Vocal Cord Paralysis
Vocal Cords
Recurrent Laryngeal Nerve
Laryngoscopy
X-Ray Intensifying Screens
Paralysis
Laryngeal Diseases
Postoperative Complications
Atrophy of the posterior cricoarytenoid muscle as an indicator of recurrent laryngeal nerve palsy. (1/187)
BACKGROUND AND PURPOSE: The posterior cricoarytenoid (PCA) muscle is one of the intrinsic muscles of the larynx innervated by the recurrent laryngeal nerve. As such, recurrent laryngeal nerve palsy should not only result in paralysis of the true vocal cord or thyroarytenoid muscle but also in a similar change in the PCA muscle. The ability of CT and MR imaging to depict denervation atrophy in the PCA muscle in patients with recurrent laryngeal nerve palsy was evaluated. METHODS: Two investigators reviewed the CT and/or MR studies of 20 patients with a clinical history of vocal cord paralysis. The appearance of the PCA muscle was given a rating of 0, 1, 2, 3, or 4, with 0 being definitely normal and 4 being definitely abnormal or atrophic. Each study was also reviewed for the presence or absence of other features of vocal cord paralysis: thyroarytenoid muscle atrophy, anteromedial deviation of the arytenoid cartilage, an enlarged piriform sinus and laryngeal ventricle, and a paramedian cord. RESULTS: Atrophy of the PCA muscle was shown unequivocally in 65% of the cases and was most likely present in an additional 20%. The frequency with which other features of vocal cord paralysis were seen was as follows: thyroarytenoid atrophy, 95%; anteromedial deviation of the arytenoid cartilage, 70%; enlarged piriform sinus, 100%; enlarged laryngeal ventricle, 90%; and a paramedian cord, 100%. CONCLUSION: Atrophy of the PCA muscle may be commonly documented on CT and MR studies in patients with recurrent laryngeal nerve palsy and vocal cord paralysis, and therefore should be part of the constellation of imaging features of vocal cord paralysis. This finding is particularly useful when other imaging findings of vocal cord paralysis are absent or equivocal. (+info)Left recurrent laryngeal nerve palsy associated with silicosis. (2/187)
Left recurrent laryngeal nerve palsy usually results from invasion or compression of the nerve caused by diseases localized within the aortopulmonary window. This study reports the case of a 76-yr-old male with vocal cord paralysis due to lymph node involvement by silicosis. This rare entity was identified by video-mediastinoscopy, which revealed a granulomatous and fibrosed recurrent lymph node encasing the nerve. The nerve was dissected and released from scar tissues. Progressive clinical improvement was observed followed by total and durable recovery of the voice after 15 weeks follow-up. (+info)Recurrent laryngeal nerve palsy associated with mediastinal amyloidosis. (3/187)
Amyloidosis affecting peripheral nerves causing isolated nerve palsies is uncommon. Localised amyloidosis occurs less frequently than the reactive or immune related systemic forms, and mediastinal localisation is virtually unknown. We present a case of recurrent laryngeal nerve palsy associated with mediastinal AL amyloidosis in a middle aged man. (+info)A series of thyroplasty cases under general anaesthesia. (4/187)
Thyroplasty is an operation on the upper airway to improve voice quality in patients with unilateral vocal cord paralysis. It requires access to an uninstrumented larynx and a functional assessment of vocal cord medialization. It is a difficult anaesthetic procedure that requires sharing the airway with the surgeon. We describe an anaesthetic technique to give good operating conditions and a safe airway, using total intravenous anaesthesia, a laryngeal mask airway and intraoperative fibreoptic endoscopic assessment of the larynx, and present a series of 13 patients. Other anaesthetic techniques for thyroplasty are described and discussed. (+info)Left vocal cord paralysis associated with long-standing patent ductus arteriosus. (5/187)
SUMMARY: Left vocal cord paralysis in association with patent ductus arteriosus is unusual. We report a patient with long-standing patent ductus arteriosus (PDA) in whom CT studies obtained before and after paralysis developed showed an interval increase in size of the pulmonary trunk. The pathogenesis of left vocal cord paralysis in association with long-standing PDA is discussed. (+info)Outcomes and complications of thyroid surgery: retrospective study. (6/187)
OBJECTIVE: To study the outcome and complications of thyroid surgery. DESIGN: Retrospective study. SETTING: Regional hospital, Hong Kong. PATIENTS: Three hundred and twelve patients (266 women and 46 men) underwent thyroid surgery between January 1994 and December 1999. MAIN OUTCOME MEASURES: Complications of thyroidectomy for various thyroid diseases according to surgical technique used. RESULTS: Capsular dissection gradually became a more popular surgical technique: 33% and 58% in the first and second halves of the study period respectively (P<0.001). The overall rate of permanent vocal cord palsy was 2%. Near-total thyroidectomy became the preferred surgical treatment for toxic goitre over the study period. The incidence of recurrent hyperthyroidism was reduced from 21% to 7% (P>0.1, not significant). The incidence of hypoparathyroidism was approximately 30% after thyroidectomy for cancer. CONCLUSION: Capsular dissection is increasingly utilised in thyroid surgery. Low complication rates can be achieved after thyroidectomy for benign diseases. Hypoparathyroidism, however, is a relatively common complication after surgery for thyroid cancer. (+info)Cordotomy for bilateral cord abductal paralysis. (7/187)
