Bilateral vocal cord paralysis secondary to esophageal compression

Chegar, Burke E.; Emko, Precha

doi:10.1016/j.amjoto.2004.04.004

Cited by 10 publications

(6 citation statements)

References 5 publications

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“…The cause of vocal cord palsy is often unidentified, with a tumor or an external mass being one of the common causes. In a previous report, an enlarged esophagus compressed the bilateral recurrent laryngeal nerves that resulted in bilateral vocal cord palsy [9]. In our case, the anomalous arteries in the right neck compressed the midline structure, which might have compressed the left recurrent laryngeal nerve between the adjacent trachea and esophagus, thereby resulting in left vocal cord palsy.…”

Section: Discussionsupporting

confidence: 47%

Unusual Pharyngo-Esophageal Dysphagia Caused by a High-Riding Right Brachiocephalic Artery

2021

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Dysphagia is a commonly encountered disorder with a reported incidence of 12%-13% in a short-term care hospital [1]. Dysphagia can result in serious complications, including malnutrition, dehydration, aspiration, choking, pneumonia, and death. It involves difficulty in the passage of solids or liquids from the mouth to the stomach. Its common causes include stroke, dementia, Parkinson disease, and compression of swallowing organs. High-riding right brachiocephalic and subclavian arteries are often asymptomatic and rare vascular variations. Moreover, dysphagia is rarely caused by large vascular variations in the neck area associated with pseudo-aneurysms or a tortuous common carotid artery [2,3]. There is no report of high-riding right brachiocephalic and Annals of Rehabilitation Medicine

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Section: Discussionsupporting

confidence: 47%

Unusual Pharyngo-Esophageal Dysphagia Caused by a High-Riding Right Brachiocephalic Artery

2021

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“…3 Due to the anatomical location of the RLNs in the tracheo-oesophageal grooves, they are at risk of compression by oesophageal distension and this has indeed been reported in cases of severe achalasia. 4 The longer course of the left RLN means that it travels upwards at a more acute angle to the midline than the right RLN. It therefore lies in the tracheo-oesophageal groove for a greater distance than the right nerve, theoretically increasing the risk of compression by oesophageal pathology, or a foreign body.…”

Section: Discussionmentioning

confidence: 99%

Recurrent laryngeal nerve palsy due to displacement of a gastric band

Fussey

Ahsan

2016

annals

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The left recurrent laryngeal nerve is at increased risk of compression by oesophageal pathology due to its long course through the neck and thorax. Here we report a case of left vocal cord palsy secondary to displacement of a gastric band, resulting in oesophageal dilatation and neuropraxia of the left recurrent laryngeal nerve. Vocal cord function partially improved following removal of the gastric band.

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“…Unilateral and bilateral vocal cord palsies have been reported in cases of dilatation of the thoracic and cervical esophagus associated with foreign body obstruction or dysmotility. Purported mechanisms include compression of the RLN(s) 4,5 or arytenoid impingement by a dilated cervical esophagus. 4 This, however, is the first reported case of an RLN neuropraxia secondary to compression by a dilated esophagus after LGB.…”

Section: Discussionmentioning

confidence: 99%