BACKGROUND: @entity3746 ( @entity3746 ) is a rare diagnosis causing @entity1353 , @entity7364 and @entity1282 . Management depends on respiratory performance, airway patency, vocal ability, and quality-of-life priorities. The authors review the presentation, management and outcome in @entity1 diagnosed with @entity3746 . The utility and efficacy of the Empey index (EI) and the Expiratory Disproportion Index (EDI) are evaluated as an objective monitoring tools for @entity3746 @entity1 . METHODS: A 13-year retrospective review was performed of @entity3746 @entity1 at St. Michael's Hospital, University of Toronto, a tertiary referral centre for laryngology. RESULTS: Forty-eight @entity1 were included; 46 presented with @entity1224 . Tracheotomy was required for airway management in 40% of @entity1 throughout the course of their treatment, which was reduced to 19% at the end of the study period. Twenty-one @entity1 underwent endoscopic arytenoidectomy/cordotomy. Non-operative management included continuous positive airway pressure devices. Pulmonary function testing was carried out in 29 @entity1 . Only a portion of the @entity3746 @entity1 met the defined @entity1224 criteria (45% EI and 52% EDI). Seven @entity1 had complete pre- and post-operative PFTs for comparison and all seven had ratios that significantly improved post-operatively which correlated clinically. CONCLUSION: The EI and EDI have limited use in evaluating @entity1 with who have variable @entity1224 , but may be helpful in monitoring within subject airway function changes.

XXXX : a 13 year review of etiologies, management and the utility of the Empey index.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity7364 :: ('MESH:D055154', 'Disease') :: ['dysphonia'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity3746 :: ('MESH:D014826', 'Disease') :: ['BVFI', 'Bilateral vocal fold immobility'] @entity1224 :: ('MESH:D000402', 'Disease') :: ['upper airway obstruction', 'airway obstruction symptoms']
@entity3746 :: (MESH:D014826,Disease) :: ['Bilateral vocal fold immobility']