OBJECTIVE: To investigate the clinical effects of cordotomy on bilateral cord abductal paralysis. METHODS: With unilateral cordotomy, we treated 4 patients with bilateral cord paralysis whose glottis size was about 2.0 mm to 2.5 mm. They were followed up for over one year. RESULTS: One week after surgery, the tracheotomy tubes of all 4 patients were plugged and no dyspnea occurred during rest and mild action. Their voices were more hoarse than before surgery. After 3 months, the tracheotomy tubes were successfully decannulated, and in the following one year, their respiration was normal and then speech was clear, although their voices were still a little hoarse. CONCLUSION: We suggest that cordotomy be one option in the treatment of bilateral cord abductal paralysis. (+info)Use of the laryngeal mask airway in thyroid and parathyroid surgery as an aid to the identification and preservation of the recurrent laryngeal nerves. (8/187)
A prospective study was carried out in patients undergoing thyroid and parathyroid surgery using a laryngeal mask airway (LMA) and electrical nerve stimulation to identify the recurrent laryngeal nerves. A total of 150 consecutive patients undergoing thyroid and parathyroid surgery by a single surgeon were assessed for suitability of anaesthesia via the LMA. Peroperatively, a fibre-optic laryngoscope was passed through the LMA to enable the anaesthetist to visualise the vocal cords while adduction of the cords was elicited by applying a nerve stimulator in the operative field. In all, 144 patients were selected for anaesthesia via the LMA. Fibre-optic laryngoscopy and nerve stimulation were performed in 64 patients (42.7%). The trachea was deviated in 51 (34.0%) and narrowed in 33 (22.0%). The recurrent laryngeal nerves were identified in all patients. There were no cases of vocal cord dysfunction resulting from surgery. The LMA can be safely used for thyroid and parathyroid surgery even in the presence of a deviated or narrowed trachea. It can assist in identification and preservation of the recurrent laryngeal nerve and is, therefore, of benefit to both patient and surgeon. (+info)Vocal cord paralysis is a medical condition characterized by the inability of one or both vocal cords to move or function properly due to nerve damage or disruption. The vocal cords are two bands of muscle located in the larynx (voice box) that vibrate to produce sound during speech, singing, and breathing. When the nerves that control the vocal cord movements are damaged or not functioning correctly, the vocal cords may become paralyzed or weakened, leading to voice changes, breathing difficulties, and other symptoms.
The causes of vocal cord paralysis can vary, including neurological disorders, trauma, tumors, surgery, or infections. The diagnosis typically involves a physical examination, including a laryngoscopy, to assess the movement and function of the vocal cords. Treatment options may include voice therapy, surgical procedures, or other interventions to improve voice quality and breathing functions.
Vocal cords, also known as vocal folds, are specialized bands of muscle, membrane, and connective tissue located within the larynx (voice box). They are essential for speech, singing, and other sounds produced by the human voice. The vocal cords vibrate when air from the lungs is passed through them, creating sound waves that vary in pitch and volume based on the tension, length, and mass of the vocal cords. These sound waves are then further modified by the resonance chambers of the throat, nose, and mouth to produce speech and other vocalizations.
The Recurrent Laryngeal Nerve (RLN) is a branch of the vagus nerve (cranial nerve X), which is a mixed sensory, motor, and autonomic nerve. The RLN has important functions in providing motor innervation to the intrinsic muscles of the larynx, except for the cricothyroid muscle, which is supplied by the external branch of the superior laryngeal nerve.
The recurrent laryngeal nerve supplies all the muscles that are responsible for adduction (bringing together) of the vocal cords, including the vocalis muscle, lateral cricoarytenoid, thyroarytenoid, and interarytenoid muscles. These muscles play a crucial role in voice production, coughing, and swallowing.
The right recurrent laryngeal nerve has a longer course than the left one. It loops around the subclavian artery in the chest before ascending to the larynx, while the left RLN hooks around the arch of the aorta. This anatomical course makes them vulnerable to injury during various surgical procedures, such as thyroidectomy and neck dissection, leading to potential voice impairment or vocal cord paralysis.
Hoarseness is a condition characterized by an abnormal change in the quality of voice, making it sound rough, breathy, strained, or weak. Medically, it's described as a disorder of phonation, which is the process of producing sound by vibrating the vocal cords in the larynx (voice box). Hoarseness can be caused by various factors, such as inflammation, irritation, or injury to the vocal cords, and may result in symptoms like altered voice pitch, volume, and clarity. It's essential to consult a healthcare professional if hoarseness persists for more than two weeks, especially if it's accompanied by other concerning symptoms like difficulty swallowing or breathing.
Laryngoscopy is a medical procedure that involves the examination of the larynx, which is the upper part of the windpipe (trachea), and the vocal cords using a specialized instrument called a laryngoscope. The laryngoscope is inserted through the mouth or nose to provide a clear view of the larynx and surrounding structures. This procedure can be performed for diagnostic purposes, such as identifying abnormalities like growths, inflammation, or injuries, or for therapeutic reasons, such as removing foreign objects or taking tissue samples for biopsy. There are different types of laryngoscopes and techniques used depending on the reason for the examination and the patient's specific needs.
Laryngeal nerve injuries refer to damages or injuries to the recurrent laryngeal nerve (RLN) and/or the superior laryngeal nerve (SLN), which are the primary nerves that supply the larynx, or voice box. These nerves play crucial roles in controlling the vocal cord movements and protecting the airway during swallowing.
The recurrent laryngeal nerve provides motor function to all intrinsic muscles of the larynx, except for the cricothyroid muscle, which is innervated by the superior laryngeal nerve. The RLN also carries sensory fibers from a small area of the mucous membrane below the vocal folds.
Injuries to these nerves can result in voice changes, breathing difficulties, and swallowing problems. Depending on the severity and location of the injury, patients may experience hoarseness, weak voice, breathy voice, coughing while swallowing, or even complete airway obstruction in severe cases. Laryngeal nerve injuries can occur due to various reasons, such as surgical complications (e.g., thyroid, esophageal, and cardiovascular surgeries), neck trauma, tumors, infections, or iatrogenic causes.
X-ray intensifying screens are medical imaging devices that contain phosphorescent materials, which emit light in response to the absorption of X-ray radiation. They are used in conjunction with X-ray film to enhance the visualization of radiographic images by converting X-rays into visible light. The screens are placed inside a cassette, along with the X-ray film, and exposed to X-rays during medical imaging procedures such as radiography or fluoroscopy.
The phosphorescent materials in the intensifying screens absorb most of the X-ray energy and re-emit it as visible light, which then exposes the X-ray film. This process increases the efficiency of the X-ray exposure, reducing the amount of radiation required to produce a diagnostic image. The use of intensifying screens can significantly improve the quality and detail of radiographic images while minimizing patient exposure to ionizing radiation.
Paralysis is a loss of muscle function in part or all of your body. It can be localized, affecting only one specific area, or generalized, impacting multiple areas or even the entire body. Paralysis often occurs when something goes wrong with the way messages pass between your brain and muscles. In most cases, paralysis is caused by damage to the nervous system, especially the spinal cord. Other causes include stroke, trauma, infections, and various neurological disorders.
It's important to note that paralysis doesn't always mean a total loss of movement or feeling. Sometimes, it may just cause weakness or numbness in the affected area. The severity and extent of paralysis depend on the underlying cause and the location of the damage in the nervous system.
Laryngeal diseases refer to conditions that affect the structure and function of the larynx, also known as the voice box. The larynx is a complex structure composed of cartilages, muscles, membranes, and mucous glands that play essential roles in breathing, swallowing, and vocalization.
Laryngeal diseases can be categorized into several types based on their causes and manifestations. Some common laryngeal diseases include:
1. Laryngitis: Inflammation of the larynx that can cause hoarseness, throat pain, coughing, and difficulty swallowing. Acute laryngitis is often caused by viral infections or irritants, while chronic laryngitis may result from prolonged exposure to smoke, chemicals, or acid reflux.
2. Vocal cord lesions: Abnormal growths on the vocal cords, such as polyps, nodules, or cysts, that can affect voice quality and cause hoarseness, breathiness, or pain. These lesions are often caused by overuse, misuse, or trauma to the vocal cords.
3. Laryngeal cancer: Malignant tumors that develop in the larynx and can invade surrounding structures, such as the throat, neck, and chest. Laryngeal cancer is often associated with smoking, alcohol consumption, and human papillomavirus (HPV) infection.
4. Laryngeal stenosis: Narrowing of the airway due to scarring or thickening of the tissues in the larynx. This condition can cause difficulty breathing, wheezing, and coughing, especially during physical activity or sleep.
5. Reinke's edema: Swelling of the vocal cords caused by fluid accumulation in the mucous membrane that covers them. Reinke's edema is often associated with smoking and can cause hoarseness, low voice, and difficulty projecting the voice.
6. Laryngeal papillomatosis: A rare condition characterized by the growth of benign tumors (papillomas) in the larynx, usually caused by HPV infection. These tumors can recur and may require repeated surgeries to remove them.
7. Vocal cord paralysis: Inability of one or both vocal cords to move due to nerve damage or other medical conditions. This condition can cause hoarseness, breathiness, and difficulty speaking or swallowing.
These are some of the common laryngeal disorders that can affect a person's voice, breathing, and swallowing functions. Proper diagnosis and treatment by an otolaryngologist (ear, nose, and throat specialist) are essential to manage these conditions effectively and prevent complications.
Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:
1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.
Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.
Postoperative care refers to the comprehensive medical treatment and nursing attention provided to a patient following a surgical procedure. The goal of postoperative care is to facilitate the patient's recovery, prevent complications, manage pain, ensure proper healing of the incision site, and maintain overall health and well-being until the patient can resume their normal activities.
This type of care includes monitoring vital signs, managing pain through medication or other techniques, ensuring adequate hydration and nutrition, helping the patient with breathing exercises to prevent lung complications, encouraging mobility to prevent blood clots, monitoring for signs of infection or other complications, administering prescribed medications, providing wound care, and educating the patient about postoperative care instructions.
The duration of postoperative care can vary depending on the type and complexity of the surgical procedure, as well as the individual patient's needs and overall health status. It may be provided in a hospital setting, an outpatient surgery center, or in the patient's home, depending on the level of care required.
Bilateral Vocal Cord Paralysis: Lailani's Story | Children's Hospital of Philadelphia
Vocal Cord Paralysis Care at Tufts Medical Center
2013 ICD-9-CM Diagnosis Code 478.34 : Bilateral paralysis of vocal cords or larynx, complete
Vocal Cord Paralysis - Ear, Nose, and Throat Disorders - MSD Manual Professional Edition
vocal cord paralysis | Medical Trip
Vocal Cord Paralysis - CK Birla Hospital
Vocal Cord Paralysis | Midwest Sinus and Allergy
Vocal Cord Position in Laryngeal Paralysis: Two Further Neurohistologic Studies | JAMA Otolaryngology-Head & Neck Surgery |...
Clinical Features of Complete Vocal Cord Paralysis | Medicalalgorithms.com
Vocal Cord Paralysis - Ear, Nose, and Throat Doctors in Rowlett, TX
Laryngoscopic Appearance of the Vocal Cords in Vocal Cord Paralysis | Medicalalgorithms.com
Neuromuscular disease presenting with bilateral vocal cord paralysis - MDA Clinical & Scientific Conference 2023
Bilateral Vocal Fold Paralysis: Practice Essentials, History of the Procedure, Etiology
Laryngeal nerve damage: MedlinePlus Medical Encyclopedia
Tucker syndrome - Wikipedia
Hoarse cry AND humans[mesh] AND review[publication type] - Search Results - PubMed
Dr. Timothy Queen, MD - Otolaryngology (Ear, Nose & Throat) Specialist in Newport News, VA | Healthgrades
Pediatric Otolaryngology | Johns Hopkins Otolaryngology - Head and Neck Surgery
Summary Safety Review - Esophageal Stents - Assessing the Potential Risk of Bilateral Vocal Cord Paralysis - Drug and Health...
Undergraduate students explore how electrical stimulation may be able to treat patients with vocal cord paralysis | Virginia...
ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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Unilateral13
- Rosen C. Vocal cord paralysis, unilateral. (medscape.com)
- Unilateral vocal cord paralysis occurs when one of the vocal cords fails to move properly as a result of nerve damage. (northshore.org)
- The treatment of unilateral vocal cord paralysis depends on when the paralysis began to cause vocal impairment and on each patient's individual vocal needs. (northshore.org)
- In many cases, when unilateral vocal cord paralysis first occurs, there is often a chance of spontaneous return of the vocal cord movement and restoration of voice. (northshore.org)
- There are some medical studies, suggesting that individuals with unilateral vocal cord paralysis who never recover vocal cord motion but who received an injection laryngoplasty soon after their paralysis began may have less of a need for a permanent surgery to correct their voices than those who did not have an injection. (northshore.org)
- The longer a patient has unilateral vocal cord paralysis, the less the chance of spontaneous recovery. (northshore.org)
- On the other hand, some studies have found up to 40% of unilateral vocal cord paralysis (involving only the one side) can be present without any symptoms and may be only found coincidentally during the course of other medical investigations. (bergerhenryent.com)
- Unilateral vocal cord paralysis is the most common situation. (bergerhenryent.com)
- The aim of treatment is slightly different between unilateral and bilateral vocal cord paralysis. (bergerhenryent.com)
- Nine nerve sections from unilateral vocal fold paralysis (UVP) patients and seven control nerve sections were analyzed for morphometric parameters including fascicular area, fiber count, fiber density, fiber packing, mean g-ratio, and fiber diameter distribution. (nih.gov)
- Permanent unilateral vocal cord paralysis occurred in 2.5% of the patients operated on, although only 1 patient (0.45%) sustained this complication in the past 14 years. (springer.com)
- Parálisis permanente unilateral de la cuerda vocal ocurrió en 2.5% de los pacientes operados, mientras sólo un paciente (0.45%) presentó esta complicación en los últimos 14 años. (springer.com)
- 11. [Unilateral paralysis of the recurrent nerve caused by vincristine]. (nih.gov)
Narrowed laryngeal1
- An alternative treatment involves removal of the back portion of one or both vocal cords (partial cordectomy) to increase the size of the narrowed laryngeal airway. (northshore.org)
Paresis3
