequent to the initial evaluation. The most cost\u2010efficient, inclusive diagnostic evaluation of unilateral vocal cord paralysis involves a stepwise progression through the tests that are most likely to yield a diagnosis, with endoscopy reserved for those cases in which simpler, less invasive tests have not indicated a cause.<\/jats:p>","DOI":"10.1177\/019459989210700113","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:45:34Z","timestamp":1448433934000},"page":"84-90","source":"Crossref","is-referenced-by-count":95,"title":["Contemporary Evaluation of Unilateral Vocal Cord Paralysis"],"prefix":"10.1002","volume":"107","author":[{"given":"David J.","family":"Terris","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery Stanford University Medical Center Stanford California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David P.","family":"Arnstein","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery Stanford University Medical Center Stanford California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry H.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery Stanford University Medical Center Stanford California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1992,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197007000-00002"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197402000-00012"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1976.00780100045002"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1981.tb03543.x"},{"key":"e_1_2_1_6_1","first-page":"141","article-title":"A study of vocal cord palsy","volume":"97","author":"Barondess JA","year":"1985","journal-title":"Trans Am Clin Climatol Assoc"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1989.tb00369.x"},{"key":"e_1_2_1_8_1","first-page":"2021","volume-title":"Otorhinolaryngol Head Neck Surg","author":"Ojawa Y","year":"1990"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100108412"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948209100603"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.141.3.527"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.164.1.3588933"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.156.1.4001397"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198408000-00016"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.156.1.4001396"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00048276"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200307"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989210700113","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989210700113","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:51:20Z","timestamp":1760957480000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989210700113"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,7]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1992,7]]}},"alternative-id":["10.1177\/019459989210700113"],"URL":"https:\/\/doi.org\/10.1177\/019459989210700113","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,7]]}}}