Sleep disordered breathing as a delayed complication of iatrogenic vocal cord trauma
Abstract A case of a 55 year old woman with iatrogenic vocal cord trauma and sleep related symptoms is reported. In particular this case highlights sleep disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal...
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| Veröffentlicht in: | Sleep medicine 2016-06, Vol.22, p.1-3 |
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| container_title | Sleep medicine |
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| creator | Faiz, Saadia A., MD Bashoura, Lara, MD Kodali, Lavanya, MD Hessel, Amy C., M.D Evans, Scott E., MD Balachandran, Diwakar, MD |
| description | Abstract A case of a 55 year old woman with iatrogenic vocal cord trauma and sleep related symptoms is reported. In particular this case highlights sleep disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal cord hematoma following vocal fold injection for right vocal cord paralysis. Acute respiratory symptoms resolved with oxygen, steroids and nebulized therapy, but nocturnal symptoms persisted and polysomnography revealed sleep-related hypoventilation and mild obstructive sleep apnea. Positive pressure therapy was successfully used to ameliorate her symptoms and treat sleep disordered breathing until her hematoma resolved. In addition to the typically acute respiratory symptoms that may result from vocal cord dysfunction, sleep disordered breathing may also present as a significant sub-acute or chronic problem. Management of the acute respiratory symptoms is relatively well established, but clinicians should be alert for more subtle nocturnal symptoms that may require further study with polysomnography. |
| doi_str_mv | 10.1016/j.sleep.2016.03.012 |
| format | Article |
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In particular this case highlights sleep disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal cord hematoma following vocal fold injection for right vocal cord paralysis. Acute respiratory symptoms resolved with oxygen, steroids and nebulized therapy, but nocturnal symptoms persisted and polysomnography revealed sleep-related hypoventilation and mild obstructive sleep apnea. Positive pressure therapy was successfully used to ameliorate her symptoms and treat sleep disordered breathing until her hematoma resolved. In addition to the typically acute respiratory symptoms that may result from vocal cord dysfunction, sleep disordered breathing may also present as a significant sub-acute or chronic problem. Management of the acute respiratory symptoms is relatively well established, but clinicians should be alert for more subtle nocturnal symptoms that may require further study with polysomnography.</description><identifier>ISSN: 1389-9457</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2016.03.012</identifier><identifier>PMID: 27544828</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Continuous positive airway pressure ; Female ; Humans ; Iatrogenic Disease ; Middle Aged ; Neurology ; Obstructive sleep apnea ; Polysomnography ; Positron Emission Tomography Computed Tomography ; Respiratory Sounds ; Sleep Apnea, Obstructive - etiology ; Sleep Medicine ; Sleep-disordered breathing ; Sleep-related hypoventilation ; Vocal cord dysfunction ; Vocal cord paralysis ; Vocal Cord Paralysis - complications</subject><ispartof>Sleep medicine, 2016-06, Vol.22, p.1-3</ispartof><rights>Elsevier B.V.</rights><rights>2016 Elsevier B.V.</rights><rights>Copyright © 2016 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-47490c7bd22ce0bb80f63f605c3c5373e2baefe100f63065415e09532ae1843d3</citedby><cites>FETCH-LOGICAL-c514t-47490c7bd22ce0bb80f63f605c3c5373e2baefe100f63065415e09532ae1843d3</cites><orcidid>0000-0001-7284-3945</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1389945716300107$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27544828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Faiz, Saadia A., MD</creatorcontrib><creatorcontrib>Bashoura, Lara, MD</creatorcontrib><creatorcontrib>Kodali, Lavanya, MD</creatorcontrib><creatorcontrib>Hessel, Amy C., M.D</creatorcontrib><creatorcontrib>Evans, Scott E., MD</creatorcontrib><creatorcontrib>Balachandran, Diwakar, MD</creatorcontrib><title>Sleep disordered breathing as a delayed complication of iatrogenic vocal cord trauma</title><title>Sleep medicine</title><addtitle>Sleep Med</addtitle><description>Abstract A case of a 55 year old woman with iatrogenic vocal cord trauma and sleep related symptoms is reported. In particular this case highlights sleep disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal cord hematoma following vocal fold injection for right vocal cord paralysis. Acute respiratory symptoms resolved with oxygen, steroids and nebulized therapy, but nocturnal symptoms persisted and polysomnography revealed sleep-related hypoventilation and mild obstructive sleep apnea. Positive pressure therapy was successfully used to ameliorate her symptoms and treat sleep disordered breathing until her hematoma resolved. In addition to the typically acute respiratory symptoms that may result from vocal cord dysfunction, sleep disordered breathing may also present as a significant sub-acute or chronic problem. Management of the acute respiratory symptoms is relatively well established, but clinicians should be alert for more subtle nocturnal symptoms that may require further study with polysomnography.</description><subject>Continuous positive airway pressure</subject><subject>Female</subject><subject>Humans</subject><subject>Iatrogenic Disease</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Obstructive sleep apnea</subject><subject>Polysomnography</subject><subject>Positron Emission Tomography Computed Tomography</subject><subject>Respiratory Sounds</subject><subject>Sleep Apnea, Obstructive - etiology</subject><subject>Sleep Medicine</subject><subject>Sleep-disordered breathing</subject><subject>Sleep-related hypoventilation</subject><subject>Vocal cord dysfunction</subject><subject>Vocal cord paralysis</subject><subject>Vocal Cord Paralysis - complications</subject><issn>1389-9457</issn><issn>1878-5506</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1v1DAQhiMEoqXlFyChHLkkjO04HwcqoYovqRKHtueRY0-2Xpx4sZOV9t_XYUsFvfRke_zOO_Y8k2XvGJQMWP1xW0ZHtCt5OpQgSmD8RXbK2qYtpIT6ZdqLtiu6SjYn2ZsYtwCsYW31Ojvhjayqlren2c316pEbG30wFMjkfSA139lpk6uYq9yQU4cU1n7cOavVbP2U-yG3ag5-Q5PV-d5r5ZIgmHwOahnVefZqUC7S24f1LLv9-uXm8ntx9fPbj8vPV4WWrJqLqqk60E1vONcEfd_CUIuhBqmFlqIRxHtFAzFY41DLikmCTgquKH1DGHGWXRx9d0s_ktE0pfoOd8GOKhzQK4v_30z2Djd-j8m96aBNBh8eDIL_vVCccbRRk3NqIr9EZC0TNZe865JUHKU6-BgDDY9lGODKA7f4hweuPBAEJh4p6_2_L3zM-QsgCT4dBZT6tLcUMGpLkyZjA-kZjbfPFLh4kq-dTVCU-0UHilu_hCkhQIaRI-D1OhLrRLDUUWDQiHtFhrM2</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Faiz, Saadia A., MD</creator><creator>Bashoura, Lara, MD</creator><creator>Kodali, Lavanya, MD</creator><creator>Hessel, Amy C., M.D</creator><creator>Evans, Scott E., MD</creator><creator>Balachandran, Diwakar, MD</creator><general>Elsevier B.V</general><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>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7284-3945</orcidid></search><sort><creationdate>20160601</creationdate><title>Sleep disordered breathing as a delayed complication of iatrogenic vocal cord trauma</title><author>Faiz, Saadia A., MD ; Bashoura, Lara, MD ; Kodali, Lavanya, MD ; Hessel, Amy C., M.D ; Evans, Scott E., MD ; Balachandran, Diwakar, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-47490c7bd22ce0bb80f63f605c3c5373e2baefe100f63065415e09532ae1843d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Continuous positive airway pressure</topic><topic>Female</topic><topic>Humans</topic><topic>Iatrogenic Disease</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Obstructive sleep apnea</topic><topic>Polysomnography</topic><topic>Positron Emission Tomography Computed Tomography</topic><topic>Respiratory Sounds</topic><topic>Sleep Apnea, Obstructive - etiology</topic><topic>Sleep Medicine</topic><topic>Sleep-disordered breathing</topic><topic>Sleep-related hypoventilation</topic><topic>Vocal cord dysfunction</topic><topic>Vocal cord paralysis</topic><topic>Vocal Cord Paralysis - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Faiz, Saadia A., MD</creatorcontrib><creatorcontrib>Bashoura, Lara, MD</creatorcontrib><creatorcontrib>Kodali, Lavanya, MD</creatorcontrib><creatorcontrib>Hessel, Amy C., M.D</creatorcontrib><creatorcontrib>Evans, Scott E., MD</creatorcontrib><creatorcontrib>Balachandran, Diwakar, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Faiz, Saadia A., MD</au><au>Bashoura, Lara, MD</au><au>Kodali, Lavanya, MD</au><au>Hessel, Amy C., M.D</au><au>Evans, Scott E., MD</au><au>Balachandran, Diwakar, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep disordered breathing as a delayed complication of iatrogenic vocal cord trauma</atitle><jtitle>Sleep medicine</jtitle><addtitle>Sleep Med</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>22</volume><spage>1</spage><epage>3</epage><pages>1-3</pages><issn>1389-9457</issn><eissn>1878-5506</eissn><abstract>Abstract A case of a 55 year old woman with iatrogenic vocal cord trauma and sleep related symptoms is reported. In particular this case highlights sleep disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal cord hematoma following vocal fold injection for right vocal cord paralysis. Acute respiratory symptoms resolved with oxygen, steroids and nebulized therapy, but nocturnal symptoms persisted and polysomnography revealed sleep-related hypoventilation and mild obstructive sleep apnea. Positive pressure therapy was successfully used to ameliorate her symptoms and treat sleep disordered breathing until her hematoma resolved. In addition to the typically acute respiratory symptoms that may result from vocal cord dysfunction, sleep disordered breathing may also present as a significant sub-acute or chronic problem. Management of the acute respiratory symptoms is relatively well established, but clinicians should be alert for more subtle nocturnal symptoms that may require further study with polysomnography.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>27544828</pmid><doi>10.1016/j.sleep.2016.03.012</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0001-7284-3945</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Sleep medicine, 2016-06, Vol.22, p.1-3 |
| issn | 1389-9457 1878-5506 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Continuous positive airway pressure Female Humans Iatrogenic Disease Middle Aged Neurology Obstructive sleep apnea Polysomnography Positron Emission Tomography Computed Tomography Respiratory Sounds Sleep Apnea, Obstructive - etiology Sleep Medicine Sleep-disordered breathing Sleep-related hypoventilation Vocal cord dysfunction Vocal cord paralysis Vocal Cord Paralysis - complications |
| title | Sleep disordered breathing as a delayed complication of iatrogenic vocal cord trauma |
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