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Proceedings of a Workshop on - The Havemeyer Foundation

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<strong>Havemeyer</strong> Foundati<strong>on</strong> M<strong>on</strong>ograph Series No. 11<br />

TABLE 1: Grading <str<strong>on</strong>g>of</str<strong>on</strong>g> RLN by resting endoscopic examinati<strong>on</strong>; Dix<strong>on</strong> et al. (2000)<br />

Grade<br />

Endoscopic findings<br />

0 (Normal) perfect synchr<strong>on</strong>y <str<strong>on</strong>g>of</str<strong>on</strong>g> arytenoid movement, and symmetry <str<strong>on</strong>g>of</str<strong>on</strong>g> appearance,<br />

full bilateral arytenoid abducti<strong>on</strong> achieved and maintained (eg during nasal<br />

occlusi<strong>on</strong> <strong>on</strong> excitement).<br />

1 (Normal) asynchr<strong>on</strong>ous arytenoid movements, ± presence <str<strong>on</strong>g>of</str<strong>on</strong>g> arytenoid or vocal<br />

shiver but full symmetrical arytenoid abducti<strong>on</strong> achieved and maintained.<br />

2 (Mild paresis) slight arytenoid asymmetry, incomplete arytenoid abducti<strong>on</strong> or<br />

complete but transient abducti<strong>on</strong> ie unable to maintain full abducti<strong>on</strong>.<br />

3 (Moderate paresis) obvious arytenoid abductory deficit and arytenoids asymmetry.<br />

4 (Severe paresis) marked but not total arytenoid abductory deficit and asymmetry,<br />

very little arytenoid movement.<br />

5 (Total paresis [hemiplegia]) no arytenoid movements detectable.<br />

technique, a highly significant (P

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