Bilateral Vocal Cord Paralysis Complication

Common neurologic complications include cerebellar ataxia and encephalitis while the rare ones are transverse myelitis aseptic meningitis guillain barre syndrome and facial paralysis. Bilateral vocal cord paralysis is a known possible complication following thyroid surgery. It may be due to the endotracheal tube cuff pressure on the recurrent nerves.

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It owes to the close relationship between the recurrent laryngeal nerve and the thyroid gland.

Bilateral vocal cord paralysis complication. Yale loop suite 200 irvine ca 92604 888 826 2672. 101 the city drive south pavilion ii orange ca 92868 888 826 2672. Learn more about causes symptoms treatments for bilateral paralyzed vocal cords. 10 physicians should consider the possibility of airway stenosis after hyoid bone fracture.

A breathy quality to the voice hoarseness noisy breathing loss of vocal pitch choking or coughing while swallowing food drink or saliva the need to take frequent breaths while speaking inability to speak loudly loss of your gag reflex. Bilateral vocal cord paralysis an infrequent but life threatening complication of rheumatoid arthritis 1 2 results from cricoarytenoid arthritis and should be considered by clinicians in those with rheumatoid arthritis and vocal hoarseness or dyspnea. 9 moreover patients suffering hyoid bone fractures may develop rapid hemoptysis edema ecchymosis and airway spasm resulting in life threatening asphyxia. Unilateral vocal cord paralysis is most common than bilateral vocal cord paralysis.

Vocal cord paralysis after cervical injury has previously been reported. Other causes of unilateral vocal cord paralysis may include certain neurologic illness trauma thyroidectomy and intubation during surgery malignancy. 7 8 hoarseness and laryngeal edema can occur after fracture of the hyoid bone. Bilateral vocal cord paralysis may cause stridor if the vocal cords are in a median or paramedian position.

Bilateral vocal cord paralysis occurs when both vocal folds are unable to move. Airway compromise may occur if the unilateral paralysis is accompanied by other pathologic processes such as polypoid changes to the vocal cord or decreased abduction of the contralateral vocal cord. Bilateral vocal fold cord paralysis bvfp refers to the neurologic causes of bilateral vocal fold immobility bvfi and specifically refers to the reduced or absent function of the vagus nerve. In 30 50 of the subjects the unilateral vocal cord paralysis is idiopathic and asymptomatic.

U unilateral vocal cord paralysis complicating varicella zoster infection has been mentioned in a few case reports in the literature. Vocal cord paralysis is an uncommon complication of endotracheal intubation after induction of general anesthesia. Signs and symptoms of vocal cord paralysis may include. The most feared complication of bilateral vocal cord paralysis is airway compromise.