Presentation
A case of an isolated superior laryngeal nerve paralysis from a thyroid adenoma is presented. Superior laryngeal nerve paralyses should be sought, particularly in the preoperative and postoperative examination of thyroidectomy patients. [ncbi.nlm.nih.gov]
In the present report we would like to present a rare case that had isolated blunt trauma to the left side of her neck resulted in dysphonia and breathiness. [austinpublishinggroup.com]
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]
Respiratoric
- Hoarseness
The causes of hoarseness are determined after obtaining a detailed medical history of the circumstances preceding the onset of hoarseness and performing a thorough physical examination. [aafp.org]
Injury to superior laryngeal nerve causes: (LQ) A Hoarseness B Paralysis of vocal cords C No effect D Loss of timbre of voice Ans. [gradestack.com]
The first part of this article discusses hoarseness as a presenting symptom. The second part covers some common laryngeal conditions causing hoarseness. [patient.info]
[…] cause HOARSE NESS .... if bilateral damage of nerve-it leads to breathlessness. [prep4usmle.com]
- Laryngeal Disease
Other more general diseases able to affect the larynx include generalised muscle diseases with dysphonia as an initial symptom [24]; motor neuron degenerative diseases, generalised peripheral neuropathies [25]; myasthenia [24,26-28] and Central nervous [medcraveonline.com]
Böhme G: The efficacy of electrotherapy in laryngeal diseases as shown in the stroboscopic picture. Z Laryngol Rhinol Otol 1965;44:481-488. [karger.com]
Workup
[…] identification and preservation of the RLN minimizes the risk of injury. [1] Evaluation Techniques for assessing vocal fold mobility include indirect and fiberoptic laryngoscopy Documentation of vocal fold mobility should be a routine part of the preoperative workup [emedicine.medscape.com]
Treatment
Further research is needed to help identify an optimal treatment for SLN paralysis. Due to the dearth of successful treatment options, prevention of SLN injury should be emphasized. [link.springer.com]
A combination approach of surgical treatment and behavioral voice therapy is most beneficial. Paresis Often times there is SLN and RLN paresis which can improve spontaneously in about 6-12 months. [atempovoicecenter.com]
• Treatment : Generally no treatment is required. 20. [slideshare.net]
While there is no medical treatment for superior laryngeal nerve paralysis, voice therapy may be utilized for educational and voice conservation purposes. [bbivar.com]
For each injury, different treatment modalities from simple observation to urgent surgical intervention may be necessary. [austinpublishinggroup.com]
Prognosis
The prognosis for recovery of motor function is better when the nerve lesion is more distal, closer to the target muscle. 16 Recent evidence from animal research suggests that the prognosis for recovery after recurrent laryngeal nerve transection may [entokey.com]
Both EMG and ENG are necessary for determining the progression and prognosis of the disease. [medcraveonline.com]
Furthermore, EMG may yield information concerning the prognosis of the patient with RLN injury. [emedicine.medscape.com]
Etiology
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]
After resolution of acute laryngeal findings, etiology is distinguished from two major causes of this condition. [austinpublishinggroup.com]
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]
Unilateral Recurrent Laryngeal Nerve Injury Etiology This syndrome results from an injury to the recurrent laryngeal nerve. [medicalgeek.com]
[…] cord (medialization laryngoplasty) are the primary treatment options after identifying and treating the etiology of the paralysis. [aafp.org]
Epidemiology
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]
Pathophysiology
A review of literature showed that a pre-operative incidence of 0.7% of vocal cord paralysis among surgical patients who proved to have benign thyroid disease.3 The pathophysiology of vocal cord paralysis in the few benign cases may be attributed to compression [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]
Chapter 45 Pathophysiology of Recurrent Laryngeal Nerve Injury Unilateral laryngeal paralysis is occasionally completely asymptomatic. [entokey.com]
Prevention
Its greatest benefit may be in preventing or treating muscle tension dysphonia, developed in compensation of the SLN injury. Numerous static and one theoretical dynamic procedure have been proposed. [link.springer.com]
Prevention Preoperative awareness of the hyperthyroid patient and appropriate medical treatment are the keys preventing thyrotoxic storm. [emedicine.medscape.com]
See other formats Article ID: WMC003260 ISSN 2046-1 690 [email protected] Preventing Nerve Damage During Thyroid Surgeries Corresponding Author: Dr. [archive.org]
The absence of effective treatment for superior laryngeal nerve palsy and the fact that recovery following nerve injury is poor makes prevention crucial. [newswise.com]
Prevention of Hoarseness Vocal Hygiene An integral aspect of the prevention of vocal pathology is the maintenance of good vocal hygiene. [aafp.org]