This course offers a practical guide to decision-making in the evaluation and treatment of vocal fold paralysis. It
presents a summary of the existing evidence regarding causes, mechanism and natural course of vocal fold paralysis.
Areas where evidence is absent or scanty are highlighted, and ‘best practice’ guidelines are extracted from available
literature. Current thinking about spontaneous recovery, including aberrant innervation or synkinesis, is also
explained, and evidence supporting these views is reviewed. The impact of such thinking on clinical decision-making is
emphasized. Practical topics covered include appropriate workup, timing of intervention, selection of intervention
(injection versus framework surgery). The significance of specific clinical findings like vocal fold position, arytenoid
asymmetry, supraglottic hyperfunction, and posterior glottic gap is reviewed. A flexible, individualized approach to
each patient, guided by current concepts of pathophysiology and nerve recovery, is emphasized throughout.
- Provider:American Academy of Otolaryngology – Head & Neck Surgery Foundation
- Activity Link: https://academyu.entnet.org/diweb/catalog/item?id=8411420
- Start Date: 2022-10-12 05:00:00
- End Date: 2022-10-12 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
- MOC Credit Details: ABOHNS - 1.0 Point; Credit Type(s): Self-Assessment (ABOHNS)
- Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Yes
- Measured Outcome: Community/Population Health, Learner Competence, Learner Knowledge, Learner Performance, Patient Health
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Laryngology