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Laryngeal Abductor Paralysis
Plott Syndrome

Presentation

Table 1 Patients with multiple system atrophy who initially presented with laryngeal abductor paralysis/stridor In the cases presented, it proved true that LAP/stridor can be a solitary manifestation of MSA. [jnnp.bmj.com]

A plan of diagnosis and management is presented. [ncbi.nlm.nih.gov]

Bilateral vocal cord paralysis may present as dyspnea if the paralyzed cords rest close to the midline, reducing the glottic area available for air movement. [radiopaedia.org]

Adults and infants alike can present symptomatic laryngeal symptoms. [neupsykey.com]

Workup

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]

Treatment

Evaluation and treatment of complications of thyroid and parathyroid Surgery. Otol Clin North Am 1990;23:529. [link.springer.com]

Treatment Please input treatment information here. You can also add sub-section(s) at will. Labs working on this disease Please input related labs here. References Please input treatment information here. [pediascape.org]

Medial arytenoidectomy versus transverse cordotomy as treatment for bilateral vocal fold paralysis. [revistas.usal.es]

Kelly Surgical treatment of bilateral paralysis of the abductor muscles Arch Otolaryngol, 33 (1941), pp. 293-304 [8.] [elsevier.es]

This interactive workbook-style text highlights important concepts in the evaluation and treatment of voice and laryngeal disorders. [books.google.de]

Prognosis

[…] nerveux pathologie Trouble moteur Keyword (en) Adult Concomitant disease Multiple system atrophy Vocal cord Shy Drager presenile neuronal degeneration Case study Female Nuclear magnetic resonance imaging Laryngitis stridulosa Abductor muscle Paralysis Prognosis [pascal-francis.inist.fr]

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

The larynx EMG can, within limits, provide a prognosis of the development of a recurrent laryngeal nerve paralysis. Patients with a poor chance of healing can be identified at an early stage. [en.wikipedia.org]

The clinical consequences of bilateral paralysis usually depend on the position of the cords; in general, the prognosis is more serious in cases of sudden onset. [neupsykey.com]

To conclude, suture lateralization should be considered for all patients with BVFI, especially in cases of good prognosis for recovery. Acknowledgment We thank Dr. Madani Shahram (ENT consultant) for providing us the [Figure 4] of the ETGI. [laryngologyandvoice.org]

Etiology

Synonyms laryngeal abductor paralysis - intellectual disability|plott syndrome|familial vocal cord dysfunction|gerhardt syndrome Etiology Please input defination information here. Diagnosis Please input defination information here. [pediascape.org]

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]

In the study by Jang et al. [80], patients with VFP of central etiology showed a higher incidence of penetration and aspiration as compared with patients with peripheral etiology. [ejo.eg.net]

Etiology superior thoracic masses, e.g. lung cancer (most common 7 ), aortic pathologies (e.g. thoracic aortic aneurysm ), thyroid cancer, laryngeal cancer 6,7 masses affecting the vagus nerve, e.g. jugular foramen masses, carotid body tumors surgical [radiopaedia.org]

Cricoarytenoid arthritis, which may cause fixation of the cricoarytenoid joint, must be differentiated from a neuromuscular etiology. Fixation is best documented by absence of passive mobility during rigid laryngoscopy under general anesthesia. [merckmanuals.com]

Epidemiology

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]

Epidemiology A retrospective analysis of data from a large American claims database found that of almost 55 million individuals, 536,943 patients (ages 0 to >65 years) were given a dysphonia diagnosis (point prevalence rate of 0.98%). [ 3 ] One study [patient.info]

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]

Pathophysiology

Lucian Sulica, Andrew Blitzer Springer Science & Business Media, ٢٨‏/٠٤‏/٢٠٠٦ - 253 من الصفحات New therapeutic options and approaches have been developed based on an expanded knowledge of the underlying pathophysiology of vocal fold paralysis. [books.google.com]

24 Pathophysiology of the Paralyzed Vocal Fold The laryngoscopic appearance of vocal fold paralysis reflects the considerable variation in the underlying pathophysiology of the condition. [entokey.com]

Bilateral vocal fold motion impairment: pathophysiology and management by transverse cordotomy. Ann Otol Rhinol Laryngol. 1991;100:717-21. http://dx.doi.org/10.1177/000348949110000905 Hans S, Grevier-Buchanan L, Laccourreye O, Brasnu D. [revistas.usal.es]

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 of vocal fold paralysis Patterns of injury The RLN contains 500-1000 motor axons, and all are myelinated [22]. The nerve trunk is a collection of fascicles. [ejo.eg.net]

Prevention

Transection of this nerve at the point between interarytenoid and PCA branch may prevent aberrant reinnervation of adductor nerve axons to the PCA muscle. [journals.lww.com]

Unilateral vocal fold paralysis can be caused by a variety of diseases or disorders that prevent movement in one vocal fold. [texasvoicecenter.com]

This stimulation can prevent the muscles from atrophying while they regenerate. In addition, the stimulation can re-establish reinnervation. [vanderbilthealth.com]

The only difference noted was that he placed three or four loops to prevent tension and cut through of the suture through the mucosa. [laryngologyandvoice.org]

Augmentation involves injecting a paste of plasticized particles, collagen, micronized dermis, or autologous fat into the paralyzed cord, bringing the cords closer together to improve the voice and prevent aspiration. [merckmanuals.com]

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