Unilateral True Vocal Fold Synkinesis Presenting with Airway Obstruction
Objectives We present a case series of 10 patients with unilateral true vocal fold paralysis who presented with airway obstruction. Methods A retrospective review of the authors' patients at 2 institutions with unilateral true vocal fold motion impairment was carried out over a 10-year period....
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2009-08, Vol.118 (8), p.587-591 |
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| container_title | Annals of otology, rhinology & laryngology |
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| creator | Azadarmaki, Roya Mirza, Natasha Soliman, Ahmed M. S. |
| description | Objectives
We present a case series of 10 patients with unilateral true vocal fold paralysis who presented with airway obstruction.
Methods
A retrospective review of the authors' patients at 2 institutions with unilateral true vocal fold motion impairment was carried out over a 10-year period. Of these, 10 patients were identified who presented with stridor and dyspnea as a result of synkinesis. Six cases were a result of thyroidectomy, 1 case resulted from recurrent laryngeal nerve section for spasmodic dysphonia, 1 case occurred after anterior cervical diskectomy and fusion, and in 2 cases no cause was identified.
Results
Three patients underwent tracheotomy. Two patients underwent partial arytenoidectomy. Seven patients underwent botulinum toxin injection; 2 were treated with breathing therapy, and in 1 case breathing therapy was recommended. Seven patients underwent treatment with more than 1 method.
Conclusions
Unilateral vocal fold paralysis may present with airway obstruction as a result of synkinesis. Treatment should be incremental and starts with breathing therapy and botulinum toxin injection. Partial arytenoidectomy or tracheotomy may be necessary for refractory cases. |
| doi_str_mv | 10.1177/000348940911800810 |
| format | Article |
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We present a case series of 10 patients with unilateral true vocal fold paralysis who presented with airway obstruction.
Methods
A retrospective review of the authors' patients at 2 institutions with unilateral true vocal fold motion impairment was carried out over a 10-year period. Of these, 10 patients were identified who presented with stridor and dyspnea as a result of synkinesis. Six cases were a result of thyroidectomy, 1 case resulted from recurrent laryngeal nerve section for spasmodic dysphonia, 1 case occurred after anterior cervical diskectomy and fusion, and in 2 cases no cause was identified.
Results
Three patients underwent tracheotomy. Two patients underwent partial arytenoidectomy. Seven patients underwent botulinum toxin injection; 2 were treated with breathing therapy, and in 1 case breathing therapy was recommended. Seven patients underwent treatment with more than 1 method.
Conclusions
Unilateral vocal fold paralysis may present with airway obstruction as a result of synkinesis. Treatment should be incremental and starts with breathing therapy and botulinum toxin injection. Partial arytenoidectomy or tracheotomy may be necessary for refractory cases.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/000348940911800810</identifier><identifier>PMID: 19746758</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Airway Obstruction - etiology ; Biological and medical sciences ; Chronic obstructive pulmonary disease, asthma ; Cohort Studies ; Dyspnea - etiology ; Electromyography ; Female ; Humans ; Laryngeal Muscles - physiopathology ; Male ; Medical sciences ; Middle Aged ; Otorhinolaryngology. Stomatology ; Pneumology ; Respiratory Sounds - etiology ; Retrospective Studies ; Risk Factors ; Synkinesis - complications ; Synkinesis - diagnosis ; Synkinesis - therapy ; Treatment Outcome ; Vocal Cord Paralysis - complications ; Vocal Cord Paralysis - diagnosis ; Vocal Cord Paralysis - therapy</subject><ispartof>Annals of otology, rhinology & laryngology, 2009-08, Vol.118 (8), p.587-591</ispartof><rights>2009 SAGE Publications</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Annals Publishing Company Aug 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-e6e7d040758fcc80bea54b86ec50c5ab3a22db71cf4c0cbbfee2b8c282e3b92f3</citedby><cites>FETCH-LOGICAL-c398t-e6e7d040758fcc80bea54b86ec50c5ab3a22db71cf4c0cbbfee2b8c282e3b92f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000348940911800810$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000348940911800810$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21831120$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19746758$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azadarmaki, Roya</creatorcontrib><creatorcontrib>Mirza, Natasha</creatorcontrib><creatorcontrib>Soliman, Ahmed M. S.</creatorcontrib><title>Unilateral True Vocal Fold Synkinesis Presenting with Airway Obstruction</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>Objectives
We present a case series of 10 patients with unilateral true vocal fold paralysis who presented with airway obstruction.
Methods
A retrospective review of the authors' patients at 2 institutions with unilateral true vocal fold motion impairment was carried out over a 10-year period. Of these, 10 patients were identified who presented with stridor and dyspnea as a result of synkinesis. Six cases were a result of thyroidectomy, 1 case resulted from recurrent laryngeal nerve section for spasmodic dysphonia, 1 case occurred after anterior cervical diskectomy and fusion, and in 2 cases no cause was identified.
Results
Three patients underwent tracheotomy. Two patients underwent partial arytenoidectomy. Seven patients underwent botulinum toxin injection; 2 were treated with breathing therapy, and in 1 case breathing therapy was recommended. Seven patients underwent treatment with more than 1 method.
