{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:17:40Z","timestamp":1792289860999,"version":"4.4.0"},"reference-count":29,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T00:00:00Z","timestamp":1646697600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>(1) Background: Laryngeal electromyography (LEMG) plays a key role in classifying the severity of nerve damage and determining the prognosis of the nerve recovery. LEMG is primarily a qualitative study, without a standardized approach to interpretation. The development of qualitative and quantitative analysis would situate LEMG in the gold standard of modern neurolaryngologic diagnostics. The aim of this study was to quantitatively evaluate laryngeal electromyography recorded in patients with vocal fold immobility or dysmobility. (2) Methods: The electromyographic material comprised 84 thyroarytenoid muscles recordings of 42 patients. (3) Results: In our study, we observed significant differences between EMG characteristics of healthy and paralyzed VF. Our study showed that recording laryngeal muscle activity during successive phases of breathing provides additional valuable information. We noticed that the frequency and amplitude of motor unit potentials correlates with the return of vocal fold functionality. (4) Conclusions: Laryngeal EMG guides the clinician on the best course of treatment for the patient. It is therefore important to develop an effective methodology and consensus on the quantitative interpretation of the record. Amplitude and frequency parameters are valuable in predicting neural recovery and in the return of vocal fold mobility.<\/jats:p>","DOI":"10.3390\/life12030390","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T01:53:54Z","timestamp":1646790834000},"page":"390","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Laryngeal Electromyography in the Therapeutic Process of Patients with Vocal Fold Immobility or Dysmobility"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4551-282X","authenticated-orcid":false,"given":"Paulina","family":"Krasnod\u0119bska","sequence":"first","affiliation":[{"name":"Audiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, Mochnackiego 10, 02-042 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata","family":"Szkie\u0142kowska","sequence":"additional","affiliation":[{"name":"Audiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, Mochnackiego 10, 02-042 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludmi\u0142a","family":"Czarkwiani-Wo\u017aniakowska","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Children\u2019s Memorial Health Institute, Av. Dzieci Polskich 20, 04-730 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Mia\u015bkiewicz","sequence":"additional","affiliation":[{"name":"Audiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, Mochnackiego 10, 02-042 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Sinkiewicz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Phoniatry and Audiology, Collegium Medicum, Nicolaus Copernicus University, 87-100 Torun, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7141-9851","authenticated-orcid":false,"given":"Henryk","family":"Skar\u017cy\u0144ski","sequence":"additional","affiliation":[{"name":"Otorhinolaryngologic Clinic, Institute of Physiology and Pathology of Hearing, Mochnackiego 10, 02-042 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1001\/archotol.127.2.155","article-title":"Prognostic value of laryngeal electromyography in vocal fold paralysis","volume":"127","author":"Sittel","year":"2001","journal-title":"Arch. Otolaryngol.-Head Neck Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1016\/S0003-9993(03)00146-1","article-title":"Utility of laryngeal electromyography in predicting recovery after vocal fold paralysis","volume":"84","author":"Munin","year":"2003","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1002\/lary.22354","article-title":"Laryngeal electromyography for prognosis of vocal fold palsy: A meta-analysis","volume":"122","author":"Rickert","year":"2012","journal-title":"Laryngoscope"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"51","DOI":"10.17430\/JHS.2020.10.1.6","article-title":"Course of laryngeal function recovery after reconstruction of the laryngeal nerves","volume":"10","year":"2020","journal-title":"J. Hear. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1002\/lary.24980","article-title":"Laryngeal electromyography and prognosis of unilateral vocal fold paralysis\u2014A long-term prospective study","volume":"125","author":"Wang","year":"2015","journal-title":"Laryngoscope"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/(SICI)1097-4598(199901)22:1<111::AID-MUS17>3.0.CO;2-J","article-title":"Single-fiber electromyography of the laryngeal muscles","volume":"22","author":"Schweizer","year":"1999","journal-title":"Muscle Nerve"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1002\/lary.25487","article-title":"Recurrent laryngeal nerve recovery patterns assessed by serial electromyography","volume":"126","author":"Paniello","year":"2016","journal-title":"Laryngoscope"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"28","DOI":"10.22469\/jkslp.2019.30.1.28","article-title":"Quantitative Measurement of Laryngeal Electromyography Using Motor Unit Action Potential in Unilateral Vocal Cord Paralysis","volume":"30","author":"Ha","year":"2019","journal-title":"J. Korean Soc. Laryngol. Phoniatr. Logoped."