Evidence map›Paper›PMID 31034526›Full record

Observational studyPloS one2019

Therapy of bilateral vocal fold paralysis: Real world data of an international multi-center registry.

Tadeus Nawka, Markus Gugatschka, Jan-Constantin Kölmel, Andreas Harald Müller, Berit Schneider-Stickler, Svetlana Yaremchuk, Maria Grosheva, Rudolf Hagen, Joachim T Maurer, Claus Pototschnig and 3 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Guideline
  2. Recurrent nerve damage following thyroid surgery: What can I do?World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  3. European consensus on endoscopic surgery for bilateral vocal fold immobility: classification and nomenclature.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 3 countries.

Tadeus NawkaDepartment of Audiology and Phoniatrics, Charité University Medicine Berlin, Berlin, Germany.
Markus GugatschkaDivision of Phoniatrics, Medical University of Graz, Graz, Austria.
Jan-Constantin KölmelDepartment of Otorhinolaryngology, Klinikum Stuttgart, Katharinenhospital, Stuttgart, Germany.
Andreas Harald MüllerDepartment of Otorhinolaryngology, SRH Wald-Klinikum Gera, Gera, Germany.
Berit Schneider-SticklerDivision of Phoniatrics-Logopedics, Department of Otolaryngology, Medical University of Vienna, Vienna, Austria.
Svetlana YaremchukInstitute of Otolaryngology of the National Academy of Medical Science of Ukraine, Kiev, Ukraine.
Maria GroshevaDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Cologne, Germany.
Rudolf HagenDepartment of Otorhinolaryngology, University of Wuerzburg, Wuerzburg, Germany.
Joachim T MaurerDepartment of Otorhinolaryngology, Head and Neck Surgery, University-Hospital Mannheim, Mannheim, Germany.ORCID 0000-0002-8412-4216
Claus PototschnigDepartment of Otorhinolaryngology, University of Innsbruck, Innsbruck, Austria.
Thomas LehmannInstitute for Medical Statistics, Computer Science and Data Science, Jena University Hospital, Jena, Germany.
Gerd Fabian VolkDepartment of Otorhinolaryngology, Jena University Hospital, Jena, Germany.
Orlando Guntinas-LichiusDepartment of Otorhinolaryngology, Jena University Hospital, Jena, Germany.ORCID 0000-0001-9671-0784
Jena University Hospital · DECharité - Universitätsmedizin Berlin · DEHeidelberg University · DEKatharinenhospital · DEMedical University of Graz · ATMedical University of Vienna · ATSRH Wald-Klinikum Gera · DEState Institution «Academician O.F.Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine» · UAUniversität Innsbruck · ATUniversity of Cologne · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo collect data on diagnosis, treatment, patient's management, and quality of life in patient with bilateral vocal fold paralysis (BVFP).

methodsA retrospective, observational, multicenter registry study was performed. Medical records of 326 adults with permanent BVFP (median age: 61 years; 70% female, 60% after thyroid surgery) generated between 2010 and 2017.

resultsMedian time between BVFP onset and inclusion was 1.2 years. Median post-treatment follow-up was 2 months (range: 0-42). Surgery was treatment of choice in 61.7% of the cases, with a 2-year revision rate of 32.4%. Prior to inclusion, 40.2% of the patients underwent at least one surgery. For tracheotomized patients, decannulation rate was 33.8%. Non-surgical treatments included voice therapy and botulinum toxin injection. Corticosteroid application was the most frequent treatment for post-treatment complications (18%; 1-month after surgery). Older age was an independent predictor for dyspnea (Hazard ratio [HR] = 1.041; CI = 1.005 to 1.079; p = 0.026) and the need for oxygen treatment (HR = 1.098; CI = 1.009 to 1.196; p = 0.031). Current alcohol consumption (HR = 2.565; CI = 1.232 to 5.342; p = 0.012) and a cancer-related etiology (HR = 4.767; CI = 1.615 to 14.067; p = 0.005) were independent factors of higher revision risk.

conclusionsSurgery for BVFP is currently not standardized but highly variable. Postoperative and BVFP-related complications and revision surgery are frequent. Complications are linked to patients' alcohol drinking habits and BVFP etiology. These results shall be confirmed by the upcoming evaluation of the prospective data of this registry.

Indexed as

InternationalityRegistriesFemaleFollow-Up StudiesHumansMaleMiddle AgedProbabilityReoperationVocal Cord ParalysisVocal Cords

Identifiers

PMID31034526
PMCPMC6488092
OpenAlexW2942580260

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.