Letter to the Editor | May 01, 1992Response to Crumley Stephen C. McFarlane, Teri L. Holt-Romeo, Alfred S. Lavorato, and Lyle Werner Author Affiliations & Notes Stephen C. McFarlane University of Nevada, Reno Teri L. Holt-Romeo University of Nevada, Reno Alfred S. Lavorato University of Nevada, Reno Lyle Werner University of Nevada, Reno Copyright © 1992 American Speech-Language-Hearing Association Article Information Speech, Voice & Prosodic Disorders / Voice Disorders / Letters to the Editor Letter to the Editor | May 01, 1992 Response to Crumley American Journal of Speech-Language Pathology, May 1992, Vol. 1, 66-67. doi:10.1044/1058-0360.0103.66 American Journal of Speech-Language Pathology, May 1992, Vol. 1, 66-67. doi:10.1044/1058-0360.0103.66 View Article Figures Tables PDF PDF Supplemental Data Supplements Multimedia Share Email Twitter Facebook Pinterest Tools Get Citation Citation McFarlane, S. C., Holt-Romeo, T. L., Lavorato, A. S., & Werner, L. (1992). Response to Crumley. Am J Speech Lang Pathol, 1(3), 66-67. doi: 10.1044/1058-0360.0103.66. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © 2018 American Speech-Language-Hearing Association × Alerts User Alerts You are adding an alert for: Response to Crumley You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account The alert will be sent to: Confirm × Sign In or Create a free account to receive alerts. × We appreciate Dr. Crumley’s comments and would like to address some of his concerns. First, Dr. Crumley states that most otolaryngologists would take issue with our statement that a conservative approach to treatment of unilateral vocal fold paralysis is indicated during the first few months post paralysis. It is our observation that most otolaryngologists still agree that it is appropriate to wait 9-12 months or longer from the onset of paralysis, before attempting any surgical treatment. In the first two paragraphs on page 45, we make it clear that the voice therapy approach was advocated during this waiting period as “. . . an initial approach to voice management.” This position is also stated in the abstract and again in the discussion section. An informal survey, conducted since receipt of the letter by Crumley, indicates that 22 laryngologists from 14 states advocate waiting 9-12 months before attempting surgical intervention. Further, the literature in otolaryngology and in speech-pathology agrees that a waiting period is appropriate. For example, LaBlance, Maves, Cobb, and Eitnier (1991) waited an average of 23.5 months from cord paralysis to perform successful thyroplasty resulting in voice improvement. First Page Preview × View Large Subscribe to view more For full access to this article, log in to an existing user account, purchase an annual subscription, or purchase a short-term subscription. Order a Subscription Subscribe Pay Per View Entire American Journal of Speech-Language Pathology content & archive 24-hour access $30.00 Buy Now This Article 24-hour access $15.00 Buy Now Become a Visiting Scholar Sign In or Create an Account Please sign in using your ASHA.org login. If you do not have an ASHA login, you may register with us for free by creating a new account. Sign In or Create an Account Related Articles Response to McFarlane American Journal of Speech-Language Pathology, May 1992, Vol. 1, 67. doi:10.1044/1058-0360.0103.67 Presbyphonia Perspectives of the ASHA Special Interest Groups, March 2018, Vol. 3, 19-26. doi:10.1044/persp3.SIG3.19 Self-Rated Communication-Related Quality of Life of Individuals With Oromandibular Dystonia Receiving Botulinum Toxin Injections American Journal of Speech-Language Pathology, June 2017, Vol. 26, 674-681. doi:10.1044/2017_AJSLP-16-0098 Voice Treatment for Individuals With Parkinson's Disease SIG 15 Perspectives on Gerontology, October 2007, Vol. 12, 2-11. doi:10.1044/gero12.1.2 Effects of Intensive Voice Treatment (the Lee Silverman Voice Treatment [LSVT]) on Vowel Articulation in Dysarthric Individuals With Idiopathic Parkinson Disease: Acoustic and Perceptual Findings Journal of Speech, Language, and Hearing Research, August 2007, Vol. 50, 899-912. doi:10.1044/1092-4388(2007/064) Related Topics Speech, Voice & Prosodic Disorders Voice Disorders