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1002\/lary.20629","article-title":"Electromyographic laryngeal synkinesis alters prognosis in vocal fold paralysis","volume":"120","author":"Statham","year":"2010","journal-title":"Laryngoscope"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.ijporl.2017.11.002","article-title":"Recurrent laryngeal nerve reinnervation for management of aspiration in a subset of children","volume":"104","author":"Zur","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/j.otohns.2009.01.026","article-title":"Recommendations of the Neurolaryngology Study Group on laryngeal electromyography","volume":"140","author":"Blitzer","year":"2009","journal-title":"Otolaryngol.-Head Neck Surg."},{"key":"ref_12","first-page":"53","article-title":"Laryngeal electromyography in laryngologic and phoniatric practice","volume":"4","year":"2015","journal-title":"Now Audiofonol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Hillel, A., and Robinson, L. (2006). Diagnostic Electromyography for unilateral vocal fold dysmobility. Vocal Fold Paralysis, Springer. Chapter 5.","DOI":"10.1007\/3-540-32504-2_5"},{"key":"ref_14","unstructured":"Munin, M., and Rainer, M. (1999). Laryngeal electromyography. Comprehensive Management of Swallowing Disorders, Singular Publishing Group."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1002\/lary.26862","article-title":"Laryngeal EMG: Preferential damage of the posterior cricoarytenoid muscle branches especially in iatrogenic recurrent laryngeal nerve lesions","volume":"128","author":"Foerster","year":"2018","journal-title":"Laryngoscope"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.1002\/lary.26390","article-title":"Effect of intralaryngeal muscle synkinesis on perception of voice handicap in patients with unilateral vocal fold paralysis","volume":"127","author":"Lin","year":"2017","journal-title":"Laryngoscope"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1007\/s00405-021-06714-8","article-title":"Diagnostic limitation of laryngostroboscopy in comparison to laryngeal electromyography in synkinesis in unilateral vocal fold paralysis","volume":"278","author":"Stanisz","year":"2021","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1016\/j.otc.2007.05.007","article-title":"Laryngeal electromyography","volume":"40","author":"Mandel","year":"2007","journal-title":"Otolaryngol. Clin. N. Am."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1002\/mus.25090","article-title":"Consensus statement: Using laryngeal electromyography for the diagnosis and treatment of vocal cord paralysis","volume":"53","author":"Munin","year":"2016","journal-title":"Muscle Nerve"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2310","DOI":"10.1002\/lary.25910","article-title":"Vocal fold motion outcome based on excellent prognosis with laryngeal electromyography","volume":"126","author":"Smith","year":"2016","journal-title":"Laryngoscope"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1007\/s00405-020-05846-7","article-title":"Objectivation of laryngeal electromyography (LEMG) data: Turn number vs. qualitative analysis","volume":"277","author":"Kneisz","year":"2020","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.1002\/lary.27078","article-title":"Innervation status in chronic vocal fold paralysis and implications for laryngeal reinnervation","volume":"128","author":"Lin","year":"2018","journal-title":"Laryngoscope"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"35","DOI":"10.5604\/01.3001.0011.7250","article-title":"Assessment of short-term comprehensive voice therapy in patients with unilateral paralysis of the larynx","volume":"72","author":"Krasnodebska","year":"2018","journal-title":"Otolaryngol. Pol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.jvoice.2016.02.018","article-title":"Laryngeal electromyography for prognosis of vocal fold paralysis","volume":"31","year":"2017","journal-title":"J. Voice"},{"key":"ref_25","first-page":"537","article-title":"Vocal fold paresis","volume":"122","author":"Koufman","year":"2000","journal-title":"Otolaryngol.-Head Neck Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1097\/00005537-200207000-00019","article-title":"Laryngeal electromyography in the management of vocal cord mobility problems in children","volume":"112","author":"Jacobs","year":"2002","journal-title":"Laryngoscope"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1016\/j.otohns.2004.04.003","article-title":"Practice parameter: Laryngeal electromyography (an evidence-based review)","volume":"130","author":"Sataloff","year":"2004","journal-title":"Otolaryngol.-Head Neck Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"3883","DOI":"10.1007\/s00405-021-06925-z","article-title":"Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?","volume":"278","author":"Panasiewicz","year":"2021","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1002\/mus.27262","article-title":"Vocal fold injection material does not preclude interpretation of laryngeal electromyography","volume":"64","author":"Belsky","year":"2021","journal-title":"Muscle Nerve"}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/12\/3\/390\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:33:49Z","timestamp":1760135629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/12\/3\/390"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,8]]},"references-count":29,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3]]}},"alternative-id":["life12030390"],"URL":"https:\/\/doi.org\/10.3390\/life12030390","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,8]]}}}