Dysphagia Characteristics in High Versus Low Vagal Unilateral Vocal Fold Paralysis.

ABSTRACT:

Objective

To compare instrumental swallow assessment findings and diet recommendations in high versus low vagal unilateral vocal fold paralysis (UVFP).

Methods

Retrospective review of patients with UVFP who underwent instrumental swallow assessment, September 2019-February 2024. Demographics, Eating Assessment Tool-10 (EAT-10) score, flexible laryngoscopy findings, instrumental swallow parameters, diet recommendations, treatment modalities, and posttreatment outcomes were analyzed.

Results

Ninety-six patients were included: 28 (29%) high-vagal and 68 (71%) low-vagal UVFP. High vagal UVFP had a higher incidence of premature spillage (57% vs. 13%, p < 0.0001); residue (82% vs. 22%, p < 0.0001), penetration (89% vs. 35%, p < 0.0001), aspiration (50% vs. 22%, p = 0.013),

SUBMITTER: Marker MM 

PROVIDER: S-EPMC12629264 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature