Cervical osteophytes causing vocal fold paralysis: case report and literature review

2012 ◽  
Vol 126 (9) ◽  
pp. 963-965 ◽  
Author(s):  
J S Virk ◽  
A Majithia ◽  
R K Lingam ◽  
A Singh
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Vocal Fold ◽  
Speech Therapy ◽  
Cervical Vertebrae ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Vocal Fold Paralysis ◽  
Clinical Approach ◽  
Cervical Osteophytes ◽  
Degenerative Cervical Spine

AbstractObjectives:To increase awareness of cervical osteophytes as an extremely rare cause of recurrent laryngeal nerve palsy; to outline the clinical approach to patients with unilateral vocal fold paralysis and to provide an update on the current management of osteoarthritis and osteophytes.Case report:An elderly man presented with right unilateral vocal fold immobility and a small phonatory gap. By a diagnosis of exclusion, a cervical osteophyte at the level of the sixth and seventh cervical vertebrae was shown to be the cause. The patient responded to speech therapy and no further intervention was required.Method:A literature review, using Medline, identified only one previously published case of vocal fold paralysis due to osteophytes secondary to osteoarthritis.Conclusion:The aetiology of unilateral paralysis of the hemilarynx must be fully investigated, as the innervating system has a protracted course, particularly on the left side. Degenerative cervical spine disease, although rare, should be considered as part of the differential diagnosis.

scholarly journals Epithelioid Hemangioendothelioma Presenting as Unilateral Vocal Fold Paralysis: A Case Report and Literature Review

2019 ◽  
pp. 014556131987391
Author(s):  
Justin T. Lui ◽  
Anita T. Kang ◽  
Lisa M. DiFrancesco ◽  
S. Joseph Warshawski ◽  
Derrick R. Randall
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Epithelioid Hemangioendothelioma ◽  
Unilateral Vocal Fold Paralysis

scholarly journals Bilateral Vocal Fold Paralysis in Myasthenia Gravis: A Case Report and Literature Review

2020 ◽  
Vol 11 ◽  
Author(s):  
Christopher Nelke ◽  
Bendix Labeit ◽  
Sven G. Meuth ◽  
Tobias Warnecke ◽  
Rainer Dziewas ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Myasthenia Gravis ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Bilateral Vocal Fold Paralysis

Intermittent Vagal Nerve Stimulation-Associated Vocal Fold Movement Impairment

2021 ◽  
pp. 000348942110474
Author(s):  
Jennifer Yan ◽  
Julina Ongkasuwan ◽  
Elton M. Lambert
Keyword(s):  
Case Report ◽  
Vocal Fold ◽  
Lateral Position ◽  
Tertiary Hospital ◽  
Vocal Fold Paralysis ◽  
Vagal Nerve ◽  
Deep Penetration ◽  
Endoscopic Evaluation ◽  
Voice Changes ◽  
Refractory Seizures

Objectives: Implanted vagal nerve stimulators (VNS) are an accepted therapy for refractory seizures. However, VNS have been shown to affect vocal fold function, leading to voice complaints of hoarseness. We present a case of intermittent VNS-related vocal fold paralysis leading to dysphonia and dysphagia with aspiration in a pediatric patient. Methods: This is a case report of a patient at a tertiary hospital evaluated in pediatric swallow and voice clinics. Patient and mother gave verbal consent to be included in this case report. Results: Indirect laryngeal stroboscopy was performed demonstrating full vocal fold mobility with VNS off and left vocal fold paralysis in lateral position and glottic gap with VNS on. Voice measures were performed demonstrating decreased phonation time, lower pitch, and decreased intensity of voice with VNS on. Flexible endoscopic evaluation of swallowing demonstrated deep penetration alone with VNS off and deep penetration with concern for aspiration with VNS on. Conclusions: While the majority of cases of vocal fold movement impairment associated with VNS have been noted to have a medialized vocal fold with VNS activation, we describe a case of intermittent vocal fold lateralization associated with VNS activation with resultant voice changes and aspiration.

The role of stroboscopy in the management of a patient with a unilateral vocal fold paralysis

1996 ◽  
Vol 110 (2) ◽  
pp. 141-143 ◽  
Author(s):  
Meredydd Lloyd Harries ◽  
Murray Morrison
Keyword(s):  
Surgical Treatment ◽  
Diagnostic Tool ◽  
Vocal Fold ◽  
Speech Therapy ◽  
Muscle Tone ◽  
Vocal Folds ◽  
Vocal Fold Paralysis ◽  
Unilateral Vocal Fold Paralysis

AbstractStroboscopy is well established as an essential diagnostic tool in the assessment of the vocal folds during phonation. This paper analyses the stroboscopic findings in 100 patients with a unilateral vocal fold paralysis. Reliable stroboscopic signals were only obtained in patients with the paralysed fold close to the midline. These patients seldom require surgery however, usually responding to speech therapy with laryngeal compensation giving a good voice. Most patients that require surgery have a large glottal deficiency, but in this series these patients did not give an adequate signal for analysis. Although useful in the assessment of the muscle tone of the paralysed fold, the influence of stroboscopy on the surgical treatment in this series was limited.

