RE: McFarlane, S. C., Holt-Romeo, T. L., Lavorato, A. S., & Warner, L. (1991). American Journal of Speech-Language Pathology, 1(1), 45–48 McFarlane and co-authors describe a study of patients with vocal fold paralysis treated by Teflon injection, voice therapy, and muscle-nerve reinnervation surgery. Since there were no significant differences between patients with voice therapy and the surgery treatment groups, the authors conclude that the study supports “a conservative approach to the ... Letter to the Editor
Letter to the Editor  |   May 01, 1992
RE: McFarlane, S. C., Holt-Romeo, T. L., Lavorato, A. S., & Warner, L. (1991). American Journal of Speech-Language Pathology, 1(1), 45–48
 
Author Affiliations & Notes
  • Roger L. Crumley
    University of California-Irvine
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Letters to the Editor
Letter to the Editor   |   May 01, 1992
RE: McFarlane, S. C., Holt-Romeo, T. L., Lavorato, A. S., & Warner, L. (1991). American Journal of Speech-Language Pathology, 1(1), 45–48
American Journal of Speech-Language Pathology, May 1992, Vol. 1, 65. doi:10.1044/1058-0360.0103.65
 
American Journal of Speech-Language Pathology, May 1992, Vol. 1, 65. doi:10.1044/1058-0360.0103.65
McFarlane and co-authors describe a study of patients with vocal fold paralysis treated by Teflon injection, voice therapy, and muscle-nerve reinnervation surgery. Since there were no significant differences between patients with voice therapy and the surgery treatment groups, the authors conclude that the study supports “a conservative approach to the treatment of unilateral vocal fold paralysis.” Most otolaryngologists would take issue with this.
The three modern approaches to treatment of vocal fold paralysis are Teflon injection, Isshiki Type I thyroplasty with or without arytenoid adduction, and ansa cervicalis-recurrent laryngeal nerve anastomosis (Crumley, 1990). In my own experience, the ansa nerve transfer usually results in a normal or a near-normal voice; in any event, results are nearly always superior to our results with voice therapy or
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