CT Evaluation of Vocal Cord Paralysis due to Thoracic Diseases: A 10-Year Retrospective Study

Song, Seok-Whan; Jun, Beom Cho; Cho, Kwang Jae; Lee, Sungwon; Kim, Young Joo; Park, Seog Hee

doi:10.3349/ymj.2011.52.5.831

Cited by 49 publications

(37 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In previous case series of extralaryngeal vocal cord palsy investigated by CT, only 1/33,2 1/623 and 1/1154 cases were due to a cardiovascular cause. The most common cause of recurrent laryngeal nerve palsy in these series was superior mediastinal lymphadenopathy, most commonly due to malignancy.…”

Section: Discussionmentioning

confidence: 88%

Ascending aortic aneurysm causing hoarse voice: a variant of Ortner's syndrome: Figure 1

2012

View full text Add to dashboard Cite

A 68-year-old man with a persistent hoarse voice was found to have a left vocal cord paralysis. Clinical examination revealed signs consistent with aortic regurgitation. Subsequent investigation revealed an ascending aortic aneurysm. He underwent aortic root and ascending aorta replacement and his hoarseness improved. Ortner's syndrome refers to hoarseness due to recurrent laryngeal nerve palsy secondary to a cardiovascular abnormality. Recurrent laryngeal nerve palsy due to aneurysmal dilation of the ascending aorta is extremely rare, with aneurysms of the aortic arch being a more common cause.

show abstract

Section: Discussionmentioning

confidence: 88%

Ascending aortic aneurysm causing hoarse voice: a variant of Ortner's syndrome: Figure 1

2012

View full text Add to dashboard Cite

show abstract

“…Therefore, it would be cost-effective to scan down to the level of the aortic triangle when taking neck CT scans for patients with vocal cord palsy, regardless of the paralytic side. [15] CONCLUSION The most common cause of unilateral vocal cord palsy is idiopathic; nevertheless vocal cord palsy is a very important sign of various underlying diseases. A thorough evaluation, which must necessarily include CT neck and mediastinum, and diagnostic endoscopy when called for is essential before labeling a case as idiopathic.…”

Section: Discussionmentioning

confidence: 98%

Etiological profile of unilateral vocal cord paralysis: A single institutional experience over 10 years

2014

View full text Add to dashboard Cite

Objective: Unilateral vocal cord palsy is a major cause of dysphonia. With umpteen number of causes being attributed to it and changing trends in etiology from place-to-place and over time, it is of utmost importance to arrive at a correct diagnosis to plan further management and to determine the prognosis. The aim was to evaluate the etiological profile of unilateral vocal cord palsy in our institute that is a tertiary referral center over the past 10 years. Materials and Methods: Case records of all patients diagnosed with unilateral vocal cord palsy who presented to Deenanath Mangeshkar Hospital, Pune, Maharashtra, India between 2003 and 2013 were retrospectively reviewed. The exclusion criteria included patients with laryngeal/hypopharyngeal malignancies, intubation trauma, congenital vocal cord palsy and cricoarytenoid joint ankylosis. The age, gender, laterality and etiology were the factors taken into consideration. Results: A total of 277 cases spanning over the age range of 2 months to 98 years met our inclusion criteria, out of which 179 were males, and 98 were females with a male to female ratio being 1.82:1. In terms of laterality, 182 patients had left sided, and 95 had right sided vocal cord palsy. Majority of the cases were found to be in the fourth and fifth decades. The most common etiology was idiopathic 136 (49.1%). The incidence of various other etiologies were surgical trauma 60 (21.6%), nonsurgical trauma 10 (3.7%), nonlaryngeal malignancy 36 (12.9%), central/ neurological 17 (6.1%), postradiation 1 (0.3%), and other benign lesions 17 (6.1%). Among the surgical causes, the incidence of nonthyroidectomy surgeries (58.3%) was more than that of thyroidectomy (41.6%). Thyroidectomy was the single most common surgical cause for unilateral vocal cord palsy, followed by other nonthyroid neck surgeries (20%) and anterior cervical decompression (18.3%). Conclusion: The most common cause for unilateral vocal cord palsy is idiopathic. Nevertheless it is still an important sign of various underlying diseases. A thorough evaluation which must necessarily include a computerized tomographic scan from base of the skull to upper mediastinum is essential before labeling a case as idiopathic; hence, also the need for extended follow-up of the cases to avoid misdiagnosis of any underlying subclinical malignancy.

show abstract

“…In the thorax, left recurrent laryngeal nerve is more vulnerable due to the longer route passing through the aortopulmonary window 3. In this case, clinical presentation of hoarseness due to unilateral left vocal cord paralysis could be a helpful clue for the diagnosis of lung cancer.…”

mentioning

confidence: 83%

Small cell lung cancer presenting with hoarseness

Lin

Chang

2019

Postgraduate Medical Journal

View full text Add to dashboard Cite

CT Evaluation of Vocal Cord Paralysis due to Thoracic Diseases: A 10-Year Retrospective Study

Cited by 49 publications

References 19 publications

Ascending aortic aneurysm causing hoarse voice: a variant of Ortner's syndrome: Figure 1

Ascending aortic aneurysm causing hoarse voice: a variant of Ortner's syndrome: Figure 1

Etiological profile of unilateral vocal cord paralysis: A single institutional experience over 10 years

Small cell lung cancer presenting with hoarseness

Contact Info

Product

Resources

About