Resolution of a vocal fold polyp treated with Chinese herbal medicine: One case report with literature review

2021 ◽  
pp. 100486
Author(s):  
Chia-Hao Chang ◽  
Chun-Pang Lin ◽  
Iona MacDonald ◽  
Tzai-Wen Chiu ◽  
Sheng-Teng Huang
Keyword(s):  
Case Report ◽  
Herbal Medicine ◽  
Literature Review ◽  
Chinese Herbal Medicine ◽  
Vocal Fold ◽  
Chinese Herbal

Cervical osteophytes presenting as unilateral vocal fold paralysis and dysphagia

2001 ◽  
Vol 115 (5) ◽  
pp. 422-424 ◽  
Author(s):  
Adi Yoskovitch ◽  
Stephen Kantor
Keyword(s):  
Vocal Fold ◽  
Superior Laryngeal Nerve ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Unilateral Vocal Fold Paralysis ◽  
Unique Case ◽  
Common Cause ◽  
Extrinsic Compression ◽  
External Branch ◽  
Cervical Osteophytes

Any process involving either the vagus nerve, its recurrent laryngeal branch or the external branch of the superior laryngeal nerve may cause paralysis of the vocal fold. The most common cause is neoplasm. Clinically, the patients often present with a hoarse, breathy voice as well as symptoms of aspiration. The following represents a unique case of unilateral vocal fold paralysis and dysphagia caused by a degenerative disease of the cervical spine, resluting in extrinsic compression of the recurrent laryngeal nerve.

Vocal fold paresis – a debilitating and underdiagnosed condition

2017 ◽  
Vol 131 (S2) ◽  
pp. S48-S52 ◽  
Author(s):  
G Harris ◽  
C O'Meara ◽  
C Pemberton ◽  
J Rough ◽  
P Darveniza ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Vocal Fold ◽  
Speech Therapy ◽  
Clinical Signs ◽  
Vocal Fold Paralysis ◽  
Voice Handicap Index ◽  
Laryngeal Electromyography ◽  
Vocal Fold Paresis ◽  
Important Diagnostic Tool

AbstractObjectives:To review the clinical signs of vocal fold paresis on laryngeal videostroboscopy, to quantify its impact on patients’ quality of life and to confirm the benefit of laryngeal electromyography in its diagnosis.Methods:Twenty-nine vocal fold paresis patients were referred for laryngeal electromyography. Voice Handicap Index 10 results were compared to 43 patients diagnosed with vocal fold paralysis. Laryngeal videostroboscopy analysis was conducted to determine side of paresis.Results:Blinded laryngeal electromyography confirmed vocal fold paresis in 92.6 per cent of cases, with vocal fold lag being the most common diagnostic sign. The laryngology team accurately predicted side of paresis in 76 per cent of cases. Total Voice Handicap Index 10 responses were not significantly different between vocal fold paralysis and vocal fold paresis groups (26.08 ± 0.21 and 22.93 ± 0.17, respectively).Conclusion:Vocal fold paresis has a significant impact on quality of life. This study shows that laryngeal electromyography is an important diagnostic tool. Patients with persisting dysphonia and apparently normal vocal fold movement, who fail to respond to appropriate speech therapy, should be investigated for a diagnosis of vocal fold paresis.

Predicting the Outcome of Unilateral Vocal Fold Paralysis: A Multivariate Discriminating Model Including Grade of Dysphonia, Jitter, Shimmer, and Voice Handicap Index-10

2019 ◽  
Vol 128 (5) ◽  
pp. 447-452 ◽  
Author(s):  
Andrea Lovato ◽  
Maria Rosaria Barillari ◽  
Luciano Giacomelli ◽  
Lisa Gamberini ◽  
Cosimo de Filippis
Keyword(s):  
Vocal Fold ◽  
Speech Therapy ◽  
Univariate Analysis ◽  
Nearest Neighbors ◽  
Vocal Fold Paralysis ◽  
Voice Handicap Index ◽  
Misclassification Rate ◽  
Unilateral Vocal Fold Paralysis ◽  
K Nearest Neighbors ◽  
Motion Recovery

Objectives: The aim of this study was to investigate if any clinical and phoniatric characteristics or quality-of-life measures could predict the outcome of unilateral vocal fold paralysis (UVFP) initially managed with speech therapy. Methods: Forty-six patients with UVFP were evaluated using laryngostroboscopy, the GIRBAS (grade, instability, roughness, breathiness, asthenia, and strain) scale, acoustic analysis, and the Voice Handicap Index-10 (VHI-10) questionnaire. Treatment was speech therapy according to a 3-phase protocol. The main outcome measure was incomplete vocal fold mobility 12 months after symptom onset. Univariate and multivariate modeling ( k-nearest neighbors model) were applied. Results: Fifteen patients had incomplete motion recovery 12 months after the onset of UVFP. On univariate analysis, time to diagnosis (0.01), global grade of dysphonia (0.018), jitter (0.01), shimmer (0.012), and VHI-10 score (0.006) were associated with the outcome of vocal fold paralysis. Using a k-nearest neighbors multivariate discriminating model, the best discrimination of UVFP outcome was achieved with 4 parameters: global grade of dysphonia 2 or 3, jitter > 2.46%, shimmer > 6.97%, and VHI-10 score > 13. The model’s misclassification rate for incomplete motion recovery was only 6%. The model showed sensitivity of 93% and specificity of 74%. Conclusions: Delayed diagnosis and speech therapy was associated with negative outcomes. Higher grade of dysphonia, jitter, shimmer, and VHI-10 score on initial phoniatric assessment may help clinicians in predicting the outcomes of UVFP patients.

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