- We report a heterozygous I113F mutation in a patient with familial ALS characterized by early and predominant bilateral vocal cord paralysis followed by descending spinal cord paresis. (centogene.com)
- 14. Vincristine-induced vocal cord paresis and paralysis in children. (nih.gov)
- Paresis of the right vocal cord in a man, aged 40. (nih.gov)
Airway10
- This type of vocal cord injection places a temporary material to reposition the paralyzed vocal cord toward the middle of the airway, reducing the leak in the leaking valve. (northshore.org)
- During this procedure, an implant is precisely placed next to the paralyzed vocal cord in order to push it towards the middle of the airway and improve the leaking vocal valve. (northshore.org)
- When both vocal cords are immobile, the laryngeal airway is typically narrowed to the point of creating breathing difficulty. (northshore.org)
- A tracheotomy, which is a reversible surgical procedure to bypass airway obstruction, will preserve vocal cord tissue without limiting future techniques that might one day artificially restore vocal cord movement. (northshore.org)
- Usually, the airway is not blocked because the normal cord on the other side opens sufficiently. (msdmanuals.com)
- However, the space between the paralyzed cords is very small, and the airway is inadequate so that even moderate exercise causes difficulty in breathing and a harsh, high-pitched sound (stridor) with each breath. (msdmanuals.com)
- In bilateral paralysis the most significant concern is the airway, as paralyzed cords sit in a half-closed position, restricting airflow through the trachea. (bergerhenryent.com)
- An examination of the airway with a fiberoptic scope (laryngoscopy) may show a paralyzed vocal cord. (medlineplus.gov)
- In some cases where the vocal cords don't open properly, they can obstruct the airway and make breathing difficult. (mayoclinic.org)
- Romaine F. Johnson, M.D., M.P.H., FACS is a pediatric otolaryngologist (ear, nose, and throat - ENT physician) who specializes in caring for patients with airway conditions such as obstructive sleep apnea , vocal cord paralysis and subglottic stenosis (narrowing of the airway) . (childrens.com)
Larynx9
- Medialization laryngoplasty (reconstruction of the voice box or vocal cords) will help to restore the function of the larynx by moving the paralyzed cord to the middle. (earsinus.com)
- The vocal cords, also known as vocal folds, are a matched pair of muscles located in the throat within a section appropriately named 'the voice box' (or larynx). (bergerhenryent.com)
- Another cause may be a medical condition impacting the physical structures involved in speech, for example, loss of voice due to the injury, paralysis, or illness of the larynx. (wikipedia.org)
- The RLN supplies nerve function to the larynx muscles that control the tension of the vocal cords, including their opening and closing. (medicalnewstoday.com)
- The laryngoscopy lets the doctor look at your baby's vocal cords and larynx. (healthychildren.org)
- This nerve controls movement of the vocal cord on that side of the larynx, and damage to the nerve can weaken or paralyze the vocal cord. (medicinenet.com)
- A case of bilateral abductor paralysis of the larynx. (nih.gov)
- The vocal folds are two elastic bands of muscle tissue located in the larynx (voice box) directly above the trachea (windpipe) (see figure). (nih.gov)
- Some doctors also use a procedure called laryngeal electromyography, which measures the electrical impulses of the nerves in the larynx, to better understand the areas of paralysis. (nih.gov)
Fold26
- View Abstract on using Radiesse (hydroxylapatite) for Vocal Fold Augmentation. (entusa.com)
- But just like it takes two to make a marriage work, if one vocal fold doesn't meet the other halfway, we have a problem. (bergerhenryent.com)
- Injury to the recurrent laryngeal nerve (RLN), if severe enough, can result in vocal fold paralysis. (nih.gov)
- Therefore, we investigated the morphometric composition of explanted RLN sections from patients who had experienced vocal fold paralysis for varying length of times. (nih.gov)
- The morphometric data presented here suggest that correlations between the time since onset of vocal fold paralysis and reinnervation outcomes may be due to fiber size changes in the paralyzed nerve over time. (nih.gov)
- Also known as vocal fold paralysis, this voice disorder occurs when one or both of the vocal cords don't open or close properly, leaving the trachea and lungs unprotected. (mayoclinic.org)
- We discuss a case of hydralazine-induced lupus, presenting with acute laryngeal oedema and right vocal fold paralysis. (nih.gov)
- 1. Bilateral vocal fold paralysis following treatment with vincristine. (nih.gov)
- In addition, we offer a monthly clinic specializing in paradoxical vocal fold mobility, a disorder of the vocal cords that can lead to trouble breathing, especially during activity. (childrensnational.org)
- Vocal fold paralysis (also known as vocal cord paralysis) is a voice disorder that occurs when one or both of the vocal folds don't open or close properly. (nih.gov)
- Single vocal fold paralysis is a common disorder. (nih.gov)
- If you have vocal fold paralysis, the paralyzed fold or folds may remain open, leaving the air passages and lungs unprotected. (nih.gov)
