Table 4:

Radiologic diagnoses to predict vocal cord paralysis

 Majority Positive (No.) (%) SensitivitySpecificityPositive Predictive ValueNegative Predictive Value
Dilation of ipsilateral pyriform sinus91 (63.6%)68.3%48.7%78.0%36.5%
Medial rotation of ipsilateral aryepiglottic fold76 (53.1%)60.6%66.7%82.9%38.8%
Thickening of ipsilateral aryepiglottic fold19 (13.3%)16.3%94.9%89.5%29.8%
Anteromedial displacement of ipsilateral arytenoid cartilage42 (29.4%)36.5%89.7%90.5%34.7%
Medial displacement of posterior aspect of ipsilateral vocal fold100 (69.9%)78.8%53.8% 82.0%48.8%
Mushroom sign9 (6.3%)7.7%97.4%89.9%28.4%
Dilation of ipsilateral laryngeal ventricle87 (60.8%)69.2%61.5%82.8%42.9%
Loss of subglottic arch7 (4.9%)5.8%97.4%85.7%27.9%
Final diagnosis of paralysisa84 (59.2%)68.0%64.1%83.3%43.0%
  • a n = 142: omitted 1 tie (1 positive, 1 negative, 1 missing value).