Repetitive phonatory tasks for identifying vocal fold paresis

Adam D. Rubin, Veeraphol Praneetvatakul, Yolanda Heman-Ackah, Cheryl A. Moyer, Steven Mandel, Robert T. Sataloff

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


Vocal fold paresis may be present in patients with voice complaints. Identification of paresis is important so that appropriate neurolaryngologic evaluation can be ordered and the appropriate treatment can be offered. Repetitive phonatory tasks (RPTs) fatigue patients vocally and may elicit signs of subtle paresis. In this study, four laryngologists independently reviewed the RPT portions of routine fiberoptic voice examinations of 100 patients in a blinded fashion. All patients had presented with voice complaints, were suspected of having a movement disorder of the larynx, and had been referred for laryngeal electromyography (LEMG). Predictions were compared with LEMG results and with predictions made at the time of each initial evaluation. Although RPTs are useful to laryngologists, predictions based on the entire examination are more accurate. LEMG can confirm clinical suspicions or identify paresis missed on fiberoptic laryngeal examination.

Original languageEnglish (US)
Pages (from-to)679-686
Number of pages8
JournalJournal of Voice
Issue number4
StatePublished - Dec 2005
Externally publishedYes


  • Laryngeal electromyography
  • Neurolaryngology
  • Recurrent laryngeal nerve
  • Superior laryngeal nerve
  • Vocal-fold paralysis
  • Vocal-fold paresis

ASJC Scopus subject areas

  • Otorhinolaryngology
  • LPN and LVN
  • Speech and Hearing


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