scholarly journals HOARSENESS OF VOICE: ETIOLOGICAL SPECTRUM

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Jairaj Kumar Vaishnav
Keyword(s):  
Vocal Cord ◽  
Thyroid Surgery ◽  
Bronchogenic Carcinoma ◽  
Vocal Fold ◽  
Vocal Cord Paralysis ◽  
Vocal Fold Paralysis ◽  
Complex Mechanism ◽  
Voice Production ◽  
Included Patient ◽  
Etiological Spectrum

Background: To evaluate the etiological factors of hoarness Methods: The present study has been carried out in 100 cases of hoarseness were included. Patient with laryngeal and hypopharyngeal malignancy & up to 15 year of age excluded from the study. Results: In the present series bronchogenic carcinoma is the most common etiological factor causing vocal cord paralysis and second is thyroid surgery and third is tuberculosis of lung Conclusion: Voice production is a complex mechanism, involving the muscles of pharynx, palate, tongue, nose and lips. A proper protocol is necessary for identifying the factors responsible for vocal fold paralysis which would help in managing the condition more effectively. Keywords: Vocal cord, Carcinoma, Paralysis.

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

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.

Evaluation of Management of Unilateral Vocal Fold Paralysis

1995 ◽  
Vol 112 (5) ◽  
pp. P28-P29
Author(s):  
Maisie L. Shindo ◽  
Peak Woo
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
Vocal Cord Paralysis ◽  
Vocal Fold Paralysis ◽  
Unilateral Vocal Fold Paralysis ◽  
Educational Objectives ◽  
Vocal Cord Paresis ◽  
Appropriate Treatment

Educational objectives: To understand relevant neuroanatomy and neurophysiology and therefore better identify etiology and pathophysiology of vocal cord paralysis and to systemically and logically evaluate and select appropriate treatment for patients with vocal cord paresis.

scholarly journals Clinico-etiological Profile of Vocal Cord Paralysis

2019 ◽  
Vol 27 (3) ◽  
pp. 229-234
Author(s):  
Shivakumar Senniappan ◽  
Govind Krishnan Gopalakrishnan ◽  
Chinnu Sudha Kumar ◽  
Anjali Mahendra Panicker ◽  
Visakh Kookkal Nair ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
Vocal Cord Paralysis ◽  
Vocal Cord Palsy ◽  
Vocal Fold Paralysis ◽  
Cross Sectional ◽  
One Year ◽  
Underlying Pathology ◽  
Peripheral Origin ◽  
Rule Out

Introduction Vocal Cord Paralysis may be of central or peripheral origin based on the underlying pathology. Central Causes contribute about 10% while peripheral causes about 90% and the current study evaluated the clinical profile of vocal cord paralysis. Materials and Methods A cross-sectional observational study was conducted in the department of ENT for a period of one year. Patients with complaints of hoarseness or aspiration who on laryngoscopy examination with 45° telescope have been diagnosed to have vocal cord paralysis were included for the study. A total of 83 patients were included in our study. Results Vocal cord palsy was found most commonly after thyroidectomy (20.4%) followed by the idiopathic cause (19.2%). Certain cancers like lung cancer and neck cancers (hypopharyngeal, laryngeal and thyroid) carcinoma had also contributed significantly in the development of vocal cord palsy.  Left sided vocal cord palsy (65%) was found to be the commonest side affected followed by bilateral vocal cord palsy. Conclusion A proper protocol is necessary for identifying the factors responsible for vocal fold paralysis which would help in managing the condition more effectively. Before making a diagnosis as idiopathic vocal cord paralysis, detailed investigations should be carried out to rule out the possibilities of cancer, causing vocal cord paralysis.

S185 – Unilateral Vocal Cord Paralysis: The Miami Experience

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P138-P138
Author(s):  
Matthew Whitley ◽  
Roy R Casiano ◽  
Donna Lundy
Keyword(s):  
Vocal Cord ◽  
Thyroid Surgery ◽  
Medical Records ◽  
Vocal Fold ◽  
Vocal Cord Paralysis ◽  
Recovery Of Function ◽  
Small Subset ◽  
The University ◽  
Unilateral Vocal Cord Paralysis

Objectives 1) Understand the changing etiologies of unilateral vocal cord paralysis. 2) Learn the frequency of return of vocal cord function after paralysis. Methods We performed a retrospective analysis of 280 patients treated in the Department of Otolaryngology at the University of Miami for the diagnosis of unilateral vocal cord paralysis from 1999 to 2007. Medical records were reviewed in order to ascertain the etiology of the paralysis and determine on follow-up if there was recovery of function. Results The majority of cases (46%) were of surgical origin, with the leading surgical injury being thyroid surgery. Despite a thorough workup, 28% of cases remained idiopathic in origin. 21 patients (7%) had recovery of vocal fold function, the majority of which had a surgical etiology. Conclusions The most common cause of unilateral vocal cord paralysis, in our experience, is surgery, with thyroid surgery being the leading cause. A large majority of these cases remain idiopathic in nature. A small subset of patients regain function of the paralyzed vocal cord.

Vocal Cord Paralysis and Thyroid Surgery

1978 ◽  
Vol 87 (3) ◽  
pp. 383-385 ◽  
Author(s):  
Robert C. Kratz
Keyword(s):  
Vocal Cord ◽  
Thyroid Surgery ◽  
Vocal Cord Paralysis ◽  
Fiberoptic Bronchoscope ◽  
Laryngeal Nerves

— A technique used to identify the recurrent and superior laryngeal nerves using a flexible fiberoptic bronchoscope is presented. The author has used this technique in 12 cases and found it superior to other techniques that he has tried.

A Comparison of Direct, Indirect, and Fiberoptic Laryngoscopy to Evaluate Vocal Cord Paralysis after Thyroid Surgery

Thyroid ◽  
1996 ◽  
Vol 6 (1) ◽  
pp. 17-21 ◽  
Author(s):  
L. LACOSTE ◽  
J. KARAYAN ◽  
M.S. LEHUEDÉ ◽  
D. THOMAS ◽  
M. GOUDOU-SINHA ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Thyroid Surgery ◽  
Vocal Cord Paralysis
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