Conclusions
Unilateral vocal fold paralysis may present with airway obstruction as a result of synkinesis. Treatment should be incremental and starts with breathing therapy and botulinum toxin injection. Partial arytenoidectomy or tracheotomy may be necessary for refractory cases.</description><subject>Aged</subject><subject>Airway Obstruction - etiology</subject><subject>Biological and medical sciences</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Cohort Studies</subject><subject>Dyspnea - etiology</subject><subject>Electromyography</subject><subject>Female</subject><subject>Humans</subject><subject>Laryngeal Muscles - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pneumology</subject><subject>Respiratory Sounds - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Synkinesis - complications</subject><subject>Synkinesis - diagnosis</subject><subject>Synkinesis - therapy</subject><subject>Treatment Outcome</subject><subject>Vocal Cord Paralysis - complications</subject><subject>Vocal Cord Paralysis - diagnosis</subject><subject>Vocal Cord Paralysis - therapy</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp90F1LwzAUBuAgis7pH_BCiqB3dSdp2qSXIn7BQMFNvCtJdqrRLtWkRfbvzdhwoOBVTuA5H7yEHFE4p1SIEQBkXJYcSkolgKSwRQa05FmaC_a8TQZLkC7FHtkP4S1-eQ5sl-zRUvBC5HJAbqfONqpDr5pk4ntMnloTy-u2mSWPC_duHQYbkgePAV1n3UvyZbvX5ML6L7VI7nXofG8627oDslOrJuDh-h2S6fXV5PI2Hd_f3F1ejFOTlbJLsUAxAw5xeW2MBI0q51oWaHIwudKZYmymBTU1N2C0rhGZloZJhpkuWZ0Nydlq7odvP3sMXTW3wWDTKIdtH6pCFFzkHCI8-QXf2t67eFvFqCgBaCYjYitkfBuCx7r68Hau_KKiUC1Drv6GHJuO15N7PcfZpmWdagSna6BCTLP2yhkbfhyjMqOULQeNVi6oF9yc98_qb8uCkao</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Azadarmaki, Roya</creator><creator>Mirza, Natasha</creator><creator>Soliman, Ahmed M. S.</creator><general>SAGE Publications</general><general>Annals Publishing Compagny</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20090801</creationdate><title>Unilateral True Vocal Fold Synkinesis Presenting with Airway Obstruction</title><author>Azadarmaki, Roya ; Mirza, Natasha ; Soliman, Ahmed M. S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-e6e7d040758fcc80bea54b86ec50c5ab3a22db71cf4c0cbbfee2b8c282e3b92f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Airway Obstruction - etiology</topic><topic>Biological and medical sciences</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Cohort Studies</topic><topic>Dyspnea - etiology</topic><topic>Electromyography</topic><topic>Female</topic><topic>Humans</topic><topic>Laryngeal Muscles - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pneumology</topic><topic>Respiratory Sounds - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Synkinesis - complications</topic><topic>Synkinesis - diagnosis</topic><topic>Synkinesis - therapy</topic><topic>Treatment Outcome</topic><topic>Vocal Cord Paralysis - complications</topic><topic>Vocal Cord Paralysis - diagnosis</topic><topic>Vocal Cord Paralysis - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azadarmaki, Roya</creatorcontrib><creatorcontrib>Mirza, Natasha</creatorcontrib><creatorcontrib>Soliman, Ahmed M. S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azadarmaki, Roya</au><au>Mirza, Natasha</au><au>Soliman, Ahmed M. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unilateral True Vocal Fold Synkinesis Presenting with Airway Obstruction</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>118</volume><issue>8</issue><spage>587</spage><epage>591</epage><pages>587-591</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>Objectives
We present a case series of 10 patients with unilateral true vocal fold paralysis who presented with airway obstruction.
Methods
A retrospective review of the authors' patients at 2 institutions with unilateral true vocal fold motion impairment was carried out over a 10-year period. Of these, 10 patients were identified who presented with stridor and dyspnea as a result of synkinesis. Six cases were a result of thyroidectomy, 1 case resulted from recurrent laryngeal nerve section for spasmodic dysphonia, 1 case occurred after anterior cervical diskectomy and fusion, and in 2 cases no cause was identified.
Results
Three patients underwent tracheotomy. Two patients underwent partial arytenoidectomy. Seven patients underwent botulinum toxin injection; 2 were treated with breathing therapy, and in 1 case breathing therapy was recommended. Seven patients underwent treatment with more than 1 method.
Conclusions
Unilateral vocal fold paralysis may present with airway obstruction as a result of synkinesis. Treatment should be incremental and starts with breathing therapy and botulinum toxin injection. Partial arytenoidectomy or tracheotomy may be necessary for refractory cases.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19746758</pmid><doi>10.1177/000348940911800810</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0003-4894 |
| ispartof | Annals of otology, rhinology & laryngology, 2009-08, Vol.118 (8), p.587-591 |
| issn | 0003-4894 1943-572X |
| language | eng |
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| source | SAGE Publications; MEDLINE |
| subjects | Aged Airway Obstruction - etiology Biological and medical sciences Chronic obstructive pulmonary disease, asthma Cohort Studies Dyspnea - etiology Electromyography Female Humans Laryngeal Muscles - physiopathology Male Medical sciences Middle Aged Otorhinolaryngology. Stomatology Pneumology Respiratory Sounds - etiology Retrospective Studies Risk Factors Synkinesis - complications Synkinesis - diagnosis Synkinesis - therapy Treatment Outcome Vocal Cord Paralysis - complications Vocal Cord Paralysis - diagnosis Vocal Cord Paralysis - therapy |
| title | Unilateral True Vocal Fold Synkinesis Presenting with Airway Obstruction |
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