We describe what appears to be the first case in the medical literature of sarcoidosis presenting as isolated, bilateral true vocal cord paralysis resulting from compressive bilateral mediastinal adenopathy. [ncbi.nlm.nih.gov]

• Stridor

  We report a case of bilateral vocal cord paralysis leading to significant stridor in a patient with atypical parkinsonism (probable MSA). [ncbi.nlm.nih.gov]

  The most common presenting symptom in children who have bilateral VCP is stridor. Children who have bilateral VCP are more likely to present with stridor and dyspnea than with dysphonia and aspiration. [entokey.com]

• Dyspnea

  Management of severe dyspnea caused by association of these two complications of thyroidectomy means a great therapeutic challenge. [ncbi.nlm.nih.gov]

• Laryngeal Disease

  著者 森智治, 長谷川功, 邑田悟, 趙晃済, 武信洋平, 大鶴繁, 佐藤格夫, 西山慶, 鈴木崇生, 小池薫 cw 認知症, ﾆﾝﾁｼｮｳ, dementia, 062282, *, 脳幹神経節疾患, ﾉｳｶﾝｼﾝｹｲｾﾂｼｯｶﾝ, basal ganglia disease, 055599, 喉頭疾患, ｺｳﾄｳｼｯｶﾝ, laryngeal disease, 054514, 麻痺性疾患, ﾏﾋｾｲｼｯｶﾝ, paralytic disease, 039774, 合併症, ｶﾞｯﾍﾟｲｼｮｳ, [togodb.dbcls.jp]

  Signs and Symptoms Respiratory Insufficiency Respiration Disorders Respiratory Tract Diseases Laryngeal Diseases Otorhinolaryngologic Diseases Vagus Nerve Diseases Cranial Nerve Diseases [clinicaltrials.gov]

  Ultrasound has become a very important widely used diagnostic tool for the diagnosis of head and neck diseases; however, ultrasound has rarely been used in the diagnosis of laryngeal diseases related to the visualization of endolaryngeal structures [9 [ejo.eg.net]

• Loud Snoring

  The RDI, DI, mean saturation and percentage of snoring, loud snoring and sleep without snoring were estimated and compared pre- and postoperatively. The results were compared by the Student's t-test for dependent values. [ncbi.nlm.nih.gov]

• Hypercapnic Respiratory Failure

  A patient with lung cancer presented with upper airway obstruction and hypercapnic respiratory failure resulting from bilateral vocal cord paralysis. [ncbi.nlm.nih.gov]

• Hand Muscle Weakness

  The patient, a 37-year-old male, was paraplegic, had bilateral intrinsic hand muscle weakness and sphincter involvement following a whiplash cervical spinal injury. A C5-C6 ACD/F for traumatic C5-C6 disc prolapse was performed. [ncbi.nlm.nih.gov]

• Osteophyte

  We report the MR and CT findings of a case of bilateral vocal cord paralysis caused by cervical spinal osteophytes compressing the recurrent laryngeal nerves. [ncbi.nlm.nih.gov]

• Arm Weakness

  An extensive workup revealed a paralyzed right hemidiaphragm, arm weakness and an EMG pattern consistent with neuralgic amyotrophy. [ncbi.nlm.nih.gov]

• Bradykinesia

  Patients can struggle to manage a tracheostomy due to the tremor and bradykinesia associated with their parkinsonism. [ncbi.nlm.nih.gov]

On further workup he was diagnosed with hypothyroidism. Genetic workup supported the diagnosis of Williams-Beuren syndrome. We report here a case with an unusual clinical presentation. [ncbi.nlm.nih.gov]

In particular, this workup must include topical anesthesia to the larynx so as to enable an extremely close visualization of the posterior commissure and subglottis, which may uncover evidence of scarring. [laryngopedia.com]

• Hypercapnia

  Treatment with nocturnal inspiratory positive airway pressure via nasal mask improved symptoms and reduced hypercapnia. [ncbi.nlm.nih.gov]

• Occipital Encephalocele

  […] large subtorcular occipital encephalocele in neonate carries higher risk of associated hindbrain anomalies and secondary process for neurological deterioration which predict the surgical outcomes and long-term prognosis. [ncbi.nlm.nih.gov]

OBJECTIVE: To evaluate long-term results of surgical treatment for bilateral vocal cord paralysis using objective and subjective measures of breathing and voice quality. DESIGN: Prospective cross-sectional case series. [ncbi.nlm.nih.gov]

The detection of either would prompt the treatment of these underlying issues. It is possible that after treatment, paralysis of the vocal cords can resolve itself. [uciheadandneck.com]

In summary, treatment for bilateral vocal cord paralysis is difficult and there is no perfect solution. Treatment to improve breathing usually makes the voice worse. Treatment to improve the voice usually makes the breathing worse. [fauquierent.net]

[…] large subtorcular occipital encephalocele in neonate carries higher risk of associated hindbrain anomalies and secondary process for neurological deterioration which predict the surgical outcomes and long-term prognosis. [ncbi.nlm.nih.gov]

The prognosis and management of idiopathic vocal cord paralysis. Clinical Otolaryngology, 14 (3), 247-250. Woo, P. (2010). Stroboscopy. San Diego, EEUU: Plural Publishing. Woo, P., Colton, R., Brewer, D. & Casper, J. (1991). [revistas.iberoamericana.edu.co]

M. ( 1989 ) The prognosis and management of idiopathic vocal cord paralysis. Clinical Otolaryngology 14 : 247 – 250. Woodman D. ( 1946 ) A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. [cambridge.org]

There was no obvious cause for the paralysis and possible etiological factors are discussed. Overextension of the neck during intubation is suspected of being the etiological agent causing stretching of both the vagus nerves. [ncbi.nlm.nih.gov]

H. ( 1976 ) Etiology of bilateral abductor vocal cord paralysis. Annals of Otology, Rhinology and Laryngology, 85 : 428 – 436. Strong, M. S. and Jako, G. L. ( 1972 ) Laser surgery in the larynx: Early clinical experience with continuous CO 2 laser. [cambridge.org]

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]

Tracheostomy: epidemiology, indications, timing, technique, and outcomes. Respir Care. 2014 Jun;59(6):895–915. 14. Newman MH, Work WP. Arytenoidectomy revisited. Laryngoscope. 1976 Jun;86(6):840–9. 15. Woodman D. [e-ceo.org]

However, the pathophysiology of CBVCP is unknown and further investigations into the etiology of Moebius syndrome are required. [ncbi.nlm.nih.gov]

Negative pressure pulmonary edema revisited: Pathophysiology and review of management. Saudi J Anaesthesia [Internet]. 2011; 5: 308-13. Krodel DJ, Bittner E a, Abdulnour R-EE, Brown RH, Eikermann M. [revistas.asoneumocito.org]

Reisert PM (1996) Pathophysiology and clinical aspects of myxedema. Z Lymphol 20:6–10 PubMed Google Scholar 26. Lichtenberger G (2007) A new ligature-suture technique and instrument to control difficult pharyngeal and laryngeal hemorrhage. [link.springer.com]

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]

Bilateral vocal fold motion impairment: pathophysiology and management by transverse cordotomy. Ann Otol Rhinol Laryngol 1991; 100 (Pt 1):717-721. 8. Laccourreye O, Escovar M, Gerhardt J, et al. [ejo.eg.net]

Early decompression may prevent permanent recurrent laryngeal nerve injury and airway obstruction. [ncbi.nlm.nih.gov]