Clinico-etiological Profile of Vocal Cord Paralysis
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Abstract
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.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Samlan RA. Voice analysis. In: Cummings CW, Flint PW, Haughey BH, Robbins KT, et al editors. Cummings Otorhinolaryngology Head and Neck Surgery.4th ed. Philadelphia: Elsevier Mosby Inc; 2005.p.2008
Mc Glashan J. Disorders of the voice. In: Gleeson M, editor. Scott-Brown’s Otorhinolaryngology Head and Neck Surgery.7th ed. London: Hodder Arnold; 2008.p.2192-4
Vengala RR, Kapilavaya N, Suraneni VR. Evaluation of Clinical Profile and Etiopathology for Hoarseness of Voice- A Study of 146 Cases. Int J Med Res Rev. 2015; 3(2):167-73. doi: 10.17511/ijmrr.2015.i2.030
Shin YH, An DA, Choi WJ, Kim YH. Unilateral vocal cord paralysis following a short period of endotracheal intubation anesthesia. Korean J Anesthesiol. 2013 Oct;65(4):357-8. doi: 10.4097/kjae.2013.65.4.357. PubMed PMID: 24228153; PubMed Central PMCID: PMC3822032.
Titche LL. Causes of recurrent laryngeal nerve nerve paralysis. Arch Otolaryngol. 1976 May; 102(5):259-61
Seyed Toutounchi SJ, Eydi M, Golzari SE, Ghaffari MR, Parvizian N. Vocal cord paralysis and its etiologies: a prospective study. J Cardiovasc Thorac Res. 2014;6(1):47-50. doi: 10.5681/jcvtr.2014.009. Epub 2014 Mar 4. PubMed PMID: 24753832; PubMed Central PMCID: PMC3992732
Mau T. Diagnostic evaluation and management of hoarseness. Med Clin North Am. 2010; 94:945-60
Bando H, Nishio T, Bamba H, Uno T, Hisa Y. Vocal cord paralysis as a sign of chest diseases: a 15-year retrospective study. World J Surg. 2006; 30:293-8
Chen HC, Jen YM, Wang CH, Lee JC, Lin YS. Etiology of vocal cord paralysis. ORL J Otorhinolaryngol Relat Spec. 2007; 69:167-71
Glazer HS, Aronberg DJ, Lee JK, Sagel SS. Extralaryngeal causes of vocal cord paralysis: CT evaluation. AJR Am J Roentgenol 1983; 141:527-31
Gandhi S, Rai S, Bhowmick N. Etiological profile of unilateral vocal cord paralysis: A single institutional experience over 10 years. Journal of Laryngology and Voice 2014; 4 (2) 58-62
Pavithran J, Menon JR. Unilateral Vocal cord Palsy- An etiopathological study. International Journal of Phonosurgery and Laryngology 2011; 1(1):5-10
Yumoto E, Minoda R, Hyodo M, Yamagata T. Causes of recurrent laryngeal nerve paralysis. Auris Nasus Larynx 2002; 29:41-5
Swift AC, Rogers J. Vocal cord paralysis in children. J Laryngol Otol. 1987; 101(2):169-71. DOI: https://doi.org/10.1017/S0022215100101446
Rosenthal L H, Benninger M S, Deeb R H. Vocal fold immobility: A longitudinal analysis of etiology over 20 years. Laryngoscope 2007; 117:1864-70
Byeon H. The association between lifetime cigarette smoking and dysphonia in the Korean general population: findings from a national survey. Peer J 2015; 3:e912; DOI 10.7717/peerj.912
Awan SN. The effect of smoking on the dysphonia severity index in females. Folia Phoniatrica et Logopaedica 2011; 63:65–71 DOI 10.1159/000316142
Byeon H. The association between smoking and self-reported voice problems in the Korean adult population. Journal of Speech-Language & Hearing Disorders 2011; 20:17-30 DOI 10.15724/jslhd.2011.20.3.002
Scholtemeijer MG, Seesing MFJ, Brenkman HJF, Janssen LM, van Hillegersberg R et al. Recurrent laryngeal nerve injury after esophagectomy for esophageal cancer: incidence, management, and impact on short-and long-term outcomes. J Thorac Dis. 2017; 9(Suppl 8):S868-78
Gelpke H, Grieder F, Decurtins M, et al. Recurrent laryngeal nerve monitoring during esophagectomy and mediastinal lymph node dissection. World J Surg. 2010; 34:2379-82
Koyanagi K, Igaki H, Iwabu J, et al. Recurrent laryngeal nerve paralysis after esophagectomy: Respiratory complications and role of nerve reconstruction. Tohoku J Exp Med. 2015; 237:1-8
Ahmad S, Muzamil A, Lateef M. A Study of incidence and etiopathology of vocal cord paralysis. Indian J Otolaryngol Head Neck Surg. 2002; 54(4); 294-96.