Syringomyelia With Bilateral Vocal Cord Paralysis Report of a Case: Report of a Case

Introduction Laryngomalacia is the most frequent congenital anomaly of airways, and it may cause obstructive sleep apneas. The associated vocal cord paralysis may aggravate the symptoms of upper airway obstruction. Case report In a 14 month old boy severe laryngomalacia and bilateral vocal cord paralysis were diagnosed by flexible bronchoscopy. A sleep study showed a severe obstructive sleep apnoea (OSA). The patient was ventilated at home via the face mask with non invasive mechanical ventilation (CPAP) for a year. The level of pressure had to be set at 7cm H2O to correct desaturation with an improvement in mean SpO2. On the follow up bronchoscopic examination laryngomalatia was improved, vocal cord paralysis persisted and sleep study revealed significant improvement. Discussion In the patient with severe laryngomalatia and bilateral vocal cord paralysis with OSA conservative treatment with CPAP was used instead of a surgical intervention. Non invasive ventilation was used every night, for at least 6 hours, without adverse events. Invasive measurement of transdiaphragmatic pressure is the best way of titrating of CPAP level. This case report suggests the efficacy of noninvasive titrating of CPAP level by the hemoglobin oxygen saturation trend measurement. Conclusion In case of severe laryngomalatia and associated vocal cord paralysis, followed by OSA non invasive ventilation by nasal CPAP represents an effective and safe alternative to surgery.

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Endoscopic Arytenoid Abduction Lateropexy for the Treatment of Bilateral Vocal Cord Paralysis in Early Childhood: Case Report

10.25107/ajohns.v1-id1011 ◽

2018 ◽

Vol 1 (3) ◽

Author(s):

Sztanó B ◽

Bach A ◽

Matievics V ◽

Erdélyi E ◽

Rovó L

Keyword(s):

Early Childhood ◽

Case Report ◽

Vocal Cord ◽

Vocal Cord Paralysis ◽

Bilateral Vocal Cord Paralysis

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Bilateral vocal cord paralysis and hypothyroidism as presenting symptoms of Williams–Beuren syndrome: A case report

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2015.06.023 ◽

2015 ◽

Vol 79 (9) ◽

pp. 1582-1583 ◽

Cited By ~ 2

Author(s):

Ilana Koren ◽

Ira Kessel ◽

Avi Rotschild ◽

Raanan Cohen-Kerem

Keyword(s):

Case Report ◽

Vocal Cord ◽

Vocal Cord Paralysis ◽

Bilateral Vocal Cord Paralysis ◽

Presenting Symptoms

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Efficacy of Arytenoidectomy after Suture Lateralisation Failure in Patients with Bilateral Vocal Cord Paralysis

Case Reports in Otolaryngology ◽

10.1155/2020/8822164 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Shinsuke Suzuki ◽

Takechiyo Yamada

Keyword(s):

Case Report ◽

Vocal Cord ◽

Mucous Membrane ◽

Vocal Fold ◽

Vocal Cord Paralysis ◽

Vocal Fold Paralysis ◽

Bilateral Vocal Cord Paralysis ◽

Vocal Function ◽

Case Methods ◽

Bilateral Vocal Fold Paralysis

Background. Endolaryngeal suture lateralisation is an ideal operation for bilateral vocal fold paralysis. However, restenosis owing to breakage and slippage of suture can sometimes occur. In such a case, methods that are more effective in expanding the glottis, including arytenoidectomy, must be selected. Case Report. Herein, we report two female patients aged 86 and 54 years who presented with bilateral vocal cord paralysis and who had restenosis after suture lateralisation. Endoscopic partial arytenoidectomy was performed, and satisfactory outcomes were obtained. This method maintains the height of the arytenoid and preserves its sensation by leaving a part of the cartilage and mucous membrane. Conclusion. Endoscopic partial arytenoidectomy is effective for securing the airway while preserving vocal function and preventing aspiration. This technique is suitable for patients with restenosis after they have undergone endolaryngeal suture lateralisation.

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