- People with certain neurologic conditions such as multiple sclerosis or Parkinson's disease, or who have sustained a stroke, may experience vocal fold paralysis. (nih.gov)
- How is vocal fold paralysis diagnosed? (nih.gov)
- Vocal fold paralysis is usually diagnosed by an otolaryngologist-a doctor who specializes in ear, nose, and throat disorders. (nih.gov)
- How is vocal fold paralysis treated? (nih.gov)
- The most common treatments for vocal fold paralysis are voice therapy and surgery. (nih.gov)
- The most common procedures change the position of the vocal fold. (nih.gov)
- What research is being done on vocal fold paralysis? (nih.gov)
- The National Institute on Deafness and Other Communication Disorders (NIDCD) supports research studies that explore the causes of vocal fold paralysis as well as better ways to treat the disorder. (nih.gov)
- In some patients, this turns up asymmetrical movement of the vocal fold (the vocal cords) or vocal fold paralysis. (medindia.net)
- The cause is usually a lesion or another structure pressing on one of the nerves that activates the vocal fold and swallowing (cranial nerves nine and ten). (medindia.net)
- The laryngeal exam tells us that the vocal fold is not opening, lengthening or shortening correctly," said Halstead. (medindia.net)
- For people with vocal fold paralysis, we look right away in the chest and neck. (medindia.net)
- A laryngeal exam found vocal fold paralysis, but further investigations didn't identify a cause. (medindia.net)
- Partial motion of the paralyzed vocal fold occurred, and swallowing ability was recovered completely. (medindia.net)
Bilateral paralysis1
- Suffering from birth bilateral paralysis of the vocal cords, he must live with a tracheostomy to breathe. (chuv.ch)
Laryngoscopy1
- In addition to taking a detailed history of symptoms and any risk factors, direct visualization of the vocal cords using laryngoscopy can reveal the positioning of the folds and aid in determining if one or both are affected. (bergerhenryent.com)
Breathy3
- The result can be a leaking valve, which leads to inefficient sound production often resulting in vocal fatigue, as well as a breathy and/or raspy voice. (northshore.org)
- If only one vocal cord is paralyzed, the voice is hoarse and breathy. (msdmanuals.com)
- Weakness or paralysis of one vocal cord causes a breathy weak voice, and difficulty swallowing thin liquids. (medicinenet.com)
Hoarseness2
- Vocal Cord Paralysis Treatment , A specific number of patients come to us and complain about the sudden hoarseness in their voices. (simplihealth.in)
- Hoarseness (dysphonia) and vocal nodules are the most common problems we see in the clinic. (childrensnational.org)
Recurrent4
- The vocal cords are supplied by the vagus nerve and its direct branches known as the recurrent laryngeal nerves. (bergerhenryent.com)
- More often it is the left-sided vocal cord affected as the left recurrent laryngeal nerve must run a longer course from the brainstem, meaning there is more chance for it to be damaged at some point. (bergerhenryent.com)
- 10. [Vincristine-induced recurrent laryngeal nerve paralysis]. (nih.gov)
- Watch as Pamela Mudd, M.D., performs Children's first recurrent laryngeal nerve reinnervation to improve Madison's vocal strength. (childrensnational.org)
Left vocal cord para3
- Today, I have coronary artery disease (failed bypass to 100% blocked LAD in 2007) and I have just discovered that I have left vocal cord paralysis. (cancer.org)
- Left vocal cord paralysis, lung function and exercise capacity in young adults born extremely preterm with a history of neonatal patent ductus arteriosus surgery-A national cohort study. (uib.no)
- On October 7, his evaluation as an outpatient included a computerized tomography (CT) scan, which suggested left frontal and sphenoid sinusitis with normal brain parenchyma, and a laryngeal examination, which revealed left vocal-cord paralysis. (cdc.gov)
Symptoms1
- In the short term, while you await recovery, patients can get relief from their symptoms with a simple office-based injection procedure to help push the vocal cord closer to the center and restore good, strong closure during speaking and swallowing. (earsinus.com)
Weakness3
- This weakness progresses until we have gradually appearing paralysis. (abchomeopathy.com)
- Botulism is a rare, neurotoxin-mediated, life-threatening disease characterized by flaccid descending paralysis that begins with cranial nerve palsies and might progress to extremity weakness and respiratory failure. (cdc.gov)
- Clinical manifestations may include dysphagia, vocal cord weakness, and alterations of parasympathetic tone in the thorax and abdomen. (bvsalud.org)
Abductor paralysis2
- Crile, G.W.: The prevention of abductor paralysis in thyroidectomy. (springer.com)
- Bilateral abductor paralysis with prolapse of the ventricle of the left side. (nih.gov)
Laryngeal paralysis1
- 20. The natural history of vincristine-induced laryngeal paralysis in children. (nih.gov)
Subglottic1
- Stenosis can involve the vocal cords (glottic stenosis), the windpipe just below the vocal cords (subglottic stenosis), or the main part of the windpipe (tracheal stenosis). (mayoclinic.org)
Exercises to strengthen the vocal2
- Therapy typically involves specialized exercises to strengthen the vocal cords. (bergerhenryent.com)
- During this time, your doctor will likely refer you to a speech-language pathologist for voice therapy, which may involve exercises to strengthen the vocal folds or improve breath control while speaking. (nih.gov)
