Outcome and Changing Cause of Unilateral Vocal Cord Paralysis

Ramadan, Hassan H.; Wax, Mark K.; Avery, Sarah

doi:10.1016/s0194-5998(98)80014-4

Cited by 79 publications

(85 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Amongst our patients of UVCP 78 patients (69.64 %) had left and 34 patients (30.36 %) had right side palsy. These findings were in accordance with Yumoto [13] and Ramadan [14]. The left side VCP is more common because left RLN is longer and more vulnerable to injury during its course of intrathoracic injury (Table 2).…”

Section: Discussionsupporting

confidence: 87%

Clinico-Etiolological Study of Vocal Cord Paralysis

Gupta

Varshney

Bist

et al. 2012

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

The purpose of this study was to identify patients of vocal cord paralysis and to establish an etiological diagnosis. Patients with vocal cord paralysis have been followed prospectively at a tertiary referral center. 120 patients identified with vocal cord paralysis by laryngeal endoscopy were evaluated clinically, radiologically and pathologically to make an etiological diagnosis. Those patients in whom no cause was found, a CT scan from base of skull to thorax was done before labeling them as idiopathic. Most of the patients presented in 5th (26.67 %) and 6th (21.67 %) decade. Males out numbered females in the ratio 2.3:1.0. The most common symptom of vocal cord paralysis was change in voice (98.21 %). Bilateral vocal cord palsy was found in 6.67 % patients and unilateral vocal cord palsy was found in 93.33 % patients. Among patients of unilateral vocal cord paralysis left vocal cord was paralyzed in 69.64 % and right cord in 30.36 %. Malignant (34.16 %) causes accounted for largest number of patients followed by central (15.00 %) and idiopathic causes (14.16 %). VCP has got a variable etiology which varies with the laterality of the vocal cord involvement. Malignant causes predominated in our series, occurring in 34.16 %, followed by central and idiopathic causes.

show abstract

Section: Discussionsupporting

confidence: 87%

Clinico-Etiolological Study of Vocal Cord Paralysis

Gupta

Varshney

Bist

et al. 2012

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Japan, Titche, 7 and Ramadhan et al 8 On the left, the RLN passes inferior and posterior to the aortic arch and reverses its course to continue superiorly into the neck, whereas the right one loops behind the right subclavian artery and ascends superomedially toward the tracheoesophageal groove. Both travel just lateral to or within the tracheoesophageal groove and enter the larynx posterior to the cricothyroid joint.…”

Section: Discussionmentioning

confidence: 99%

Management of Unilateral Vocal Cord Palsy: Case Series with Review of Literature

Hardikar¹,

Dabholkar²,

Vasan³

et al. 2017

International Journal of Phonosurgery &Amp; Laryngology

View full text Add to dashboard Cite

Aim: To find out the vocal outcome of conservative management and temporary medialization in unilateral vocal cord palsy (UVCP) and their effectiveness in reducing the need for permanent medialization. Materials and methods:Thirty adult patients with UVCP, without structural vocal cord lesion or laryngeal malignancy were initially treated conservatively, and those without adequate response at 3 months were treated with temporary medialization. They were followed up for 6 months. Pre-and posttreatment voice was compared using grade, roughness, breathiness, asthenia, strain (GRBAS) scale, Voice Handicap Index (VHI), and maximum phonation time (MPT). Results:The results show 40% cases were idiopathic, whereas 33.33% had iatrogenic cause, majority, following thyroidectomy; 66.67% responded well to the conservative management. Ten patients (33.33%) did not show satisfactory improvement in the first 3 months and were treated with temporary medialization. Both the groups were comparable at the first visit. At 6 months, the improvement in all parameters was significantly more in the temporary medialization group than the conservative management group compared with their values at 3 months. Two of the 10 patients treated with injection laryngoplasty were considered for permanent medialization. The final outcome was similar in both the groups. Conclusion:Conservative management of UVCP is the standard of care. Injection laryngoplasty at 3 months achieves better voice outcome in those not fully improved by conservative management. Medialization thyroplasty should be suggested in patients failing to show the desired improvement after injection laryngoplasty.Clinical significance: The study guides in the management of UVCP, in terms of its likely cause and approach to treatment.

show abstract

“…The causes include neoplastic (32%), surgical (30%), idiopathic (16%), traumatic (11%), central (8%) or infectious (3%) 1 . However, cardio-vascular related hoarseness is unusual.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Hoarseness of Voice as a Primary Presentation of Pulmonary Hypertension: a Rare case of Ortner’s (Cardio-vocal) Syndrome

Naeem¹,

Choondal²

2015

ICFJ

View full text Add to dashboard Cite

Enlargement of cardiovascular structures can frequently affect the left (unlike right) recurrent laryngeal nerve and cause left vocal cord paralysis as patients present with hoarseness of voice. This disease entity has been named as Ortner's syndrome after the name of the physician who first described it. It presents a diagnostic challenge in the absence of significant cardiac symptoms. We report a young girl who is diagnosed with this condition and present the related literature.A 20-year-old lady was referred from primary health center due to complaints of hoarseness of voice for the last four months. She reported only mild exertional palpitations and shortness of breath. She did not report any previous cardiac problem in childhood. Examination revealed a loud pulmonary component of 2nd heart sound, a pan-systolic murmur at the tricuspid area, and a palpable thrill. There was no evidence of right heart failure or any stigmata of connective tissue disease. Electrocardiography showed sinus rhythm with dominant R-wave in lead V1 indicating right ventricular hypertrophy. Laboratory tests did not reveal any abnormality.ISSN: 2410-2636 © Barcaray Publishing * Corresponding author. E-mail: kbncardiology@yahoo.co.uk AbstractOrtner's (cardio-vocal) syndrome is a rare disease entity that involves compression of the left recurrent laryngeal nerve due to enlargement of cardiovascular structures. The syndrome was first described by Norbert Ortner (an Austrian physician) in 1897 and is usually reported to be associated with mitral stenosis. However, we report a rare case when a 20-year-old girl presented with hoarseness of voice and was found to have an enlarged main pulmonary trunk due to pulmonary hypertension that was compressing the left recurrent laryngeal nerve. The case highlights a rare presentation of a relatively common disease and stresses the importance of detailed cardiac workup in a patient with hoarseness of voice. We present the case and review the literature. Key words:Ortner's syndrome, Pulmonary hypertension, Vocal cord palsy. Citation:Bin Naeem K., and Choondal V. Computerised tomography of the chest indicating severely dilated main pulmonary trunk (42 mm) with no evidence of pulmonary embolism.

show abstract

Outcome and Changing Cause of Unilateral Vocal Cord Paralysis

Cited by 79 publications

References 7 publications

Clinico-Etiolological Study of Vocal Cord Paralysis

Clinico-Etiolological Study of Vocal Cord Paralysis

Management of Unilateral Vocal Cord Palsy: Case Series with Review of Literature

Hoarseness of Voice as a Primary Presentation of Pulmonary Hypertension: a Rare case of Ortner’s (Cardio-vocal) Syndrome

Contact Info

Product

Resources

About