Lymphoma Involving the Esophagus

Fewer than 1% of all lymphomas involve the esophagus; however, lymphoma of the esophagus represents an important cause of dysphagia. This study reviewed all cases of biopsy-proven lymphoma involving the esophagus presenting at our institution between 1945 and 1992. Twenty-seven cases were identified. Three were primary esophageal lymphomas. Eleven percent of the cases represented Hodgkin's disease. Eighty-nine percent were non-Hodgkin's lymphoma. Eighty-nine percent of the patients experienced dysphagia. Eleven lymphomas (41%) were located at the gastroesophageal junction, while the other 17 were in the esophagus proper. Seven of these cases occurred at relapse. Three had mediastinal adenopathy with secondary esophageal involvement Morbidity included tracheoesophageal fistula in 22%, and surgical repair was performed in half of these cases. Vocal cord paralysis occurred in 22%, with minimal sequelae. Esophageal stricture was present in 30%, usually necessitating dilation. The presentation, diagnosis, and management of this problem are multidisciplinary.

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Stridor: Intracranial Pathology Causing Postextubation Vocal Cord Paralysis

PEDIATRICS ◽

10.1542/peds.87.1.39 ◽

1991 ◽

Vol 87 (1) ◽

pp. 39-43

Author(s):

Frank C. Chaten ◽

Steven E. Lucking ◽

Edwin S. Young ◽

John J. Mickell

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Intracranial Pressure ◽

Intracranial Hypertension ◽

Vocal Cord ◽

Vocal Cord Paralysis ◽

Pediatric Intensive Care ◽

Laryngeal Nerve ◽

The Other ◽

Neurologic Disorders

During an 18-month period in a pediatric intensive care unit, nine patients with vocal cord paralysis were identified using flexible bronchoscopy. When tracheally extubated, each child was found to have stridor. The children ranged in age from 17 days to 5½ years. Two patients had unilateral paralysis, but neither required tracheostomy. Seven patients displayed bilateral abductor vocal cord paralysis. Of these, six patients required tracheostomy. Surgical injury to the recurrent laryngeal nerve was the probable cause in two patients. The other seven patients had neurologic disorders with documented or suspected increases of intracranial pressure. Four of the seven patients with bilateral abductor vocal cord paralysis regained cord mobility within 4 months. Both children with unilateral cord paralysis have no stridor and vocalize well 1 year later. Cord paralysis in the setting of intracranial hypertension probably results from compression or ischemia of the vagus nerve before it exits the skull. Early visualization of the larynx should be done in patients who become stridulous when extubated, especially those with prior thoracic procedures or with neurologic disorders associated with intracranial hypertension.

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Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2018.06.031 ◽

2018 ◽

Vol 112 ◽

pp. 45-47 ◽

Cited By ~ 6

Author(s):

Thomas Kovesi ◽

Federica Porcaro ◽

Francesca Petreschi ◽

Marilena Trozzi ◽

Sergio Bottero ◽

...

Keyword(s):

Vocal Cord ◽

Esophageal Atresia ◽

Tracheoesophageal Fistula ◽

Vocal Cord Paralysis

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Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula

10.1183/13993003.congress-2018.pa1357 ◽

2018 ◽

Author(s):

Federica Porcaro ◽

Thomas Kovesi ◽

Francesca Petreschi ◽

Marilena Trozzi ◽

Sergio Bottero ◽

...

Keyword(s):

Vocal Cord ◽

Esophageal Atresia ◽

Tracheoesophageal Fistula ◽

Vocal Cord Paralysis

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Bilateral vocal cord paralysis following stent placement for proximal esophageal stricture

Endoscopy ◽

10.1055/s-2007-995773 ◽

2008 ◽

Vol 40 (S 02) ◽

pp. E150-E150 ◽

Cited By ~ 5

Author(s):

Z. Gellad ◽

D. Hampton ◽

C. Tebbit ◽

L. Puscas ◽

D. Pavey

Keyword(s):

Vocal Cord ◽

Stent Placement ◽

Esophageal Stricture ◽

Vocal Cord Paralysis ◽

Bilateral Vocal Cord Paralysis

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Congenital Bilateral Adductor Vocal Cord Paralysis

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940311200904 ◽

2003 ◽

Vol 112 (9) ◽

pp. 764-767 ◽

Cited By ~ 9

Author(s):

Robert G. Berkowitz

Keyword(s):

Vocal Cord ◽

Vocal Cord Paralysis ◽

Tube Feeding ◽

Gastrostomy Tube ◽

The Other ◽

Bilateral Vocal Cord Paralysis ◽

Rare Form ◽

Vocal Cord Function ◽

Small Series ◽

22Q Deletion

Bilateral adductor vocal cord paralysis (BAdP), presenting with features of laryngeal incompetence, is a rare form of congenital bilateral vocal cord paralysis, and only 2 small series of BAdP have previously been published. Three cases are reported here. The BAdP occurred as an isolated abnormality in 1 child, and was associated with a recognizable syndrome (Robinow's syndrome and 22q deletion) in the other 2 children. Gastrostomy tube feeding was required in 2 children, who both remain gastrostomy tube–dependent at 26 months and 10 years 9 months of age. The child with Robinow's syndrome received parenteral nutrition until 2 months, but was then able to feed orally after partial improvement in vocal cord function. The global impairment in vocal cord constrictor function observed in these 3 children is consistent with the site of lesion's being at the level of the laryngeal constrictor motoneurons in BAdP.

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Pediatric Laryngology Committee: Controversies in the Diagnosis and Management of Pediatric Vocal Cord Paralysis

Otolaryngology ◽

10.1016/j.otohns.2004.06.054 ◽

2004 ◽

Vol 131 (2) ◽

pp. P70-P70

Author(s):

Christopher J Hartnick ◽

Dana M Thompson ◽

J Scott McMurray ◽

Roger C Nuss ◽

Benjamin E Hartley ◽

...

Keyword(s):

Vocal Cord ◽

Vocal Cord Paralysis ◽

Diagnosis And Management

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A clinical study on laryngeal manifestations of tuberculosis

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20173121 ◽

2017 ◽

Vol 3 (4) ◽

pp. 845 ◽

Cited By ~ 1

Author(s):

Valli Rajasekaran ◽

Srividhya G.

Keyword(s):

Clinical Study ◽

Pulmonary Tuberculosis ◽

Vocal Cord ◽

Vocal Cord Paralysis ◽

Active Tuberculosis ◽

The Other ◽

Other Hand ◽

Laryngeal Lesions ◽

The Right ◽

Common Manifestation

Background: In the recent years there is resurgence of tuberculosis and the presentation of the same has changed. Vocal cord paralysis can be due to involvement of vagus anywhere along its course. The lesions in the larynx can be the earliest presentation of tuberculosis. Methods: A study has been done on all patients with tuberculosis with laryngeal lesions due to tuberculosis for a period of 6 months. These lesions were followed up and the resolution of these lesions and symptoms were documented. Results: Vocal cord paralysis was the most common manifestation (66.6%). Tuberculosis of the larynx can be secondary to pulmonary tuberculosis or a primary manifestation. Vocal cord paralysis on the left side was due to mediastinal lesions and on the right side was due to apical fibrosis. Conclusions: Vocal cord lesions due to active tuberculosis either nodal or parenchymal involvement usually recover completely with treatment. On the other hand, the lesions due to inactive lesions are likely to be permanent.

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