Partial2
- It can result in partial or complete paralysis. (hoffmannpersonalinjury.com)
- In March, a partial paralysis of the vocal cords makes him unable to speak beyond a whisper. (edgarcayce.org)
Tracheal stenosis1
- People that have tracheal stenosis from being intubated too long, vocal cord paralysis, laryngectomies. (allnurses.com)
Neck3
- Damage to the nerves that send signals to the vocal cords can result from trauma or surgeries in our neck or chest, tumors along the course of the nerves, or even bad infections. (earsinus.com)
- This is a severe type of neck injury from car accidents where damage is done to the spinal cord. (hoffmannpersonalinjury.com)
- Vanderbilt has pioneered surgical techniques to treat head and neck conditions and vocal cord paralysis. (vanderbilthealth.com)
Complete paralysis1
- Immediate examination of the glottis upon arrival by an otorhinolaryngologist using a fibroscope indicated complete paralysis of both vocal cords, and tracheal intubation resulted in marked improvement of respiration. (nih.gov)
Dysfunction1
- Diagnosis of vocal cord dysfunction/inducible laryngeal obstruction: an International Delphi Consensus Study. (uib.no)
Diagnosis1
- Diagnosis and treatment of paralysis of the vocal cords. (nih.gov)
Reinnervation1
- Reinnervation surgery can improve patient outcomes, but previous studies have reported a negative correlation between time since onset of paralysis and surgical outcomes. (nih.gov)
Cranial1
- Cranial nerve paralysis resulting in double vision, facial paralysis, optic nerve inflammation and difficulty in swallowing. (health-disease.org)
Inability2
- Vocal cord paralysis is the inability to move the muscles that control the vocal cords. (msdmanuals.com)
- During the next 2 days, he developed fever of 103.6 F (39.8 C), ocular motor paralysis, myoclonic tremors, and dysphagia, manifested by an inability to swallow his saliva. (cdc.gov)
Spinal1
- Vocal cord paralysis as a presenting sign of acute spinal muscular atrophy SMA type 1. (bmj.com)
Thyroidectomy1
- What are the appropriate measures to take for a patient who may have vocal cord paralysis following thyroidectomy? (medscape.com)
Facial paralysis1
- Am. Phosphorus Phos ( facial paralysis). (abchomeopathy.com)
Surgical6
- Depending on the position of the paralyzed vocal cord, a special additional surgical procedure, called an adduction arytenopexy , may be required as a part of the medialization laryngoplasty operation in order to produce the best possible vocal outcome. (northshore.org)
- The most common causes of true vocal cord paralysis are lung carcinoma, surgical injury, and idiopathic (unknown) causes. (entusa.com)
- There are also surgical procedures that can restore function to the vocal system in the event that the paralysis is in fact permanent. (earsinus.com)
- In these situations, surgical treatment aims to bring the cords closer together to be able to produce sound through proper vibration. (bergerhenryent.com)
- Vocal cord augmentation is a category of surgical treatments that aim to bring the paralyzed cord closer to the functioning one to allow vibration for normal speech and to prevent aspiration (and choking and death). (bergerhenryent.com)
- Several surgical procedures are available, depending on whether one or both of your vocal folds are paralyzed. (nih.gov)
Nerve4
- Bilateral vocal cord paralysis occurs when both of the vocal cords do not move properly as a result of nerve damage and typically results in difficulty breathing. (northshore.org)
- Paralysis can be caused by tumors, injuries, or nerve damage. (msdmanuals.com)
- The patient is given steroids or nerve tonic, and the patient is encouraged so that the vocal cord heals itself, or the working vocal cord compensates for the non-functioning one. (simplihealth.in)
- Vocal cord paralysis occurs when one or both vocal folds lose the ability to move effectively due to damage to the nerve and its branches that supply these muscles. (bergerhenryent.com)
Disorder1
- Paralysis of both vocal cords is a life-threatening disorder because the vocal cords cannot open enough to let air through properly. (msdmanuals.com)
Throat1
- Using an endoscope-a tube with a light at the end-your doctor will look directly into the throat at the vocal folds. (nih.gov)
Injection laryngoplasty1
- The second is injection laryngoplasty, which consists of of injecting the true vocal cord with gel-foam or with a variety of permanent substances. (entusa.com)
Muscle3
- The RLN works closely with these muscles, including the posterior cricoarytenoid muscles, which open the vocal cords, and the interarytenoid muscle, which holds the vocal cords in a closed position. (medicalnewstoday.com)
- A person with RLN injury may also experience paralysis of their posterior cricoarytenoid muscle, which is responsible for opening the vocal cords. (medicalnewstoday.com)
- Muscle paralysis takes place. (health-disease.org)
Idiopathic2
- If the paralysis is from idiopathic causes, it will often resolve in the course of six to nine months. (entusa.com)
- Idiopathic vocal cord policy does not have a definite treatment. (simplihealth.in)
Viral1
- For example, some people may experience vocal cord paralysis after recovering from some viral infection. (simplihealth.in)
