36 / 412
Conclusion
This study demonstrates that contrast-enhanced CT of the
base of the skull to the upper mediastinum has a low yield
of 2.9% in the initial evaluation of idiopathic vocal fold par-
esis. CT has a high rate (27.6%) of incidental asymptomatic
cervicothoracic findings. These findings suggest that routine
use of CT in the evaluation of idiopathic vocal fold paresis
should be given careful consideration and that a tailored
approach to investigation with good otolaryngologic follow-
up is warranted.
Author Contributions
Paul M. Paddle
, study design, data acquisition, analysis and inter-
pretation, drafting and revision, final approval and accountability
for all aspects of the work;
Masaany B. Mansor
, study design,
data acquisition, manuscript drafting, final approval and account-
ability for all aspects of the work;
Phillip C. Song
, study design,
manuscript revision, final approval and accountability for all
aspects of the work;
Ramon A. Franco Jr
, study design, data
interpretation, manuscript revision, final approval and accountabil-
ity for all aspects of the work.
Disclosures
Competing interests:
None.
Sponsorships:
None.
Funding source:
None.
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