Isolated unilateral vocal fold palsy: a rare complication of base of skull trauma

2019 ◽  
Vol 90 (1-2) ◽  
pp. 171-173
Author(s):  
Jodie Trautman ◽  
Mina Sarofim ◽  
Allan Kwok ◽  
Nathan Creber ◽  
Robert Winn
SLEEP ◽  
1996 ◽  
Vol 19 (6) ◽  
pp. 479-484 ◽  
Author(s):  
Tatsuya Sadaoka ◽  
Noriya Kakitsuba ◽  
Yuki Fujiwara ◽  
Ryuichi Kanai ◽  
Hiroaki Takahashi

Author(s):  
László Rovó ◽  
Vera Matievics ◽  
Balázs Sztanó ◽  
László Szakács ◽  
Dóra Pálinkó ◽  
...  

Abstract Purpose Endoscopic arytenoid abduction lateropexy (EAAL) is a reliable surgical solution for the minimally invasive treatment of bilateral vocal fold palsy (BVFP), providing a stable airway by the lateralization of the arytenoid cartilages with a simple suture. The nondestructive manner of the intervention theoretically leads to higher regeneration potential, thus better voice quality. The study aimed to investigate the respiratory and phonatory outcomes of this treatment concept. Methods 61 BVFP patients with significant dyspnea associated with thyroid/parathyroid surgery were treated by unilateral EAAL. Jitter, Shimmer, Harmonics to Noise Ratio, Maximum Phonation Time, Fundamental frequency, Voice Handicap Index, Dysphonia Severity Index, Friedrich’s Dysphonia Index, Global-Roughness-Breathiness scale, Quality of Life, and Peak Inspiratory Flow were evaluated 18 months after EAAL. Results All patients had a stable and adequate airway during the follow-up. Ten patients (16.4%) experienced complete bilateral motion recovery with objective acoustic parameters in the physiological ranges. Most functional results of the 13 patients (21.3%) with unilateral recovery also reached the normal values. Fifteen patients (24.6%) had unilateral adduction recovery only, with slightly impaired voice quality. Eleven patients (18.0%) had false vocal fold phonation with socially acceptable voice. In 12 patients (19.7%) no significant motion recovery was detected on the glottic level. Conclusion EAAL does not interfere with the potential regeneration process and meets the most important phoniatric requirements while guaranteeing the reversibility of the procedure—therefore serving patients with transient palsy. Further, a socially acceptable voice quality and an adequate airway are ensured even in cases of permanent bilateral vocal fold paralysis.


2018 ◽  
Vol 8 (2) ◽  
pp. 29
Author(s):  
Ashwani Sethi ◽  
NidhiVohra Maggon ◽  
AwadheshKumar Mishra ◽  
Ajay Mallick

2020 ◽  
Vol 47 (3) ◽  
pp. 315-334
Author(s):  
Jennifer F. Ha
Keyword(s):  

2020 ◽  
pp. 000348942096563
Author(s):  
Guy Talmor ◽  
Brandon Nguyen ◽  
Corina Din-Lovinescu ◽  
Boris Paskhover ◽  
Rachel Kaye

Objective: Vocal fold immobility (VFI) may severely affect quality of life due to dysphonia and respiratory distress. Many etiologies of this disorder have been evaluated, however the relationship between VFI and vaccination has yet to be explored. The objective of this study was to identify the relationship between VFI and vaccine administration. Methods: The Vaccine Adverse Event Reporting System (VAERS) database was queried for patients exhibiting symptoms of VFI following vaccination. Patient demographics and clinical information including presenting symptoms, time of symptom onset, laterality, outcomes, and adverse events were documented. Results: Twenty-two patients were found to have VFI following vaccination. Of those reported, 13 patients were female (59.1%) and 8 were male (36.4%) with an average age of 48.4 years. Vaccinations for influenza, shingles, pneumococcus, and hepatitis B were reported. A majority of these cases were unilateral in nature (73.3%). Mean lag time from vaccination to symptom onset was 6.3 days (range 0-45 days). Five adverse events were reported, with 4 patients requiring intubation and tracheostomy. Conclusion: Vaccine administration may be associated with VFI and physicians should be cognizant of this potential adverse event. This is a rare complication with less reported cases than other post-vaccination cranial neuropathies. The difficulty in establishing an initial diagnosis and need for specialized evaluation by an otolaryngologist may result in under-reporting of such events. Further research is needed to delineate the exact pathophysiology of this complication and determine whether a causal relationship exists.


2015 ◽  
Vol 102 (11) ◽  
pp. 1380-1387 ◽  
Author(s):  
R. Schneider ◽  
C. Sekulla ◽  
A. Machens ◽  
K. Lorenz ◽  
P. Nguyen Thanh ◽  
...  

2019 ◽  
Vol 58 (14) ◽  
pp. 2091-2093
Author(s):  
Kazuki Kanemaru ◽  
Go Ogawa ◽  
Hitoshi Mochizuki ◽  
Masamitsu Nakazato ◽  
Kazutake Shiomi

Sign in / Sign up

Export Citation Format

Share Document