Cuerda vocal1
- Parálisis de una cuerda vocal curada por sugestión en estado de vigilia. (nih.gov)
Reaching the vocal folds1
- Electromyography is a procedure to measure the electrical impulses reaching the vocal folds and can provide some useful prognostic information about whether the cords may recover some or all of their function. (bergerhenryent.com)
Breathe3
- The vocal cords are used to breathe, talk, and swallow. (earsinus.com)
- When you breathe, your vocal folds remain apart and when you swallow, they are tightly closed. (nih.gov)
- She received a tracheotomy at 3 months of age as repeated intubations had caused severe stenosis (grade IV) and damage to the vocal cords, leaving her unable to breathe or speak. (chuv.ch)
Tracheostomy1
- I recently received a tracheostomy due to bilateral vocal cord paralysis, and have been having laryngospasms post surgery. (allnurses.com)
Lung1
- If the left true vocal cord is paralyzed, the presence of a lung carcinoma or other chest disease is likely. (entusa.com)
Deafness1
- National Institute on Deafness and Other Communication Disorders: Vocal Cord Paralysis. (medscape.com)
Ocular1
- Paralysis of ocular muscles after exposure to cold. (abchomeopathy.com)
Tremors1
- This can cause paralysis and involuntary tremors in the RLN. (medicalnewstoday.com)
Treatment3
- The result can be a dramatic vocal improvement almost immediately after treatment. (northshore.org)
- Treatment aims to improve articulation through speech therapy, and by strengthening vocal cords and other muscles used to make speech. (healthline.com)
- 12. Vocal cord paralysis secondary to vincristine treatment in children: A case series of seven children and literature review. (nih.gov)
Arytenoid2
- In addition a third injection was placed lateral to the arytenoid to move the posterior cord towards midline. (entusa.com)
- Two cases of paralysis of the arytenoid muscles. (nih.gov)
Windpipe3
- Paralysis may allow food and fluids to be inhaled (aspirated) into the windpipe (trachea) and lungs. (msdmanuals.com)
- Because normally functioning vocal folds automatically close during swallowing to seal the airways, vocal cord paralysis may also present with choking as solids or liquids (including even saliva) are accidentally directed down the windpipe (trachea) instead of food pipe (esophagus). (bergerhenryent.com)
- Vocal therapy under appropriate supervision can help to rehabilitate the vocal folds, improving breathing during speech, protecting the windpipe during swallowing, and avoiding abnormal overuse of the surrounding muscles. (bergerhenryent.com)
Voice10
- The vocal cords act like a valve regulating airflow within the voice box as they open for breathing and temporarily close for producing sound. (northshore.org)
- For patients who desire immediate vocal improvement, an alternative exists to enduring a poor voice while waiting for spontaneous recovery. (northshore.org)
- Patients who have a poor voice resulting from a longterm leaking vocal cord valve during speech can have a surgery called a medialization laryngoplasty , which can permanently improve the voice. (northshore.org)
- While this procedure can help avoid a permanent tracheotomy, it irreversibly changes the vocal cord tisue and will result in a permanently diminshed voice. (northshore.org)
- When both vocal cords are paralyzed, the voice is reduced in strength but otherwise sounds normal. (msdmanuals.com)
- Pushing air through the vocal cords when they are closed produces vibrations that we ultimately shape into our voice. (earsinus.com)
- Vocal cord paralysis shows up most dramatically in the voice. (earsinus.com)
- During your child's clinic visit, we perform a full otolaryngologic examination including videolaryngoscopy with stroboscopy and complete voice evaluation - we see, hear and record what happens to the vocal cords when your child makes a sound. (childrensnational.org)
- Voice therapy to treat the problem and the cause involves conducting a vocal quality assessment, learning behaviors to avoid straining the voice (vocal abuse) and other habits to preserve your child's voice. (childrensnational.org)
- When you use your voice, however, air from the lungs causes your vocal folds to vibrate between open and closed positions. (nih.gov)
Palsy1
- 8. Vincristine-induced vocal cord palsy: case report and review of the literature. (nih.gov)
Surgery1
- Routine visual identification of RLN is applied in thyroid surgery to prevent RLN injury, which serves as a conventional measure to reduce vocal cord paralysis. (nature.com)
Thyroid gland1
- There was a statistically significant increase in the incidence of positive paratracheal lymph nodes with thyroid gland invasion, vocal cord invasion, metastasis to the internal jugular chain of the deep cervical nodes and extracapsular and perineural spread. (who.int)
Stroke1
- Vocal cord paralysis may also be a sign of other serious systemic disease affecting the innervation of the vocal folds, including multiple sclerosis, Parkinson's disease, or stroke. (bergerhenryent.com)
Movement1
- At present, medical techniques to reliably restore movement to paralyzed vocal cords remain experimental. (northshore.org)
Closer together1
- These may involve inserting a structural implant or stitches to reposition the laryngeal cartilage and bring the vocal folds closer together. (nih.gov)