Symptoma

Bilateral Recurrent Laryngeal Nerve Paralysis

Patients with unilateral vocal fold paralysis present with varied vocal symptoms, ranging from mild to severe dysphonia. [bbivar.com]

Cytomegalovirus infection of the laryngeal nerve presenting as hoarseness in patients with acquired immunodeficiency syndrome. The American Journal of Medicine, Vol. 86, Issue. 1, p. 108. [doi.org]

The child may have a wide range of presentations. Most of the cases are asymptomatic until they present with sudden onset stridor preceded by upper respiratory tract infections. [intechopen.com]

She has presented over 70 peer reviewed presentations at national and international conferences on voice and respiratory disorders. Dr. [speechpathology.com]

  • Mediastinal Lymphadenopathy

    CT of thorax (Picture 2) demonstrated high mediastinal lymphadenopathy with displacement and stenosis of the adjacent esophagus light. [arquivosdeorl.org.br]

    The left RLN is longer than the right RLN and has a longer intrathoracic course, which makes it more vulnerable to injury secondary to mediastinal abnormalities (such as lung carcinoma, aortic aneurysm, and mediastinal lymphadenopathy) [19], [20]. [ejo.eg.net]

  • Hoarseness

    In cases of idiopathic onset of paralysis, patients frequently report that hoarseness began following a viral infection. Patients with unilateral vocal fold paralysis present with varied vocal symptoms, ranging from mild to severe dysphonia. [bbivar.com]

    Cytomegalovirus infection of the laryngeal nerve presenting as hoarseness in patients with acquired immunodeficiency syndrome. The American Journal of Medicine, Vol. 86, Issue. 1, p. 108. [doi.org]

    […] cricothyroid affected (Pitch raiser) -slackened cord produces hoarse, rough vocal quality (b/c anterior pull from crico isn't there) bilateral superior laryngeal nerve paralysis crico paralyzed on both sides -voice is hoarse, drops in pitch, lacks inflection [quizlet.com]

  • Stridor

    Massive stridor on inspiration is the key symptom. Indirect laryngoscopy confirms the diagnosis. Laryngeal electromyography is of great value because it differentiates between paralysis and ankylosis of the cricoarytenoid joint. [ncbi.nlm.nih.gov]

    Hypocalcaemic stridor and infantile nutritional rickets. BMJ 1995;310(6971):48-9. Srivastava A, Ravindran V. Stridor secondary to hypocalcaemia in the elderly: an unusual presentation. Eur J Intern Med 2008;19(3):219-20. Epub 2007 Sep 19. [signavitae.com]

    Corticosteroids can be given in cases presenting with stridor to reduce vocal cord oedema. [intechopen.com]

    Vocal cord palsy is a common cause of stridor in newborn infants, although in many cases it is considered idiopathic. [nature.com]

  • Laryngeal Disease

    Keywords: Cysts; Epiglottis; Intubation, Intratracheal; Laryngeal Diseases Introduction Cysts in the larynx are rare and usually follow a benign course. They may be accompanied by acute airway obstruction by nature of their location. [scielo.br]

  • Orthostatic Hypotension

    [Article in German] Abstract The Shy-Drager syndrome causes symptoms of multiple nervous atrophy and orthostatic hypotension. This rare disease was diagnosed in a 40-year-old man after he developed an acute bilateral vocal fold paresis. [ncbi.nlm.nih.gov]

  • Ankylosis

    Laryngeal electromyography is of great value because it differentiates between paralysis and ankylosis of the cricoarytenoid joint. Moreover, in many cases, laryngeal electromyography yields reliable prognosis of clinical outcome. [ncbi.nlm.nih.gov]

    Palpation of the arytenoids revealed cricoarytenoid (CA) joint ankylosis. Close inspection of the interarytenoid space demonstrated interarytenoid scar. This condition is posterior glottic stenosis (PGS). [emedicine.medscape.com]

    Cricoarytenoid Fixation: caused by joint subluxation or dislocation with ankylosis. - Joint fixation by rheumatoid arthritris or gout. 2. Laryngeal malignancy: [slideshare.net]

    Ankylosis of the cricoarytenoid joint - for example, in end-stage rheumatoid arthritis The clinical presentation may vary from being asymptomatic to a constellation of upper aerodigestive symptoms. [ejo.eg.net]

This paper addresses the established diagnostic workup for VFI and critically evaluates the contribution of different modalities to VFI diagnosis. [ejo.eg.net]

Although a small number of conditions account for most cases of vocal cord immobility, this article presents a comprehensive differential diagnosis, followed by the clinical presentations, diagnostic workup, and treatment options. [emedicine.medscape.com]

  • Candida

    分子式:C7-H11-N-O2 分子量:141.1689 原研厂家:Bayer (Originator), Pliva (Licensee) 作用类别:Antifungal Agents, ANTIINFECTIVE THERAPY, Isoleucyl-tRNA Synthetase Inhibitors a Novel Inhibitor of Candida Isoleucyl-tRNA Synthetase, against Experimental Oropharyngeal and Esophageal [labbase.net]

Cordectomy was undertaken in one patient for treatment of vocal cord paralysis in adducted position, and no surgical treatment was performed in case of paralysis in abducted position. [jstage.jst.go.jp]

