Department of Paediatrics Otolaryngology Head & Neck Surgery, Perth Children's Hospital, Roberts Road, Nedlands 6009, Australia; Murdoch ENT, Wexford Medical Centre, St John of God Hospital (Murdoch), Suite 17-18, Level 1, 3 Barry Marshall Parade, Murdoch 6150, Australia; School of Surgery, University of Western Australia, Stirling Highway, Crawley 6009, Australia; St John of God Hospital (Murdoch), Wexford Medical Center, Suite 17-18, Level 1, 3 Barry Marshall Parade, Murdoch 6150, Australia.
Auris Nasus Larynx. 2020 Jun;47(3):315-334. doi: 10.1016/j.anl.2020.03.001. Epub 2020 Apr 6.
Unilateral vocal fold palsy (UVFP) is the commonest neurological laryngeal disorder. Much of the research have focused on its implication on voice, with limited data on its impact on swallowing. The aim of this paper is to examine the current evidence on the pathophysiology, impact and management of UVFP and swallowing.
A literature search was conducted on the PubMed, MedLine, and Embase databases based on the keywords "unilateral vocal cord palsy" and "dysphagia" for this narrative review.
Dysphagia is common in UVFP. A safe and effective swallow is more than just glottic competence but coordination of complex events within the aerodigestive tract's sensory and motor systems. It is an important secondary outcome which has short- and long-term impact on our patient's quality of life. It should be managed in a multi-disciplinary manner to optimise patient's outcome.
It is important to consider the disease, patient and surgical factors when deciding on the type and timing of management options. There is increasing evidence of benefits with early surgical interventions, challenging the traditional conservative management to rule out spontaneous recovery and compensation.
单侧声带麻痹（UVFP）是最常见的神经性喉病。大部分研究都集中在其对声音的影响上，而对吞咽的影响则数据有限。本文旨在探讨 UVFP 和吞咽的病理生理学、影响和管理的现有证据。
本研究通过关键词“单侧声带麻痹”和“吞咽困难”，在 PubMed、MedLine 和 Embase 数据库上进行了文献检索，对该综述进行了叙述。
吞咽困难在 UVFP 中很常见。安全有效的吞咽不仅仅是声门的协调性，还包括协调气道和消化道的感觉和运动系统中的复杂事件。它是一个重要的次要结果，对患者的生活质量有短期和长期的影响。应采用多学科的方式进行管理，以优化患者的治疗效果。
在决定管理方案的类型和时机时，应考虑疾病、患者和手术因素。越来越多的证据表明早期手术干预的益处，这对传统的保守管理提出了挑战，以排除自发恢复和代偿的可能性。