Experience of the optic neuritis treatment trial. Neurology 1997:49:1404-1413. ‏ [books.google.com]

Treatment approaches for unilateral adductor paralysis include a large range of behavioral, surgical, and combination approaches. The most serious form of vocal fold paralysis is a bilateral impairment. [bbivar.com]

An accurate diagnosis and appropriate treatment is needed as this condition may progress to acute respiratory failure. [scielo.br]

Coblator arytenoidectomy in the treatment of bilateral vocal cord paralysis. Case Rep Otolaryngol. 2015 2015:487280. 32. Dennis DP, Kashima H. Carbon dioxide laser posterior cordectomy for treatment of bilateral vocal cord paralysis. [e-ceo.org]

Moreover, in many cases, laryngeal electromyography yields reliable prognosis of clinical outcome. While unfavorable results can be predicted with high accuracy, correct prognosis of complete recovery is more difficult. [ncbi.nlm.nih.gov]

The position of the paralyzed VF carries no significance with respect to the site of injury or prognosis. [ejo.eg.net]

Prognosis In patients with significant dysphonia 6-12 months after the onset of symptoms, the prognosis for spontaneous recovery is poor. [emedicine.medscape.com]

Laryngeal electromyography and prognosis of unilateral vocal fold paralysis-A long-term prospective study. Laryngoscope. Laryngoscope. 2015;125(4):898-903. Volk GF, Hagen R, Pototschnig C, Friedrich G, Nawka T, Arens C, et al. [ijorl.com]

Prognosis was excellent, with spontaneous recovery associated with resolution of the bleed. References 1. Daya H, Hosni A, Bejar-Solar I, Evans JN, Bailey CM. Pediatric vocal fold paralysis: a long-term retrospective study. [nature.com]

Vocal cord paralysis-1979: etiology and management. Laryngoscope. 1980;90(4):585-90. [ Links ] 19. Feehery JM, Pribitkin EA, Heffelfinger RN, Lacombe VG, Lee D, Lowry LD, et al. The evolving etiology of bilateral vocal fold immobility. [scielo.br]

Etiology of Vocal Cord Paralysis in Adults. View Table Favorite Table Download (.pdf) Table 32–1. Etiology of Vocal Cord Paralysis in Adults. [accessmedicine.mhmedical.com]

Etiologies of the paralyses from both vocal folds are in large number, and sequelae from thyroid gland surgery predominates (3). Tumor diseases of the cervical and mediastinum areas are less common etiologies (3). [arquivosdeorl.org.br]

Etiology The etiology of BVFI in the study population, in decreasing order of incidence, included thyroid disease or associated surgery, intubation-related injury, congenital, central neurological disorders, autoimmune disease, and surgery or cancer of [journalotohns.biomedcentral.com]

BRLNP is rare, occurring in approx. 0.2% of thyroidectomies for benign thyroid affections. (2) Epidemiological data on late BRLNP after thyroidectomy is spares. [signavitae.com]

Epidemiology of vocal fold paralyses after total thyroidectomy for well-differentiated thyroid cancer in a Medicare population. Otolaryngol Head Neck Surg 2014;150:548-57. Wang CC, Chang MH, De Virgilio A, Jiang RS, Lai HC, Wang CP, et al. [ijorl.com]

Post-surgical intervention is warranted to restore laryngeal muscle strength, agility and coordination. [20] Epidemiology [ edit ] Due to the complex and controversial nature of this condition, [3] epidemiological (incidence) reports vary significantly [en.wikipedia.org]

Pathophysiology Although a comprehensive discussion of each of the causes is beyond the scope of this article, some principles should be emphasized. [emedicine.medscape.com]

Pathophysiology There are several different mechanisms of nerve injury and means of nerve regrowth (7). [academic.oup.com]

The most important aspect of an effective and safe surgical approach is a vast knowledge of surgical anatomy and pathophysiology in combination with meticulous handling and dissection of tissue. [ispub.com]

One possible pathophysiological explanation regarding this clinical presentation could be the compression of the nerve, specifically the anterior branch of RLN, 45 between an inflated endotracheal tube cuff and the overlying thyroid cartilage, especially [hormones.gr]

Prevention of RLN injury The key for avoiding and reducing RLN injury should be placed on the prevention, and the prevention methods are as follows: 1) improvement of preoperative examination (because the preoperative detailed examination can assess in [ncbi.nlm.nih.gov]

It is important to identify and monitor these patients to prevent confusion with regard to etiology and outcome. [laryngologyandvoice.org]

It prevents something from entering the throat except as part of normal swallowing and helps prevent choking. Possible complications Breathing - if symptoms are severe enough the patient can have serious, life-threatening breathing problems. [medicalnewstoday.com]

Anyway the best result is in the primary surgery at the time of Thyroidectomy, that the surgeon should carefully dissect the nerve and prevent to damage the recurrent laryngeal nerve. Biography : Email: [email protected] [longdom.org]

Thyroidectomy: prevention of bilateral recurrent nerve palsy. Results of identification of the nerve over 23 consecutive years (1946–69) with a description of an additional safety measure. Br J Surg, 57 (1970), pp. 1-11 [14] D.H. Rice, B. [elsevier.es]